There are several counseling programs available at Presentation High School, including personal counseling, academic monitoring, peer tutoring, mentoring, college counseling, career counseling, and Parent Counseling Information Nights.

Each class level is assigned to a personal counselor with master's-level training. The counselor remains with that class level in order to facilitate a strong long-term counseling relationship with students. Counselors initiate appointments with each student on their caseload a minimum of once per semester in grades 9-11, yet frequently exceed this minimum. The counselors are also available to students each day as needed. Counselors maintain contact with parents when appropriate and are also available to mentors and all other faculty members who have concerns about individual students.