Chinese counseling center counselors (N = 205) reported on their theoretical orientations, frequency of presenting concerns of their Chinese clients, and attitudes toward counseling among Chinese clients. Most Chinese counselors identified themselves as integrative or eclectic in theoretical orientation, with cognitive/cognitive-behavioral therapy, psychodynamic, and humanistic/humanistic-existential being the most popular approaches. They reported that college students in China seek counseling for a variety of concerns, the most common of which are relational and affect-oriented. Counselors reported that Chinese clients tend to seek behavioral treatments, view counselors as experts, and do not present strong opinions on stigma in receiving therapy. These findings show some divergence with literature for Western counselors on counseling with Chinese clients. Limitations and implications for future research and practice are discussed.