This study sought to examine the views of school counselors in international school settings; international schools being those that enroll students from varying nationalities (both English speaking and non-English speaking countries) and follow an American/International college preparatory education curriculum. Results were pursued in regard to three important areas: (1) mental health needs of students (e.g., coping with cultural transitions, aggression, self-esteem), (2) their own professional development needs (e.g., multicultural development, networking), and (3) their interactions with teachers, administrators, and parents (e.g., lack of knowledge of the counselor's role, lack of trust in the counselor, lack of teamwork). Implications for supporting international school counselors are provided.