All careersEducation, law & social work

Substance Abuse & Mental Health Counselor

$59,350
median / year
$38,940 – $97,590
what most earn per year (10th–90th percentile)

What the job actually is

Counsel people through addiction and mental health struggles, building treatment plans and tracking progress.

Where you work

Clinics, hospitals, and community programs

The hours

Regular hours, sometimes evenings or on-call

By the numbers

May 2025 BLS wage & employment data · 2024–34 BLS employment projections.

Median pay
$59,350
per year
Hourly median
$28.53
per hour
What most earn
$38,940–$97,590
yearly, 10th to 90th percentile
Openings a year
~48,300
projected, 2024–34
Outlook to 2034
+16.8%
Much faster than average
Working in the U.S.
491,930
people, nationwide

Openings a year counts new jobs plus the ones that open when people retire or move on — a truer picture of your odds than growth alone.

“Median” means half earn more and half earn less. Your city, employer, and years on the job move it a lot — that is what the 10th-to-90th range shows.

BLS estimates 5.9% of workers in this occupation are self-employed.

What it pays in your state

Statewide medians are a better starting point than the national number. Your city and experience still matter.

BLS state wage tables

How you get in

Typical starting education

Master's degree

Training path: Master's degree + supervised hours.

Related work experience: None.

On-the-job training: Internship/residency.

License or certification

Requires state licensure or certification, with a master's degree standard for the higher-paying roles.

Check the path where you live

Licensing rules and available programs change by state. These federal tools take you to the current official listings.

What it takes

Active listeningEmpathyCrisis responseRecord keeping

The honest take

Meaningful, growing work in mental health, though the emotional weight and licensing hours are real.

Standard Occupational Classification 21-1018. Pay and employment from the BLS May 2025 OEWS survey; outlook and openings from the 2024–34 employment projections; job context from the Occupational Outlook Handbook. See something off? Tell us.