This brief study reports on health center visits for psychotropic medication prescriptions and academic success. We analyzed records for students with mental health needs from 2000 to 2008. Building on previous research, we found two significant variables predicting post-treatment 6-year graduation among health center mental-health clients: returning for services beyond intake and utilization of psychiatric medication. Students who returned beyond their first health center contact graduated with better rates than intake-only students, and mediation utilization appeared especially beneficial. Although these results require tightly controlled replication, our findings support a beneficial role for psychotropic medication in promoting some students' academic success.