A recent "Time" magazine article noted that college counseling centers are experiencing an increasing number of students seeking services for a range of mental health and developmental needs. For many students, the college experience can be stressful, which may contribute to poor eating habits, irregular sleeping patterns, or experimentation with high risk behaviors such as sex, drugs, and alcohol. All of these indicators, combined with the academic stress of college life, can precipitate mental health problems. With the modern medical treatment of antidepressants and other drugs, many students who would have been unable to attend college two decades ago now can thrive on campus. As a result, there is a greater need for services than ever before. Some college counseling centers are either expanding their campus counseling services or referring students off campus for treatment. Deaf and hard-of-hearing students have the same developmental and psychological needs as their hearing counterparts; however, their communication needs are unique. Thus, counseling students who are deaf and hard of hearing requires specialized skills. This paper suggests that colleges must be staffed with qualified mental health providers who are knowledgeable about deafness and deaf culture and are fluent in using sign language.