Mental Health Counselor Training, Skills, and Salary (2023)

A mental health counselor is a professional who uses a variety of psychotherapy methods and techniques to help people experiencing psychological distress. In the United States, about one in four adults are experiencing mental illness at any given time, and research shows that close to 50% of adults will have at least one mental illness during their lifetime. The prevalence of mental health problems highlights the demand and need for qualified professionals to diagnose, treat, and prevent mental health issues.

The societal costs of mental health issues are growing increasingly high as well. Studies show that the economic burden of major depressive disorder (MDD) is around $210.5 billion a year.

If you are curious about what a mental health counselor can do for you or thinking about entering this profession yourself, there are a few important things you should know. Learn more about what these professionals do, when you might want to consider seeing one, and what you need to do if you are interested in becoming a mental health counselor.

Where Do Mental Health Counselors Work?

All people face different psychological challenges at various points in life, and sometimes they need the help of a professional to cope with these difficulties. It can sometimes be confusing to determine what type of help is needed, particularly because there are so many different types of professionals who specialize in treating mental health issues.

Mental health counselors represent just one profession that specifically works with people dealing with cognitive, behavioral, and emotional issues. Counselors work with individuals, families, groups, and communities to deal with mental health issues and improve mental well-being. You might find professional mental health counselors working in a wide range of settings, including:

  • Mental health clinics
  • Schools
  • Private practices
  • Hospitals
  • Community health centers
  • Correctional facilities
  • Businesses
  • Colleges and universities
  • Social service agencies
  • Government agencies

People experiencing symptoms of psychological illnesses such as depression, phobias, and anxiety may choose to see a mental health counselor for counseling and psychotherapy services. Counselors may also help people experiencing social difficulties, emotional problems, addictions and substance abuse, grief, self-esteem issues, and marital difficulties. Some mental health counselors choose to work with specific populations such as children, older people, or college students.

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What Do Mental Health Counselors Do?

Mental health counselors perform a variety of tasks. If you're looking for a counselor for yourself or a loved one, you may be able to learn more about what this professional does on their website, in their marketing brochures, or within other marketing materials.

If you're interested in working in this role, what a mental health counselor does for that agency or facility is often provided in the job posting. Duties and responsibilities that you may find listed in a mental health counselor job description include:

  • Assesses and diagnoses clients experiencing symptoms of psychological distress
  • Provides psychotherapy to clients
  • Talks to clients about their experiences, emotions, and thoughts
  • Conducts group sessions with families
  • Works with clients to set goals, develop a treatment plan, and gain insight through treatment
  • Works with clients to identify situations, behaviors, and thoughts that interfere with their wellness and recovery
  • Examinessocial issues that may influence a client's mental well-being, including peer pressure, bullying, substance use, prejudice, work stress, financial challenges, and health issues
  • Refers clients to other health professionals as well as to other resources in the community, such as other social services, job services, and support groups

Counseling tends to view individual needs within a humanistic context. Rather than focusing on dysfunction, counselors often see problems as arising from normal reactions to developmental changes or as difficulty dealing with specific life stages. As a result, counselors may focus on personal development by helping you learn the skills and coping abilities you need to deal with such life changes and stages effectively.

While counselors are often called upon to treat specific problems, they also tend to take an approach that focuses on overall wellness. Dealing with the immediate problem is important, but counselors also strive to help you function not just minimally, but optimally. Enhancing overall well-being by solving problems, improving resilience, encouraging healthy behaviors, and improving relationships is a key component of a counselor's duties.

What Training DoMental Health Counselors Have?

Many mental health counselors begin by earning a bachelor's degree in a human services field such as psychology, sociology, or social work. While having a background in social science is ideal, people with undergraduate degrees in other fields can also enter the field of counseling. This often requires completing a number of basic prerequisite courses before gaining admission to an accredited master's degree program.

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Basic Educational Requirements

The minimum requirements for a licensed mental health counselor are a master's degree in counseling and at least two to three years of supervised practice under a licensed professional.

Licensing and Certification

States typically require a minimum of 2,000 to 3,000 hours of supervised practice before gaining licensure; however, it is important to check with your state's licensing board to learn more about specific requirements. Always be sure to check the guidelines in the state where you plan to study and practice.

