Substance abuse, behavioral disorder, and mental health counselors: Salary, Job Outlook, Education and Career Path

Counsel and advise individuals and groups to promote optimum mental and emotional health, with an emphasis on prevention. May help individuals deal with a broad range of mental health issues, such as those associated with addictions and substance abuse; family, parenting, and marital problems; stress management; self-esteem; or aging.

Short answer: Substance abuse, behavioral disorder, and mental health counselors earn a national median annual wage of $59,350 (BLS, May 2025). Employment is projected to change +18.4% from 2025 to 2035 (all occupations: +3.5%), with about 50,500 openings per year. The typical entry credential is master's degree.

Median annual wage
$59,350
May 2025 Verified data
Projected change
+18.4%
2025 to 2035 Official projection
Openings per year
50,500
Average, 2025 to 2035 Official projection
Employment
491,930
OEWS, May 2025 Verified data

Substance abuse, behavioral disorder, and mental health counselors salary

$0$50K$100KUnited States$59,350
National annual wages for substance abuse, behavioral disorder, and mental health counselors, May 2025: 10th percentile $38,940, 25th $47,100, median $59,350, 75th $76,530, 90th $97,590. The bar spans the 25th to 75th percentile, the thin line spans the 10th to 90th percentile, and the red mark is the median.
MeasureAnnualHourly
10th percentile$38,940$18.72
Median (50th percentile)$59,350$28.53
Mean (average)$64,440$30.98
90th percentile$97,590$46.92

These wages describe everyone employed in the occupation, from new entrants to experienced workers. They are not starting salaries and not earnings of graduates from any particular program. Verified data

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, National. May 2025 reference period. Published April 30, 2026. Retrieved October 18, 2026. Methodology.

Substance abuse, behavioral disorder, and mental health counselors pay by state and metro area

$37.9K$80.8K
Median annual wage for substance abuse, behavioral disorder, and mental health counselors by state, May 2025. Highest: Alaska at $80,770. States in gray have no published estimate.
Table: median wage and employment for all 52 states and territories
StateMedian10th pct90th pctEmploymentLocation quotient
Alabama$47,310$34,420$76,510
Alaska$80,770$58,240$114,6501,2901.26
Arizona$65,300$44,520$95,2109,9900.97
Arkansas$51,580$35,760$100,2702,5700.62
California$59,250$44,640$111,08075,6101.31
Colorado$62,390$44,060$100,02014,9201.64
Connecticut$63,590$44,080$99,5407,5401.41
Delaware$56,020$36,940$80,7101,7001.11
District of Columbia$60,450$43,060$107,9801,2600.57
Florida$56,790$39,430$84,41029,7500.95
Georgia$58,960$37,390$90,9809,6000.62
Hawaii$60,090$48,460$104,7902,1101.06
Idaho$63,360$36,400$98,7602,9901.1
Illinois$60,730$43,010$109,10020,2501.05
Indiana$53,760$37,580$83,20011,8901.17
Iowa$60,880$44,450$102,8903,5300.72
Kansas$59,470$37,910$85,8602,6000.57
Kentucky$54,190$35,150$83,0707,6901.22
Louisiana$37,910$29,860$65,7206,4201.05
Maine$59,970$43,310$89,2201,9300.95
Maryland$59,530$44,050$91,9809,7301.11
Massachusetts$59,890$43,180$96,20018,1901.58
Michigan$61,690$38,490$94,40010,1000.72
Minnesota$58,780$45,250$77,3207,1100.76
Mississippi$46,990$32,770$77,3102,0900.57
Missouri$56,910$37,650$89,4008,1300.87
Montana$59,000$36,840$83,6401,8201.12
Nebraska$63,770$42,400$109,6102,1700.67
Nevada$57,210$42,920$98,0101,8100.37
New Hampshire$54,840$38,480$81,0503,6901.71
New Jersey$62,820$40,630$104,31014,2101.05
New Mexico$74,100$48,900$113,4202,4200.88
New York$59,450$42,410$90,59026,7700.87
North Carolina$55,490$37,440$86,01010,3000.66
North Dakota$68,630$43,270$86,6301,2900.95
Ohio$58,360$39,010$83,73018,0201.03
Oklahoma$59,350$35,350$92,8705,1500.95
Oregon$74,590$49,860$102,8308,1601.31
Pennsylvania$52,010$36,280$81,97030,6201.6
Puerto Rico$46,790$30,160$47,9501000.03
Rhode Island$65,120$43,960$98,4402,1701.37
South Carolina$52,370$35,010$81,4206,3000.86
South Dakota$53,650$39,210$67,0101,7101.18
Tennessee$49,580$34,950$76,6209,0400.87
Texas$62,630$37,650$95,91021,4000.48
Utah$63,890$35,410$106,0806,3201.15
Vermont$61,810$47,820$80,6901,1201.17
Virginia$59,880$39,730$100,04017,9401.38
Washington$68,910$47,220$110,58014,2501.27
West Virginia$49,430$36,990$73,3602,1000.95
Wisconsin$62,220$46,510$94,6408,3400.9
Wyoming$62,980$36,960$103,1509101.03

