Surveys show students express trust in mental‑health services but underutilize on‑campus care; just 18% accessed services at their institutions in one recent study. The findings arrive as faculty and staff report rising burnout and administrative burdens that erode campus capacity to support student wellbeing. Higher education leaders and clinicians say low utilization stems from scheduling, stigma, and limited capacity; campus leaders are exploring telehealth, peer support, and systemic changes. The debate highlights tradeoffs between scaling services quickly and maintaining the counseling workforce needed for high‑touch care.