The difference in attitudes toward online video counseling and face-to-face counseling and the relationship between stigma and these attitudes were investigated among a sample of 588 college students. Attitudes toward face-to-face counseling are more favorable compared with those toward online video counseling. However, self-stigma does not influence attitudes toward online video counseling to the same extent as face-to-face counseling. Services delivered through online video counseling may be beneficial for those experiencing higher levels of stigma.