Aspiring mental health counselors must also pass a state licensing exam. In many states, counselors must first pass a test administered by the National Board of Certified Counselors (NBCC) in order to obtain a license.

Licensing requirements for mental health counselors vary from state to state, and specific titles for these professional designations may vary as well. Mental health counselors may be known as a Licensed Mental Health Counselor (LMHC), Licensed Professional Clinical Counselor of Mental Health (LPCC), or Licensed Professional Counselor (LPC). In most states, the title of "Mental Health Counselor" is a protected title, which means that only people who have met certain state requirements may legally use that title.

In addition to these basic education and licensure requirements, some counselors also choose to become certified. While this certification is purely voluntary, it is an additional qualification that can make professional counselors more appealing to both employers and potential clients.

Continuing Education

Even after finishing licensure requirements, counselors must continue to stay abreast of current practices by completing a number of continuing education courses over the course of their professional lives. While this means that you will need to continue taking courses throughout your career, it also allows you to stay current and explore new information and techniques to better hone your skills as a counselor.

(Video) Mental Health Counselor Salary

What Skills Do Mental Health Counselors Need?

Aside from training and education, what type of skills should you have in order to succeed in this profession? Becoming an effective mental health counselor requires a solid knowledge base of psychology, therapy, and counseling. In addition to understanding this subject matter and techniques, counselors need to have good listening skills, the ability to communicate effectively, good critical thinking and problem-solving skills, and outstanding people skills. Emotional intelligence, compassion, empathy, and nonverbal communication abilities are also critical.

If you are interested in becoming a mental health counselor, it is important to consider both the potential benefits of the career as well as some of the possible drawbacks. One of the greatest rewards of being a mental health counselor is being able to have a direct impact on the lives and well-being of clients. Counseling allows professionals to both prevent and treat psychological distress, which can help clients lead healthier and happier lives.

One potential downside to consider is the fact that the job can sometimes be stressful since counselors sometimes need to intervene and assist clients who may be emotional, angry, or even combative. Good stress management and emotional regulation abilities can be important in maintaining a good balance in your life as you juggle the rigors of your job and other life responsibilities and goals.

How Much Do Mental Health Counselors Earn?

The Occupational Outlook Handbook reports that substance abuse, behavioral disorder, and mental health counselors held nearly 319,400 jobs in 2019, with the largest percentage working in outpatient mental health and substance abuse centers. According to the U.S. Bureau of Labor Statistics, the median annual salary for a mental health counselor was $47,660 in 2020.

Individual salaries can vary depending upon a wide range of factors, including geographic location and area of practice, with the top 10% earning an annual wage of more than $78,700 and the bottom 10% earning less than $30,590.

Areas that had the highest rates of employment included outpatient mental health and substance abuse centers, individual and family services, and hospitals (state, local, and private).

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The highest-paying areas of employment for mental health counselors include government positions ($54,070), hospitals ($50,460), and individual and family services ($47,580).

While mental health counselors typically earn less than psychologists, this is also a factor that makes them appealing to insurers. Mental health counselors are able to receive third-party reimbursement for the diagnosis, assessment, and treatment of psychological conditions, often at a less expensive rate than some other health professionals.

The U.S. Bureau of Labor Statistics predicts that the demand for mental health counselors will grow at a rate faster than the average for all occupations. They suggest that the demand for substance abuse, behavioral disorder, and mental health counselors will grow by 25% by 2029. This need for mental health counselors will be particularly strong in fields that deal with substance abuse and serve military veterans.

Why Would You Want to See a Mental Health Counselor?

People often face mental health challenges throughout life. Such struggles can include anxiety, depression, grief, addiction, and difficulty in coping with life's stresses and challenges. Some of the reasons you might want to seek the assistance of a mental health counselor:

  • You are experiencing repeated, uncontrollable thoughts or memories related to a recent traumatic experience.
  • Life seems intense and unmanageable.
  • You feel uninterested in things you used to enjoy and disconnected from the people around you.
  • You have been using substances to cope with your problems.
  • Your anxiety feels overwhelming.
  • Your relationships feel strained and not what they used to be.
  • You just feel like you would benefit from talking about your concerns with a professional.

