Objective To explore the application effects of drawing art therapy on psychological intervention of college entrance examination pressure for senior middle school students. Methods Senior middle school students were randomly selected from Changsha，Xiangtan and Zhuzhou. All students were randomly divided into three groups：drawing group，general group and control group. Test Anxiety Scale (TAS) and Middle School Students Stress Scale were measured at baseline and after intervention in all groups. Six times of group counseling with drawing art therapy (drawing group)，six times of general group counseling (general group) and one time of large lecture (control group) were conducted. Results Pressure of college entrance examination was improved significantly in drawing group，including exam anxiety and academic pressure (P ＜ 0.01). Pressure of college entrance examination was also improved significantly in general group (P ＜ 0.01)，but exam anxiety was not changed (P＞ 0.05). Academic pressure increased significantly in control group (P＜ 0.01)，while exam anxiety was not changed (P＞ 0.05). Exam anxiety and academic pressure improved more in drawing group than general group and control group (P＜ 0.01). And academic pressure improved more in general group than control group (P ＜ 0.01). While improvement of exam anxiety showed no difference between general group and control group (P ＞ 0.05). Conclusions Drawing art therapy can relieve the pressure and anxiety of college entrance examination for senior middle school students effectively. And the effect of drawing art therapy is better than general group counseling.