This dissertation examined community college transfer students' perceptions of how mental health concerns interfere with academics, the ability to stay in school, graduate, and transfer to a 4-year university. The study also examined if community college transfer students perceive that mental health counseling improves their ability to stay in college, graduate from community college, and overcome barriers that interfere with the ability to transfer to a 4-year university. The study employed descriptive statistics and one-way between subjects ANOVAs to examine the effects of demographic characteristics and presenting mental health concerns on the ability to remain in community college, graduate from community college, and transfer to a 4-year university. Eta squared post hoc test revealed medium to large effect sizes. The participants were 65 transfer students consisting largely of white, female community college graduates between the ages of eighteen and twenty-four from a mid-sized, southeastern United States university. Significant findings for differences in perceptions were found based on students' presenting concerns for counseling and demographics. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com.bibliotheek.ehb.be/en-US/products/dissertations/individuals.shtml.]