This document outlines scenarios and challenges that high-achieving college students may face and ideas for how academic advisors can help. It discusses issues like perfectionism, family pressures, being a first-generation student, and experiencing academic setbacks. The document provides potential strategies advisors could use such as reassuring students, helping them develop long-term goals and perspectives, referring them to support resources, and listening without judgment. The overall aim is for advisors to support students' well-being and resilience in addition to their academic performance.