Substance Abuse, Behavioral Disorder, or Mental Health Counselor

This job search feature is for Premium Users.
Take our career test and discover careers that fit you best and your work personality strengths. With one click - see your best fitting jobs, who is hiring near you, and apply for these jobs online.

Career Test + Premium Career Report + Unlimited Career Research & Job Search Access Learn more here

Salary Range: $40,000 to $59,999

Average Hourly: $ 22.91

Education: Bachelor's degree

Number of Jobs: 327500

Jobs Added to 2029: 75100

Growth: Much faster than average



Go here to see salary and job data specific to the United Kingdom.

What Substance Abuse, Behavioral Disorder, and Mental Health Counselors Do

Substance abuse, behavioral disorder, and mental health counselors advise people who suffer from alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. They provide treatment and support to help clients recover from addiction or modify problem behaviors.

Duties

Substance abuse, behavioral disorder, and mental health counselors typically do the following:

  • Evaluate clients’ mental and physical health, addiction, or problematic behavior and assess their readiness for treatment
  • Develop, recommend, and review treatment goals and plans with clients and their families
  • Assist clients in developing skills and behaviors necessary to recover from their addiction or modify their behavior
  • Work with clients to identify behaviors or situations that interfere with their recovery
  • Teach clients’ family members about addiction or behavior disorders and help them develop strategies to cope with those problems
  • Refer clients to other resources and services, such as job placement services and support groups
  • Conduct outreach programs to help people identify the signs of addiction and other destructive behavior, as well as steps to take to avoid such behavior

Substance abuse counselors and behavioral disorder counselors, also called addiction counselors, work with clients individually and in group sessions. Many incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA), to guide their practice. They teach clients how to cope with stress and life’s problems in ways that help them recover. Furthermore, they help clients rebuild professional relationships and, if necessary, reestablish their career. They also help clients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.

Some addiction counselors work in facilities that employ many types of healthcare and mental health professionals. Addiction counselors may work with psychologists, psychiatrists, social workers, physicians, and registered nurses to develop treatment plans and coordinate care for patients.

Some counselors work with clients who have been ordered by a judge to receive treatment for addiction. Others work with specific populations, such as teenagers, veterans, or people with disabilities. Some specialize in crisis intervention; these counselors step in when someone is endangering his or her own life or the lives of others. Other counselors specialize in noncrisis interventions, which encourage a person with addictions or other issues, such as difficulty managing anger, to get help. Noncrisis interventions often are performed at the request of friends and family.

Mental health counselors provide treatment to individuals, families, couples, and groups. Some work with specific populations, such as the elderly, college students, or children. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses. They also help with mental and emotional health issues and relationship problems.


Work Environment

Substance abuse, behavioral disorder, and mental health counselors work in a wide variety of settings, such as mental health centers, community health centers, prisons, and private practice. Most work full time.


Work Environment Details

Substance abuse, behavioral disorder, and mental health counselors held about 327,500 jobs in 2020. The largest employers of substance abuse, behavioral disorder, and mental health counselors were as follows:
Outpatient mental health and substance abuse centers 18%
Individual and family services 16
Hospitals; state, local, and private 10
Residential mental health and substance abuse facilities 9
Government 9

Substance abuse, behavioral disorder, and mental health counselors work in a wide variety of settings, including mental health centers, prisons, probation or parole agencies, and juvenile detention facilities. They also work in halfway houses, detox centers, or in employee assistance programs (EAPs). EAPs are mental health programs provided by some employers to help employees deal with personal problems.

Some addiction counselors work in residential treatment centers, where clients live in the facility for a fixed period of time. Others work with clients in outpatient treatment centers. Some counselors work in private practice, where they may work alone or with a group of counselors or other professionals.

Although rewarding, the work of substance abuse, behavioral disorder, and mental health counselors is often stressful. Many counselors have to deal with large workloads. They do not always have enough resources to meet the demand for their services. Also, they may have to intervene in crisis situations or work with agitated clients, which can be difficult.

Work Schedules

Most substance abuse, behavioral disorder, and mental health counselors work full time. In some settings, such as inpatient facilities, they may need to work evenings, nights, or weekends.


Job Outlook

Employment of substance abuse, behavioral disorder, and mental health counselors is projected to grow 23 percent from 2020 to 2030, much faster than the average for all occupations.

About 41,000 openings for substance abuse, behavioral disorder, and mental health counselors are projected each year, on average, over the decade. Many of those openings are expected to result from the need to replace workers who transfer to different occupations or exit the labor force, such as to retire.


How to Become a Substance Abuse, Behavioral Disorder, or Mental Health Counselor

Most positions require at least a bachelor’s degree. Although educational requirements can vary from a high school diploma and certification to a master’s degree for substance abuse and behavioral disorder counselors, a master’s degree and an internship is typically required to become a mental health counselor.

Education

Most substance abuse, behavioral disorder, and mental health counselor positions require at least a bachelor’s degree. However, depending on the state and employer, educational requirements for substance abuse, behavioral disorder, and mental health counselors can vary from a high school diploma and certification to a master’s degree. Workers with psychology, clinical social work, mental health counseling, and similar master’s degrees can provide more services to their clients, such as private one-on-one counseling sessions, and they require less supervision than those with less education. Those interested should research their state’s educational requirements.

Licenses, Certifications, and Registrations

Substance abuse and behavioral disorder counselors in private practice must be licensed. Licensing requirements vary by state, but all states require these counselors to have a master’s degree and 2,000 to 4,000 hours of supervised clinical experience. In addition, counselors must pass a state-issued exam and complete continuing education every year. Contact information for your state's regulating board can be found through the National Board for Certified Counselors.

The licensure criteria for substance abuse and behavioral disorder counselors outside of private practice vary from state to state. For example, not all states require applicants to have a specific degree, but many require them to pass an exam. Contact information for individual states’ licensing boards can be found through the Addiction Technology Transfer Center Network.

All states require mental health counselors to be licensed, after completing a period of postdegree supervised clinical work under the supervision of a licensed counselor. 

Other Experience

There is a long tradition of people who have overcome their own addictions to be involved in counseling others to overcome their addictions. Counselors with personal experience overcoming alcohol or drug addictions are sometimes viewed as especially helpful and insightful to those seeking treatment.

Important Qualities

Compassion. Substance abuse, behavioral disorder, and mental health counselors often work with people who are dealing with stressful and difficult situations, so they must be compassionate and empathize with their clients.

Interpersonal skills. Substance abuse, behavioral disorder, and mental health counselors must be able to work with different types of people. They spend most of their time working directly with clients or other professionals and must be able to develop and nurture good relationships.

Listening skills. Substance abuse, behavioral disorder, and mental health counselors need good listening skills. They must give their full attention to a client to be able to understand that client’s problems and values.

Patience. Substance abuse, behavioral disorder, and mental health counselors must be able to remain calm when working with all types of clients, including those who may be distressed or angry.

Speaking skills. Substance abuse, behavioral disorder, and mental health counselors need to be able to effectively communicate with clients. They must express ideas and information in a way that their clients easily understand.


United Kingdom Job Data

Source:

Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Substance Abuse, Behavioral Disorder, and Mental Health Counselors, at https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm (visited ).