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As of October 2025, the average salary for a Child and Adolescent Therapist stands at $51,346 per year. Factors influencing this figure include geographical location, years of experience, and specific therapeutic specialties. For instance, therapists in metropolitan areas often see higher salaries due to increased demand and living costs.
Entry-level therapists may start at around $40,000, while those with significant experience or specialized training can earn upwards of $70,000 annually. This salary progression highlights the importance of continued education and professional development.
Therapists in states like California, New York, and Massachusetts typically earn higher wages compared to those in other states. Understanding these regional differences can help potential candidates make informed decisions about where to practice.
With a growing emphasis on mental health, job prospects for child and adolescent therapists are strong. Positions are available in private practices, schools, and community health organizations, providing various paths to advance your career.
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The average child and adolescent therapist salary in California, Washington, and Nevada are the highest in the U.S. The lowest average child and adolescent therapist salary states are Missouri, Nebraska, and Vermont.
| Rank | State | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | California | $104,673 | $50.32 |
| 2 | Washington | $76,646 | $36.85 |
| 3 | Oregon | $68,127 | $32.75 |
| 4 | Nevada | $70,175 | $33.74 |
| 5 | Idaho | $55,475 | $26.67 |
| 6 | Alaska | $62,384 | $29.99 |
| 7 | Texas | $43,546 | $20.94 |
| 8 | Montana | $41,466 | $19.94 |
| 9 | North Dakota | $37,596 | $18.07 |
| 10 | New Mexico | $50,082 | $24.08 |
| 11 | Hawaii | $50,046 | $24.06 |
| 12 | Utah | $47,051 | $22.62 |
| 13 | North Carolina | $40,453 | $19.45 |
| 14 | New York | $40,849 | $19.64 |
| 15 | Kansas | $39,482 | $18.98 |
| 16 | Maine | $32,190 | $15.48 |
| 17 | Colorado | $39,187 | $18.84 |
| 18 | Oklahoma | $37,494 | $18.03 |
| 19 | Tennessee | $36,972 | $17.77 |
| 20 | New Jersey | $35,205 | $16.93 |
| 21 | Mississippi | $40,077 | $19.27 |
| 22 | Wyoming | $44,282 | $21.29 |
| 23 | Arizona | $39,968 | $19.22 |
| 24 | South Carolina | $34,073 | $16.38 |
| 25 | Louisiana | $40,161 | $19.31 |
| 26 | Kentucky | $35,330 | $16.99 |
| 27 | Georgia | $34,155 | $16.42 |
| 28 | Iowa | $34,874 | $16.77 |
| 29 | New Hampshire | $39,136 | $18.82 |
| 30 | Alabama | $35,916 | $17.27 |
| 31 | Ohio | $33,653 | $16.18 |
| 32 | Wisconsin | $33,331 | $16.02 |
| 33 | Minnesota | $35,677 | $17.15 |
| 34 | Michigan | $32,074 | $15.42 |
| 35 | Indiana | $31,609 | $15.20 |
| 36 | District of Columbia | $37,976 | $18.26 |
| 37 | Massachusetts | $26,966 | $12.96 |
| 38 | Delaware | $30,732 | $14.78 |
| 39 | Maryland | $30,848 | $14.83 |
| 40 | Connecticut | $33,417 | $16.07 |
| 41 | Nebraska | $28,615 | $13.76 |
| 42 | South Dakota | $34,671 | $16.67 |
| 43 | Illinois | $29,790 | $14.32 |
| 44 | Rhode Island | $30,178 | $14.51 |
| 45 | Arkansas | $26,866 | $12.92 |
| 46 | Pennsylvania | $25,242 | $12.14 |
| 47 | Virginia | $29,974 | $14.41 |
| 48 | Missouri | $28,675 | $13.79 |
| 49 | Florida | $32,638 | $15.69 |
| 50 | West Virginia | $30,184 | $14.51 |
| 51 | Vermont | $27,346 | $13.15 |
The highest-paying cities for child and adolescent therapists are San Rafael, CA, Seattle, WA, and Portland, OR.
| Rank | City | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | San Rafael, CA | $115,971 | $55.76 |
| 2 | Seattle, WA | $77,963 | $37.48 |
| 3 | Portland, OR | $67,524 | $32.46 |
| 4 | Salt Lake City, UT | $46,696 | $22.45 |
| 5 | San Antonio, TX | $44,054 | $21.18 |
| 6 | Asheville, NC | $41,248 | $19.83 |
| 7 | Phoenix, AZ | $40,258 | $19.35 |
| 8 | New York, NY | $39,608 | $19.04 |
| 9 | Colorado Springs, CO | $39,306 | $18.90 |
| 10 | Manchester, NH | $37,410 | $17.99 |
| 11 | Memphis, TN | $37,302 | $17.93 |
| 12 | Tulsa, OK | $36,570 | $17.58 |
| 13 | Cincinnati, OH | $35,922 | $17.27 |
| 14 | Madison, AL | $34,875 | $16.77 |
| 15 | Atlanta, GA | $34,021 | $16.36 |
| 16 | Madison, WI | $33,669 | $16.19 |
| 17 | Altamonte Springs, FL | $33,346 | $16.03 |
| 18 | Jersey City, NJ | $33,183 | $15.95 |
| 19 | Bridgeport, CT | $31,711 | $15.25 |
| 20 | Richmond, IN | $31,194 | $15.00 |
A child and adolescent therapist's salary ranges from $24,000 a year at the 10th percentile to $109,000 at the 90th percentile.

