The purpose of this initial, exploratory study was to examine the utility of the Counseling Center Assessment of Psychological Symptoms-62 (CCAPS-62) as a repeated measure tool at one university counseling center. This study investigated whether clients engaged in individual counseling changed in symptomology while in treatment and when (e.g., session) changes in symptomology occurred. To answer these research questions, reliable change indexes (RCIs) were calculated for each subscale of the CCAPS-62. Results indicated that all eight of the CCAPS-62 subscales demonstrated reliable changes from initial to subsequent administrations, and that changes occurred between sessions 3 and 6 at this specific university counseling center. Findings suggest the importance of incorporating CCAPS-62 information into counseling sessions to inform treatment and assessment.