Remember, you don't need to be experiencing symptoms of a psychological disorder to seek help from a mental health professional. Counselors, as well as other mental health professionals, can help you with a wide range of concerns, from stress to health to relationships. Whether your goal is to gain insight into your own behaviors, become a better spouse or parent, or become more motivated to achieve your goals, consulting a mental health professional can help.

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If you are looking for a counselor, you can use the resources provided by the National Board of Certified Counselors to locate certified counselors in your area. You can also discuss your symptoms and needs with your primary care physician who can then refer you to a mental health counselor, psychologist, or psychiatrist.

A Word From Verywell

Mental health counselors play a vital role in the delivery of psychological services. If you feel that you might benefit from counseling, talk to your doctor to learn more about your options and if a mental health counselor might be the right fit for your needs.

If you are interested in a career in this field, spend some time researching what you will need to do in order to become a counselor. Mental health counseling is just one career option in this area, and you might want to consider related careers such social worker, clinical psychologist, marriage and family therapist, or counseling psychologist.


What skills do I need to be a Counsellor? ›

Key skills for counsellors
  • Listening skills.
  • Empathy and understanding.
  • A non-judgemental attitude.
  • Patience and a calm manner.
  • Ability to cope with emotional situations.
  • Ability to relate to and adapt communication style to suit a wide range of people.

What type of counselors get paid the most? ›

Highest paid counseling jobs
  1. Pediatric counselor. National average salary: $63,934 per year. ...
  2. Licensed clinical social worker. National average salary: $64,671 per year. ...
  3. Direct support professional. ...
  4. Therapist. ...
  5. Physician assistant. ...
  6. Mental health counselor. ...
  7. Registered nurse. ...
  8. Physical therapist.
15 Sept 2021

How many years does it take to be a Counsellor? ›

Courses can take up to 4 years to complete. To become a child psychotherapist, you will need to complete 4 years of training with the Association of Child Psychotherapists (ACP). You'll also need experience of working with children or vulnerable adults.

Can I be a Counsellor without a degree? ›

Training as a counsellor involves a combination of theoretical study and practical experience, but you don't need a degree to become a counsellor.

What are the 9 basic counseling skills? ›

Today we will talk about the 9 most important basic counseling skills.
  • Listening. Think about the people who you feel most heard, and understood by. ...
  • Empathy. ...
  • Genuineness. ...
  • Unconditional Positive Regard. ...
  • Concreteness. ...
  • Open Questions. ...
  • Counselor Self-Disclosure. ...
  • Interpretation.
7 Jun 2022

What is the best job in mental health? ›

#1 Psychiatrist

Psychotherapy has you discussing mental health issues with patients. You will help the patient to find effective solutions for their problems. Salary: Median pay for psychiatrists is $245,000 per year. Growth: The job outlook for all physicians is strong, with 14% increase in demand by 2024.

What is highest paying job in mental health field? ›

Psychiatrists prescribe medications for patients with mental illnesses. Psychiatrist positions are by far the highest-paying jobs for psychology majors. The average salary is $217,798, according to PayScale.

What is the difference between a counselor and a therapist? ›

Therapists work to help their patients address similar issues, and often provide the same advice that counselors might. However, a key difference is that therapists often seek to go deeper by helping the patient understand the how and why behind a challenge.

Is counsellor training hard? ›

Physically, emotionally and financially draining, training to be a counsellor can really take it out of you. The combination of personal development, theory, placement hours and supervision is exhausting in so many different ways.

What course should I take to become a counselor? ›

Education Requiments to Becoming a Counselor

Most counselors begin their career with a bachelor's degree in counseling or psychology. From there, you'll be required to receive a graduate degree, either a master's and/or doctorate, the a specific area of counseling you'd like to specialize in.

How do you start out as a counselor? ›

How To Become a Counselor
  1. Pursue a master's degree in counseling.
  2. Complete practicum and/or internship hour.
  3. Obtain counseling licensure and/or certification.
  4. Choose a counseling career path.
  5. Advance your practice through continued learning.

