This report is based on the 2011-2012 Center for Collegiate Mental Health (CCMH) data set, which closed on June 30, 2012. Data was contributed by 120 colleges and universities describing 81,000 unique college students seeking treatment, 2,823 clinicians, and over 730,567 appointments. In addition to summarizing data, these annual reports are intended to provide a robust contribution to the public information about college student mental health. Throughout this report the differences across various groups (e.g., gender, race, past mental health treatment, etc.) were tested in order to offer a more nuanced presentation of the data and the emerging trends in college student mental health. Difference testing, across groups, was conducted using a series of independent sample t-tests and results are reported in both significance and effect sizes. [This report was made possible by the Association of University and College Counseling Center Directors (AUCCCD), Titanium Software, Inc., Ittleson Foundation, Student Affairs Administrators in Higher Education (NASPA), Campus Labs, College Mental Health Program at McLean Hospital, American College Counseling Association (ACCA), American College Personnel Association (ACPA), Commission for Counseling and Psychological Services (CCAPS), and Penn State University's Student Affairs.]