College student mental health received widespread attention during the 2014-2015 academic year with in depth commentary appearing in numerous major media outlets. These articles examined college student mental health from various perspectives including the experiences of students and parents, counseling centers, the rise of anxiety in higher education, suicide prevention, and even the role of mental health in campus tragedies. Each of these articles raised a predictable set of questions: "Is the demand for mental health services really growing?", "Are students really more distressed?", "How are students more distressed?", and of course, "Why?" While it can be tempting to pursue quick answers that complement a headline, the frank reality is that the mental health of college students is multi-faceted, multimodal, and complexly embedded in overlapping macro/ micro cultures; there is no simple answer. However, this year's report, summarizing five years of high quality and generalizable trend data, sheds some much needed light on these complex questions and offers helpful information for administrators, policy-makers, clinicians, and researchers to consider at each of their unique institutions. This 2015 Annual Report summarizes data contributed to CCMH during the 2014-2015 academic year, closing on June 30, 2015. De-identified data were contributed by 139 college and university counseling centers, describing 100,736 unique college students seeking mental health treatment, 2,770 clinicians, and over 770,000 appointments. [This report was made possible by: Association for University and College Counseling Center Directors (AUCCCD), Titanium Software, Inc., van Ameringen Foundation, The American Foundation for Suicide Prevention (AFSP), and Penn State University's Student Affairs.]