This study examined differences between college students with and without disabilities who utilized college counseling center services. Although we found no differences between students with (n = 234, 9.2%) and without (n = 2,308, 90.8%) disabilities on number of counseling sessions attended, significant findings included: students with disabilities were more likely to self-terminate and more likely to be referred out than students without disabilities. Results suggest that students with disabilities are a diverse group requiring special consideration in college counseling settings. Recommendations for college counseling practice are discussed.