Intake summaries and progress notes written by counseling trainees were examined to determine the extent to which work or academically related problems are discussed in counseling sessions when clients present with distress attributed to work or academic problems and personal concerns. Content analysis revealed that work or academically related problems were rarely discussed. The notes were also examined to explore factors or processes that distract counselors from addressing work or academically related problems in counseling sessions when clients indicated problems in work or academic area. Relational problems were found to be the most common topic that was likely to have distracted counselors from addressing work or academic problems. Finally, the data also revealed failure to integrate work and academic areas with discussions of personal concerns.