A location quotient above 1 means the occupation is more concentrated in that state than in the nation overall.

Metro areas with the most jobs

Los Angeles-Long Beach-Anaheim, CA26,960
New York-Newark-Jersey City, NY-NJ26,200
Chicago-Naperville-Elgin, IL-IN15,580
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD14,920
Boston-Cambridge-Newton, MA-NH11,150
Miami-Fort Lauderdale-West Palm Beach, FL10,240
San Francisco-Oakland-Fremont, CA9,520
Washington-Arlington-Alexandria, DC-VA-MD-WV9,030
Denver-Aurora-Centennial, CO8,480
Phoenix-Mesa-Chandler, AZ7,950

Highest paying metro areas

Fairbanks-College, AK$83,680
Anchorage, AK$81,120
San Luis Obispo-Paso Robles, CA$80,770
Albany, OR$78,910
Salem, OR$78,870
Bellingham, WA$77,620
Lincoln, NE$76,480
Las Cruces, NM$76,350
Corvallis, OR$75,700
Bend, OR$75,470
Among metro areas with at least 100 workers in this occupation.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, State. May 2025 reference period. Published April 30, 2026. Retrieved October 18, 2026. Methodology.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, Metropolitan areas. May 2025 reference period. Published April 30, 2026. Retrieved October 18, 2026. Methodology.

Job outlook for substance abuse, behavioral disorder, and mental health counselors

2025 (actual)533,4002035 (projected)631,400
BLS projects employment of substance abuse, behavioral disorder, and mental health counselors to go from 533,400 in 2025 to 631,400 in 2035, a change of +18.4% (+98,000 jobs). All occupations are projected to grow +3.5%.
  • Average annual openings, 2025 to 2035: 50,500. Openings include new jobs plus replacement needs when workers retire or leave the occupation. Official projection
  • Share of workers who are self-employed (2025): 5.4%.
  • Read the official BLS Occupational Outlook Handbook profile.

These are official BLS projections. ConnectPrep does not alter them or present its own forecasts as official statistics.

Source: U.S. Bureau of Labor Statistics, Employment Projections, Table 1.2: Occupational projections, 2025-35, and worker characteristics, 2025. Base year 2025, projected year 2035. Published August 27, 2026. Retrieved October 18, 2026. Methodology.

Education and training for substance abuse, behavioral disorder, and mental health counselors

Typical entry education
Master's degree
Related work experience
None
On-the-job training
Internship/residency
O*NET Job Zone
Job Zone Five: Extensive Preparation Needed

Highest education of people working in this occupation

Less than high school1.2%
High school diploma3.7%
Some college, no degree6.1%
Associate's degree4.2%
Bachelor's degree22.1%
Master's degree57.7%
Doctoral or professional5%
Share of workers age 25 and over by highest education completed, 2023-24. The most common level is a master's degree (57.7%).
Source: U.S. Bureau of Labor Statistics, Employment Projections, Education and training tables 5.1 to 5.4. Attainment 2023-24 (ACS); wages 2025; projections 2025-35. Published August 27, 2026. Retrieved October 18, 2026. Methodology.

O*NET describes this preparation level as: Most of these occupations require graduate school. For example, they may require a master's degree, and some require a Ph.D., M.D., or J.D. (law degree).

Degrees and programs that lead to this career

Data unavailable No academic program is mapped to this occupation in the official crosswalk. Entry is usually through work experience, training, or apprenticeship.

Source: National Center for Education Statistics and U.S. Bureau of Labor Statistics, CIP 2020 to SOC 2018 Crosswalk. CIP 2020 and SOC 2018 taxonomies. Published April 30, 2020. Retrieved October 18, 2026. Methodology.

