Institutional counselors, like all mental health professionals are at a high risk of suffering burnout. High caseloads and job role ambiguity increase their propensity for burnout. Their vulnerability to burnout remains a major concern in many institutions throughout the world. The caseloads handled by counselors in public universities were generally higher than those of their counterparts in private universities due to the counselor ratio in public universities which was higher than the recommended ratio. This book focuses on caseloads and makes recommendations on how to mitigate issues of burnout. Since caseload size impacts negatively on the performance of student-counselors yielding burnout, hiring more skilled counselors, particularly in public universities will provide additional support to the student population as well as relieve the added stress of overwhelmingly large caseload sizes.