The transition from high school to college is challenging for many students. In addition to the typical challenges faced by students starting college, students with previously diagnosed psychiatric disabilities have illness-related challenges to face as they transition to college. This article provides information on the current state of concerns related to psychiatric disabilities among college students, as well as the developmental and transition factors that place college students at risk. Finally, the role of school counselors and ways they can help facilitate the transition to college for students with psychiatric disabilities are outlined.