This mixed-methods study identified the help-seeking attitudes of Guatemalan college students. A random sample of 248 students across 2 universities responded to a cultural adaptation of the Beliefs About Psychological Services (BAPS; AEgisdóttir & Gerstein, 2009) survey. The directors of both universities and a subsample of participants were also interviewed. Quantitative findings demonstrated low levels of stigma and positive help-seeking attitudes among students. Qualitative findings indicated that psychological services were limited, financially out of reach, or failed to address students' gender-specific concerns. Recommendations to address these challenges are presented.