What I Wish I Knew Before becoming a counsellor? ›

You don't have to know how to fix everyone's problems

But counsellors can't decide what their clients should do. Rather, they need to listen closely to their clients, engage in discussions, and ultimately help the client come to their own insights, goals, and conclusions.

What type of counselor does not need a degree? ›

Do You Need a Degree? Maybe Not. Here Are 5 Counseling Careers That Don't Require a Degree.
  • Community Health Worker. ...
  • Peer Support Specialist. ...
  • Psychiatric Technician or Aide. ...
  • Social and Human Services Assistant. ...
  • Teacher Assistant.
15 Aug 2022

What are the 5 stages to a counseling session? ›

The basic stages of counseling are: 1) Developing the client/clinician relationship; 2) Clarifying and assessing the presenting problem or situation; 3) Identifying and setting counseling or treatment goals; 4) Designing and implementing interventions; and 5) Planning, termination, and follow-up.

What are the 5 pillars of counseling? ›

The five bedrock principles of autonomy, justice, beneficence, nonmaleficence, and fidelity are each vital in and of themselves to a healthy counseling relationship.

What are the 5 types of counselling? ›

The following are the most common types of counselling:
  • Marriage and Family Counselling.
  • Educational Counselling.
  • Rehabilitation Counselling.
  • Mental Health Counselling.
  • Substance Abuse Counselling.
28 Aug 2019

What are the 7 principles of counseling? ›

This chapter explains the "ethical principles" that guide the helping professions: autonomy, nonmaleficence, beneficence, justice, fidelity, and veracity.

What are hard skills in counseling? ›

Some of the main skills that will help you in the counseling profession include:
  • Empathy.
  • Listening Skills.
  • Social and Communication Skills.
  • Boundary Setting.
  • Critical Thinking.
  • Business Management.
30 Jul 2013

What are the 11 principles of counseling? ›

  • Principle of Acceptance.
  • Principle of Communication.
  • Principle of Empathy.
  • Principle of Respect for the individual.
  • Principle of non-Judge.
  • Principles of Confidentiality.
  • Principle of individuality.
  • Principle of non emotional involvement.

Is mental health a good career? ›

The field has good growth potential and also provides the opportunity to be employed in a broad range of fields. Many types of organizations, from human resources departments to medical offices, need professionals trained in psychology to help them meet the needs of the people they serve.

Who pays the most in mental health services? ›

Detailed List Of Mental Health Worker Salaries By State
RankStateAdjusted Salary
1New Jersey$81,534
46 more rows
11 Apr 2022

Is it hard to work in mental health? ›

Entry level positions in the Mental Health field often require only a high school diploma and a valid drivers' license and yet, a career in Mental Health can be very challenging and complex.

Can you make a lot of money as a mental health counselor? ›

While ZipRecruiter is seeing salaries as high as $141,927 and as low as $32,752, the majority of Mental Health Therapist salaries currently range between $54,090 (25th percentile) to $92,301 (75th percentile) with top earners (90th percentile) making $120,587 annually in California.

What are the most mentally stressful jobs? ›

Based on these factors, the ten most high-stress jobs in the world, according to research from the US News Best Jobs database, are:
  • Mental health counsellor. ...
  • Anesthesiologist. ...
  • Patrol officer. ...
  • IT manager. ...
  • Construction manager. ...
  • Physician. ...
  • Lawyer. ...
  • Financial manager.
17 Jun 2022

What is the most mentally demanding job? ›

10 intellectually stimulating jobs
  • Musician.
  • Graphic designer.
  • Social worker.
  • Engineer.
  • Lawyer.
  • Product engineer.
  • Architect.
  • Physician.
2 Sept 2021

Do counselors diagnose? ›

A clinical psychologist or licensed therapist is also qualified to make a diagnosis.

Can Counsellors diagnose? ›

They target stresses, struggles, and work with clients to enrich their wellbeing, alleviate distressful feelings, and resolve crises. They can also provide an assessment, diagnose, and treat the more severe psychological symptoms you may have.

Is Counselling the same as mental health? ›

Psychotherapy and counseling are both treatments for mental health problems that involve talking with a trained mental health professional. You talk about thoughts, feelings and behaviors to understand them better and work in a collaborative way to promote mental wellness.

