What They Do
Substance abuse counselors diagnose and assess addiction problems, and treat clients in a variety of ways.
Because every patient is an individual and is struggling with addiction in different ways, substance abuse counselors customize treatment plans for each client. They may meet regularly with clients as they recover, or work intensely with individuals in crisis.
They teach clients how to alter their attitudes and false beliefs, and develop strategies to overcome denial and rationalization in the hope of achieving full recovery. Because clients are susceptible to relapse, many substance abuse counselors work with clients on an on-going basis. There’s certainly a lot of job security in this field.
Skills You Need
Learn which personality traits and professional skills you’ll need to be a successful substance abuse counselor.
You should have…
- Excellent interpersonal skills
- Critical thinking abilities
- High tolerance for stress
- Good communication skills
- Ability to maintain composure
How to Become a Substance Abuse Counselor
Licensing and certification guidelines for substance abuse counselors vary by state. Make sure to check the guidelines in your state before you start your studies.
Some states require only a high school diploma, enrollment in a bachelor’s degree, and proof of employment.
Get a Bachelor’s Degree
An undergraduate degree will teach you about addiction and treatment methods.
Get Clinical Experience
Most states require that you get two years of clinical experience before they will grant you a license.
Pass the Substance Abuse Exam
States also require you to take and pass one of two exams: the National Association of Alcohol and Drug Abuse Counselors or the International Certification Reciprocity Consortium level II exam.
Supervised Work Experience
Before you can become a substance abuse counselor, you must have 2,000 hours of supervised work experience. The actual number of hours depends on your state’s requirements.
Apply for Licensure in Your State
In order to administer substance abuse treatment, you must be licensed by your state board. Since every state is unique, check your state regulatory board for specific requirements.
While substance abuse counselors don’t normally get rich at their day jobs, they can make a good living. But salaries vary greatly based on location, years of experience and a variety of other factors. According to the U.S. Bureau of Labor Statistics, the median annual salary for substance abuse counselors is $41,070.
Compare various counselor and therapist salaries below:
School & Career Counselor
Substance Abuse Counselor
Mental Health Counselors
Source: U.S. Bureau of Labor Statistics 2018-19 Occupational Outlook Handbook.
*The salary information listed is based on a national average, unless noted. Actual salaries may vary greatly based on specialization within the field, location, years of experience and a variety of other factors. National long-term projections of employment growth may not reflect local and/or short-term economic or job conditions, and do not guarantee actual job growth.
Employment of substance abuse counselors is expected to grow 20 percent through 2026. This is much higher than the 7 percent growth predicted for all professions combined. National long-term projections of employment growth may not reflect local and/or short-term economic or job conditions, and do not guarantee actual job growth.
Here are some other fields you might like if substance abuse counseling isn’t exactly what you’re looking for:
Related Substance Abuse Counseling Reading
- Beyond Addiction: Ranking the Riskiest Drugs in the U.S.
- Substance Abuse Counseling Salary: What You’ll Earn
- Substance Abuse Counseling Job Description: What You’ll Do
- Substance Abuse Counseling Degrees: What You’ll Study
- Accredited Online Courses for Substance Abuse Counseling
- 7 Facts About Substance Abuse Counselor Education and Careers
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