Increasingly, students with cerebral dysfunctions are entering colleges and universities and demanding counseling and psychological services. Yet the provision of quality assessment, treatment planning, and counseling for this population requires training and experience in areas that extend beyond those of most counseling center professionals. As a result, the need for counseling psychologists with expertise in assisting these students has never been so apparent as it is presently. This article explores this dilemma, and presents a rationale for the development of a new area of subspecialization - counseling neuropsychology - as a mechanism for enhanced service delivery, particularly within the university counseling center.