Counselors in the school setting may undergo a high amount of stress because of the nature of their profession. Professional counselors, who manage stress, can be more effective in the school, the profession, and their life. This literature review examines the types of stressors in the school environment and professional responsibilities that promote stress. Recommendations are included for counselors, school settings, and professional development. In addition, practices to manage stress in counselor programs and school settings are included.