Millions of college students across the United States experience anxiety disorders, evidencing a high need for evidence-based counseling techniques. At the same time, impairment resulting from anxiety often necessitates classroom accommodations at the postsecondary level. Cognitive-behavioral therapy with exposure (CBT ERP) involves a thorough…

The current article describes recommendations for identifying and developing referral sources for student-athletes seeking counseling services. A Counseling Center at a northeastern state university collected data from student-athletes presenting for mental health services about who referred them and what sport they played. Findings indicated a…

Counseling centers are part of a national practice environment that arguably encourages expedience rather than thoroughness in working with psychological difficulties. In this landscape, diagnosis is a process where symptom identification is preferred over a more complex understanding of clients. The predominant diagnostic tool used by mental…

As significant numbers of university students report high levels of stress, post-secondary institutions are seeking accessible mental health and wellness supports. The outreach program presented integrates therapy dogs, therapeutic horticulture, and art making interventions. Over 170 participants completed questionnaires surveying demographic…

Psychotherapists working with TGNB (transgender and nonbinary) emerging adults can play a supportive role in helping these clients navigate options around sharing their gender identities with family members. The authors draw from clinical experience, research on the impact of family support/rejection on TGNB individuals, and critiques of…

Recently, the Association of University and College Counseling Center Directors (AUCCCD) published a White Paper on a multidimensional understanding of organizational structures for counseling centers (Mitchell, Oakley & Dunkle 2019). This article provided a historical overview of such structures, argued that there is no one optimal structure…

Many studies and reports, both governmental and academic, plus legislation, have suggested and some mandated the establishment of threat assessment teams to protect campuses. These teams have proliferated across university, college and community college campuses nationally. Despite these efforts, targeted violence continues in our communities and…

In this article, the authors discuss the pathways to sexual offenses, risk factors, treatment, and unique ethical challenges inherent in working with students who have a history of sexual offending behavior or exhibit risk factors for such behavior. We also address unique clinical competencies and knowledge and provide recommendations for…

Although University Counseling Centers continue to report increased rates of served students, those who hold marginalized identities continue to be underrepresented. Many factors may contribute to such discrepancies, including stigma, access, and trust in providers. College students across the nation have recently called for an increase in the…

Inadequate attention has been paid to the implications for clients and professional psychology resulting from use of electronic records in outpatient integrated care settings. Affecting clients, there have been pressures to erode longstanding protections of privacy, confidentiality, informed consent, and client self-determination regarding control…

Institutions of higher education and their counseling centers are under intense pressure to prevent student suicide. This article proposes that routinely using threat assessment and management teams in working with suicidal students would add value to existing suicide prevention efforts. The unique features of threat assessment and management…

Established in 1950, the Association for University and College Counseling Center Directors (AUCCCD) is an international organization comprising universities and colleges (https://www.aucccd.org). AUCCCD members are the higher education leaders for student mental health. Our members represent a wide range of professional disciplines, public and…

In this article, we explore the topic of resilience. We consider some of the ways that resilience relates to managing stress levels, with the intention of developing a capacity to "keep going." However, we find that this model does not match our clinical experience and propose instead that resilience is about the ability to think…

Student counseling services are a recognizable feature of higher education institutions locally and abroad. This article reviews the sociohistorical development and evolution of student counseling services in South African institutions of higher learning, with an emphasis on systemic influences, achievements, and contemporary challenges. This…

Significant numbers of college students experience negative consequences due to their misuse of alcohol and other drugs. For far too many, some of these effects are ruinous of their lives, and for well more than a thousand each year, life ending. This article first provides an overview of the scope of this problem. It then covers both assessment…