What is the most challenging part for a counselor? ›

Challenges in Counselling
  • Educational and Professional Setbacks. ...
  • Knowing Your Boundaries. ...
  • The Struggle with Diplomacy. ...
  • Playing roles other than that of a Counsellor. ...
  • Being empathetic and objective despite little to no similar experience. ...
  • Burnouts due to Emotional Baggage.

How do counselors get clients? ›

How to get counseling clients: 7 tips to attract people to your new practice
  1. Networking events. ...
  2. Put your business card in the right hands. ...
  3. Join a group. ...
  4. Accepting insurance. ...
  5. Local advertisements. ...
  6. Brand yourself. ...
  7. Get involved in the community.
18 Jan 2017

What does a counselor do in the first session? ›

Your first session will probably involve your therapist asking you a lot of questions about you, how you cope, and your symptoms (it's basically an interview). You may also chat about goals for therapy, expectations, and more.

What is counseling training? ›

part of Education & Training

Counselling deals with helping people overcome emotional and professional challenges in their lives, from career planning, relationship problems, stress, and health issues.

What do you say at the beginning of a Counselling session? ›

1. Welcome/Orienting the client to the consultation session
  • This is a time to get to know one another a little bit.
  • I'm going to be asking some questions to know what's been going on for the client.
  • I'm going to be answering any questions that they have (I tell them it's ok if they don't have any)
9 Jul 2018

What problems would you most likely have as a beginning counselor? ›

Challenges faced by Novice Psychotherapists
  • Acute Performance Anxiety and Fear.
  • Rigid Emotional Boundaries.
  • Broken and Incomplete Practitioner-self.
  • Glamorized Expectations.
  • The Dire Need of Positive Mentors.
19 Apr 2021

What questions should be avoided in Counselling? ›

Counselling questions may be open-ended, probing, or clarifying. Leading questions should be avoided as they may introduce an agenda outside of the client's frame of reference.

How can I practice therapy without a degree? ›

How Do You Become a Therapist without a Degree?
  1. Peer support counselors.
  2. Career counselors.
  3. Substance abuse counselors.
  4. Life skills counselors.
  5. Youth workers.
  6. Community outreach workers.
6 Nov 2022

How do counselors make money without a degree? ›

14 counseling careers without a degree
  1. Teacher's aide. National average salary: $14,883 per year. ...
  2. Developmental service worker. National average salary: $16,593 per year. ...
  3. Camp counselor. ...
  4. Safe house program assistant. ...
  5. Community health worker. ...
  6. Peer counselor. ...
  7. Residential counselor. ...
  8. Health coach.
11 May 2021

Can introverts be counselors? ›

Introversion doesn't have to translate to working in a cubicle and rarely seeing other people. On the contrary, because introverts are used to listening to people more than talking, they make excellent psychologists and therapists.

What are the cons of being a mental health counselor? ›

5 Disadvantages of Being A Therapist
  • Difficult patients. There are certainly easy-to-work-with patients, however, the fact is there are also difficult patients. ...
  • Difficult co-workers. Just like most careers, you could have to work with difficult co-workers. ...
  • Stress. ...
  • Physical demands. ...
  • Emotional strain.
26 Jan 2019

Which type of counselor makes the most? ›

Highest paid counseling jobs
  1. Pediatric counselor. National average salary: $63,934 per year. ...
  2. Licensed clinical social worker. National average salary: $64,671 per year. ...
  3. Direct support professional. ...
  4. Therapist. ...
  5. Physician assistant. ...
  6. Mental health counselor. ...
  7. Registered nurse. ...
  8. Physical therapist.
15 Sept 2021

How do you know if being a counselor is right for you? ›

Want to Be a Therapist? 5 Signs You'd Be Great at It
  • You're a people person. You enjoy time with people, feel energized by emotional exchanges, and are interested in people's backgrounds. ...
  • You're a good listener. ...
  • You think analytically. ...
  • You're an altruist. ...
  • You may have struggled with anxiety or depression.
29 Sept 2017

Can counselors make over 100k? ›

Yes, you can make $100,000 per year as a counselor. While possible, it is unlikely to earn over $100k as a counselor because even higher-paid positions do not typically earn more than $64,000 per year. The average annual salary for a counselor is $42,602.

