This study investigated the impact on university psychologists when they deal with crisis cases on campus. Data were collected from in-depth interviews with eight psychologists in university counseling centers for their experiences with crisis cases in the past two years and were analyzed with grounded theory techniques. The major findings are as follows: the psychologists had the most difficulties and pressure with the cases that involved risks to life, clients who were in constant danger, dual relationships, unclear crisis operating procedure, and inefficient administrative system. In order that the psychologists coped with the strong impact of stress and psychological reactions, the methods often adapted for adjustment were consulting supervisors and colleagues and reexamining the work value and experience. All the participants also agreed that to deal with complicated crisis situations, in the future they should enhance the education in psychological disorders and medications, strengthen the managing abilities with regard to emerging crisis cases, and improve horizontal cooperation with other related administrative divisions. This study suggests that the professional counseling training in Taiwan emphasize practical abilities, including the understanding of different types of crisis cases as well as crisis intervention. Besides, the administration of universities and colleges needs to pay more attention on psychologists' stress from dealing with crisis cases and the maintenance of their vitality through self care for the better efficiency in clinical practices.