It is useful for clinicians and researchers to know why clients present for therapy in order to devise effective treatments. Using a feminist-informed, client-centered framework, this study provides information about clients’ perspectives on key presenting problems using self-report data from individuals, families, couples, and high-conflict coparenting dyads from a university-based counseling center. Clients most frequently reported anxiety/stress as the chief presenting problem. A number of people listed having been coerced into treatment or someone else’s problem as their chief concern. Common presenting problems varied by modality and were associated with the clients’ perceived pressure to attend therapy, readiness to change, dyadic adjustment, anxiety, and depression.