College students often face significant mental health challenges due to academic pressure, separation from family, and multiple responsibilities. Mental health and substance use disorders are common, with anxiety, depression, and eating disorders being particularly prevalent. Early onset of these disorders is associated with worse outcomes and different presentations. Substance use, including alcohol and marijuana, is also widespread, with binge drinking being a major public health concern. Many students experience persistent or worsening symptoms, often without adequate treatment. The increasing recognition of mental health issues in young adults has led to a rise in demand for counseling and specialized services, though staff shortages remain a challenge. Effective treatment requires considering the unique developmental stage and environment of college students, including the importance of parental involvement, communication with other providers, and the use of technology to improve adherence. Early identification and treatment are critical to ensure better outcomes, such as graduation. Technology-based screening and treatment programs can help address low help-seeking behavior, especially among students who may be concerned about stigma or lack time. Collaboration between university health centers and behavioral health services is essential for effective care. Treatment should be tailored to the needs of traditional and non-traditional students, with a focus on continuity of care during school breaks. Mental health providers should enhance their training to better serve college students, considering developmental psychopathology, family dynamics, and specific college-related issues. Overall, addressing mental health problems in college students requires a comprehensive approach that includes early identification, appropriate treatment, and ongoing support.College students often face significant mental health challenges due to academic pressure, separation from family, and multiple responsibilities. Mental health and substance use disorders are common, with anxiety, depression, and eating disorders being particularly prevalent. Early onset of these disorders is associated with worse outcomes and different presentations. Substance use, including alcohol and marijuana, is also widespread, with binge drinking being a major public health concern. Many students experience persistent or worsening symptoms, often without adequate treatment. The increasing recognition of mental health issues in young adults has led to a rise in demand for counseling and specialized services, though staff shortages remain a challenge. Effective treatment requires considering the unique developmental stage and environment of college students, including the importance of parental involvement, communication with other providers, and the use of technology to improve adherence. Early identification and treatment are critical to ensure better outcomes, such as graduation. Technology-based screening and treatment programs can help address low help-seeking behavior, especially among students who may be concerned about stigma or lack time. Collaboration between university health centers and behavioral health services is essential for effective care. Treatment should be tailored to the needs of traditional and non-traditional students, with a focus on continuity of care during school breaks. Mental health providers should enhance their training to better serve college students, considering developmental psychopathology, family dynamics, and specific college-related issues. Overall, addressing mental health problems in college students requires a comprehensive approach that includes early identification, appropriate treatment, and ongoing support.