Licenses and certifications

Requirements for regulated professions are set by each state. Always confirm with the state regulator.

Skills, knowledge, and daily work

BLS groups this occupation differently from O*NET. Skills and tasks below come from the closest O*NET occupation, Mental Health Counselors (21-1014.00).

Most important skills

Active Listening5.0
Speaking4.3
Reading Comprehension4.1
Writing4.1
Critical Thinking4.0
Active Learning3.8
Monitoring3.8
Learning Strategies3.1
O*NET importance rating on a 1 to 5 scale.

Most important knowledge areas

Therapy and Counseling5.0
Psychology5.0
Customer and Personal Service4.5
English Language4.3
Sociology and Anthropology4.2
Education and Training3.8
Administrative3.6
Telecommunications3.1
O*NET importance rating on a 1 to 5 scale.

Typical tasks

  • Maintain confidentiality of records relating to clients' treatment.
  • Encourage clients to express their feelings and discuss what is happening in their lives, helping them to develop insight into themselves or their relationships.
  • Counsel clients or patients, individually or in group sessions, to assist in overcoming dependencies, adjusting to life, or making changes.
  • Perform crisis interventions to help ensure the safety of the patients and others.
  • Fill out and maintain client-related paperwork, including federal- and state-mandated forms, client diagnostic records, and progress notes.
  • Assess patients for risk of suicide attempts.
  • Perform crisis interventions with clients.
  • Guide clients in the development of skills or strategies for dealing with their problems.

Technology skills

  • Microsoft Access (hot technology)
  • Microsoft Excel (hot technology)
  • Microsoft Office software (hot technology)
  • Microsoft Outlook (hot technology)
  • Microsoft PowerPoint (hot technology)
  • Microsoft Word (hot technology)
  • Oracle PeopleSoft (hot technology)
  • Client information database systems
  • Database software
  • Email software
  • Google Classroom
  • Management information systems MIS
  • Microsoft Dynamics
  • Microsoft Internet Explorer
  • Netscape Navigator
  • Patient electronic medical record EMR software

Transferable skills for career changers: Social Perceptiveness, Judgment and Decision Making, Service Orientation, Complex Problem Solving, Persuasion, Coordination.

Common job titles: Behavior Analyst, Behavioral Health Counselor, Case Manager, Clinician, Counselor, Licensed Mental Health Counselor (LMHC), Licensed Professional Counselor (LPC), Mental Health Counselor, Mental Health Specialist, Mental Health Therapist.

This page includes information from the O*NET 31.0 Database by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA). Used under the CC BY 4.0 license. O*NET is a trademark of USDOL/ETA. ConnectPrep has modified all or some of this information. USDOL/ETA has not approved, endorsed, or tested these modifications.
Source: National Center for O*NET Development for USDOL/ETA, O*NET 31.0 Database (August 2026 release). Database release 31.0, August 2026; element dates vary by occupation. Published August 25, 2026. Retrieved October 18, 2026. Methodology.

Is it worth it? Model the cost of getting there

Use the ROI calculator to compare the cost of the education this career usually requires against staying on your current path. It starts from the official wage distribution above, and you can change every assumption.

Frequently asked questions

How much do substance abuse, behavioral disorder, and mental health counselors make?

The national median annual wage for substance abuse, behavioral disorder, and mental health counselors was $59,350 in May 2025, according to the BLS Occupational Employment and Wage Statistics program. The lowest paid 10 percent earned less than $38,940 and the highest paid 10 percent earned more than $97,590. These figures cover all workers in the occupation, not only new entrants.

What education do substance abuse, behavioral disorder, and mental health counselors need?

BLS lists master's degree as the typical education needed to enter this occupation, with none of related work experience and internship/residency on-the-job training typically needed to become competent.

Is substance abuse, behavioral disorder, and mental health counselors a growing career?

BLS projects employment of substance abuse, behavioral disorder, and mental health counselors to change +18.4% from 2025 to 2035, compared with +3.5% for all occupations. About 50,500 openings are projected each year on average, including openings from workers who retire or change occupations.

Which states pay substance abuse, behavioral disorder, and mental health counselors the most?

By median annual wage in May 2025, the highest paying states were Alaska ($80,770), Oregon ($74,590), New Mexico ($74,100). Pay differences partly reflect differences in living costs.

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