selimthegrin is correct below -- HIPAA does not apply to on-campus mental health services, and there are many ways for therapy records to be shared with the campus administration via FERPA, even against the consent of the therapist.

It's a terrible loophole that needs to be closed. In the meantime, it seems we can't in good conscience encourage people to use their on-campus counselors for mental health crises. (And the off-campus counselors are going to be more expensive, such that people you warn off the on-campus ones might just get no help at all.) :/

Here's an example of a college administration obtaining therapist records to use in their legal defense, under FERPA after the student sued them: http://www.npr.org/blogs/health/2015/03/09/391876192/college...