College counseling centers (CCCs) have unique needs which influence what kinds of groups are offered and how groups are run. With limited resources and the need for a time-limited treatment model, coupled with increasingly severe and complex problems among the student population, effective short-term interventions are necessary. Because of the variety of presenting problems for which students seek help, it can be difficult to compose a group with members who share a common diagnosis. In fact, it is much more likely and common that group members will carry a variety of diagnoses.