Background: Many studies have shown gender differences in publishing rates over the years, however a comprehensive exploration of trends of gender differences in publishing in rehabilitation counseling has not been conducted. Objectives: This article examines gender differences in publication in rehabilitation counseling over the course of 25 years. Methods: The gender of each author in every article published in five major rehabilitation counseling journals from 1990 to 2015 was analyzed to identify how gender differences have changed over time, in terms of authorship, sole authorship, and lead authorship. Findings: Results showed that overall, men published more than women (in any author position, as lead author, and as sole author). However, when exploring trends in publishing over the course of 25 years, the gender differences changed. More recent data show that women published more than men, and women were more likely to be lead authors. However, these changes did not extend to sole authorship. Conclusion: Implications for rehabilitation counseling researchers are discussed.