Researchers suggest an increase in self-harm among men. Specifically, college-age men appear to be at risk for self-harming behaviors, and counselors often overlook these behaviors in treatment. In this article, the authors describe the issue of self-harm and illustrate the use of dialectical behavior therapy (DBT; Linehan, 2014) with male college students. The authors use a case study to illustrate the use of a modified form of DBT with a male college student who self-harmed. Limitations of this approach and implications for college counselors are also addressed.