This study examined the relationship between acculturation level, help-seeking attitude, and self-stigma among international students enrolled in the graduate counseling program (ICS) within the United States. The Theory of Planned Behavior (TPB) served as the theoretical framework, positing that behavioral intentions are the strongest determinant of social behavior, influenced by attitude, subjective norms, and perceived behavioral control. Using the TPB construct in the context of mental health concerns, this study investigated the relationship between acculturation level, help-seeking attitude, and self-stigma. This research study was a quantitative, nonexperimental correlation research design to investigate the relationship between acculturation level, help-seeking attitude, and self-stigma. The target population for this study was international students enrolled in the graduate counseling program (ICS) accredited by the CACREP and recruited using a convenience sampling method. The data from ASSIS, IASMHS, and SSOSH were analyzed using the Pearson product moment correlation (Pearson r) using Microsoft Excel's data analysis tool Pak. It was found that the Pearson product-moment correlational analysis between the variables concluded a strong direct correlation between the acculturation level and the help-seeking attitude (r (36) = 0.6814, p <0.00001) and acculturation level and self-stigma showed a moderate direct correlation (r (36) = 0.4171, p =0.0091). This suggests that ICS seek mental health services when their acculturation stress level is higher and that higher acculturation stress levels are associated with greater self-stigma. The findings contribute to the growing knowledge within the counselor education and supervision field concerning cultural competencies and professional identity development in the under-researched population such as ICS. Future research could explore mediating factors (e.g., acculturation stress) and utilize qualitative designs to gain a deeper understanding of cultural influences and past experiences shaping ICS help-seeking behaviors. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://bibliotheek.ehb.be:2222/en-US/products/dissertations/individuals.shtml.]