Can you make a lot of money as a counselor? ›

In summary, earning a strong salary of $100,000 per year or more is doable, and is being done by therapists all over the world right now. You can become one of those therapists this year, too.

Can therapists make 6 figures? ›

But it turns out that it's more than possible to generate six figures as a private practice therapist. In this article, I'm going to take it a step further and share how I generate six figures a year while working part-time as a private practice therapist. … it can be done!

What is the fastest field in counseling? ›

Career Counselors

Career counseling is another one of the fastest growing fields in the counseling profession. One reason is because there is consistent demand across a wide range of educational organizations for vocational counselors. This means that career counselors work with all ages in different settings.

How many clients should a therapist see per day? ›

Maybe you are planning on seeing 25 clients in a week. If you're going to work Monday through Friday, this means you'll likely see about five clients a day. Five to six patients a day is a pretty typical number of clients for a therapist in private practice to see.

How many clients does a therapist see in a week? ›

If you aim for a 40-hour workweek, you could see up to 30 clients per week and then spend 10 hours writing notes and doing other paperwork. The average number of clients per therapist depends entirely on how you want to run your practice. 30 clients is a lot!

How can a mental health counselor make more money? ›

9 Ways to Make More Money as Psychotherapist:
  1. Make Friends with Money. ...
  2. Be Systematic with your Time. ...
  3. Create a Treatment Plan for Your Business. ...
  4. Be Social. ...
  5. Create and Sell a Product. ...
  6. Create a Continuing Education Workshop. ...
  7. Be Paid to Blog. ...
  8. Speak and Teach for Money.
6 Aug 2017

Is becoming a counselor worth it? ›

Yes, a masters in mental health counseling is worth it for many students. The Bureau of Labor Statistics is projecting 12% job growth in community and social service occupations over the next 10 years, much faster than the average for all occupations.

Is counselor a good career? ›

If you are a good listener, have the problem-solving capability, as well as a positive outlook towards life then becoming a counsellor can be a good career choice for you. There are several counsellor jobs in the field of counselling.

How do I get more therapy clients? ›

How to get counseling clients: 7 tips to attract people to your new practice
  1. Networking events. ...
  2. Put your business card in the right hands. ...
  3. Join a group. ...
  4. Accepting insurance. ...
  5. Local advertisements. ...
  6. Brand yourself. ...
  7. Get involved in the community.
18 Jan 2017

What is the lowest a therapist can make? ›

As of Nov 19, 2022, the average hourly pay for a Therapist in the United States is $31.71 an hour. While ZipRecruiter is seeing hourly wages as high as $59.86 and as low as $12.26, the majority of Therapist wages currently range between $22.84 (25th percentile) to $35.10 (75th percentile) across the United States.

Can a therapist have tattoos? ›

Clinical psychology students and practitioners are conventionally advised to “cover up” their tattoos, as they may be deemed unprofessional by clients and risk hindering the working alliance.

Which counseling license is best? ›

10 Best Licensed Professional Counselor Certifications
  • Certified Professional Counselor. ...
  • National Certified Counselor (NCC) ...
  • Pastoral Counseling Certification. ...
  • Certified Chemical Dependency Counselor. ...
  • Certified Rehabilitation Counselor (CRC) ...
  • Master Addictions Counselor. ...
  • Certified Alcohol and Drug Counselor (ADC)
9 Sept 2021

What is the most difficult process of counseling? ›

A counselor's ability to emotionally connect with another person's emotional experience is one of the most difficult yet necessary skills in working with clients since it requires counselors to be able to recognize, put aside and/or resolve their own emotional baggage.

What is the most popular type of counseling? ›

Four of the Most Common Types of Counseling
  • Cognitive Behavioral Therapy. CBT is based around the idea that we can make permanent changes in our behavior by changing our negative patterns of thinking. ...
  • Dialectical Behavioral Therapy. ...
  • Family Therapy. ...
  • Group Therapy.


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