The article discusses the prevalence and treatment considerations for mental health problems among college students. It highlights the unique challenges faced by both traditional and non-traditional college students, such as academic pressure, separation from family, and work or family responsibilities. The commentary emphasizes the importance of assessing the age of onset of current psychopathology, as early onset is associated with poorer outcomes. It also addresses the persistent nature of mental health problems among college students and the implications of this persistence. Treatment considerations include the involvement of parents, communication with other providers, and the use of technology to enhance adherence. The article concludes by emphasizing the need for mental health providers to be familiar with the unique problems and developmental stage of college students to better serve them.The article discusses the prevalence and treatment considerations for mental health problems among college students. It highlights the unique challenges faced by both traditional and non-traditional college students, such as academic pressure, separation from family, and work or family responsibilities. The commentary emphasizes the importance of assessing the age of onset of current psychopathology, as early onset is associated with poorer outcomes. It also addresses the persistent nature of mental health problems among college students and the implications of this persistence. Treatment considerations include the involvement of parents, communication with other providers, and the use of technology to enhance adherence. The article concludes by emphasizing the need for mental health providers to be familiar with the unique problems and developmental stage of college students to better serve them.