Mental health issues in faculty-led short-term study abroad (FLSTSA) courses are becoming increasingly prevalent. To date, little is known about the role mental health issues play in study abroad courses, including the implications for student affairs practice. This study examines the role of mental health issues in faculty-led short-term study abroad courses, from the perspective of the faculty instructors. Findings from this study provide a nuanced understanding of how student mental health issues shape study abroad experiences for the student experiencing mental health issues abroad, other students, and the faculty instructors.