Many young adult college students experience high levels of stress and symptoms of mental illness while matriculating through school. Despite experiencing these adverse symptoms, few students seek out mental health services. Black students, in particular, are even less likely to seek out services compared to other racial and ethnic groups, and most studies have not assessed mental health service use among students attending a historically Black college or university (HBCU). This study aimed to assess barriers and predictors to mental health service use among HBCU students by holding a sixty minute focus group with participants. Results showed that HBCU students reported unique barriers and predictors to mental health service use with some matching what has been found in previous studies. Future studies should focus on gathering perspectives on mental health service use among different groups within the Black community that attend HBCUs.