| Percentile | Annual salary | Monthly salary | Hourly rate |
|---|---|---|---|
| 90th Percentile | $109,000 | $9,083 | $52 |
| 75th Percentile | $76,000 | $6,333 | $37 |
| Average | $51,346 | $4,279 | $25 |
| 25th Percentile | $34,000 | $2,833 | $16 |
| 10th Percentile | $24,000 | $2,000 | $12 |
The highest paying types of child and adolescent therapists are counselor/art therapist, outpatient physical therapist, and clinician.
| Job title | Annual salary | Monthly salary | Hourly rate | Job openings |
|---|---|---|---|---|
| Intensive In-Home Counselor | $51,428 | $4,286 | $24.73 | 122,300 |
| Clinician | $60,150 | $5,012 | $28.92 | 105,023 |
| Family Counselor | $41,510 | $3,459 | $19.96 | 93,253 |
| Licensed Social Worker | $57,005 | $4,750 | $27.41 | 66,130 |
| Case Planner | $43,496 | $3,625 | $20.91 | 36,065 |
| Therapeutic Support Staff | $34,086 | $2,841 | $16.39 | 192,172 |
How would you rate the starting salaries for child and adolescent therapists, as well as the prospects for salary advancement?
Sarah Christa Butts MSW
Director of Public Policy, National Association of Social Workers
Top companies hiring child and adolescent therapists now:
Child and adolescent therapist salaries at Anchor Counseling Center and Kaiser Permanente are the highest-paying according to our most recent salary estimates. In addition, the average child and adolescent therapist salary at companies like Terros Health and Thriveworks are highly competitive.
| Rank | Company | Average salary | Hourly rate |
|---|---|---|---|
| 1 | Anchor Counseling Center | $198,424 | $95.40 |
| 2 | Kaiser Permanente | $195,785 | $94.13 |
| 3 | Terros Health | $148,083 | $71.19 |
| 4 | Thriveworks | $132,804 | $63.85 |
| 5 | Hca Hospital Services Of San Diego | $125,835 | $60.50 |
| 6 | HealthRIGHT 360 | $125,389 | $60.28 |
| 7 | Community Health Connections | $121,623 | $58.47 |
| 8 | Baptist Health | $118,256 | $56.85 |
| 9 | East Alabama Health | $95,187 | $45.76 |
| 10 | Northwell Health | $95,164 | $45.75 |
| 11 | Novant Health | $91,272 | $43.88 |
| 12 | University of California-Berkeley | $89,967 | $43.25 |
| 13 | Meridian Health Services | $89,908 | $43.23 |
| 14 | National Medical Association | $89,162 | $42.87 |
| 15 | Magellan Health | $83,422 | $40.11 |
| 16 | Legacy Community Health | $81,500 | $39.18 |
| 17 | Crossroads Center Rescue Mission | $80,527 | $38.71 |
| 18 | Spring Care | $79,331 | $38.14 |
| 19 | Summit Health Oregon | $77,605 | $37.31 |
| 20 | Affinia Healthcare | $76,414 | $36.74 |
The average child and adolescent therapist salary varies across industries:
| Rank | Industry | Average salary | Hourly rate |
|---|---|---|---|
| 1 | Health Care | $66,413 | $31.93 |
| 2 | Government | $61,852 | $29.74 |
| 3 | Finance | $60,295 | $28.99 |
| 4 | Professional | $49,695 | $23.89 |
| 5 | Non Profits | $48,644 | $23.39 |
The average child and adolescent therapist salary has risen by $10,002 over the last ten years. In 2014, the average child and adolescent therapist earned $41,344 annually, but today, they earn $51,346 a year. That works out to a 14% change in pay for child and adolescent therapists over the last decade.
Compare child and adolescent therapist salaries for cities or states with the national average over time.
Compare child and adolescent therapist salaries for individual cities or states with the national average.
| Year | Avg. salary | Hourly rate | % Change |
|---|---|---|---|
| 2025 | $51,300 | $24.69 | +4.2% |
| 2024 | $49,200 | $23.64 | +3.9% |
| 2023 | $47,300 | $22.72 | +3.5% |
| 2022 | $45,600 | $21.91 | +1.3% |
| 2021 | $45,000 | $21.64 | +1.2% |
| Company | Job | Location | Date added | Salary |
|---|---|---|---|---|
| Centerstone | Child/Youth Trauma Therapist | Bradenton, FL | 06/30/2025 | $41,700 |
| Thriveworks | Licensed Child and Adolescent Therapist | Midland, TX | 06/30/2025 | $105,400 |
| Thriveworks | Licensed Child and Adolescent Therapist | Sunnyvale, CA | 06/30/2025 | $125,400 |
| Thriveworks | Licensed Child and Adolescent Therapist | Allentown, PA | 06/30/2025 | $108,300 |
| Thriveworks | Licensed Child and Adolescent Therapist | Watertown Town, MA | 06/30/2025 | $137,200 |
| Thriveworks | Licensed Child and Adolescent Therapist | Providence, RI | 06/30/2025 | $120,900 |
| Fort Hudson Health System | NJ Licensed Child & Adolescent Therapist (Remote) | Downe, NJ | 06/29/2025 | $85,000 |
| Get It-Healthcare | Child & Adolescent Behavioral Therapist-(IL License)-Remote | Chicago, IL | 06/29/2025 | $73,800 |
| Counseling & Recovery Services, LLC | Child & Adolescent Therapist | Tulsa, OK | 06/29/2025 | $74,000 |
| Acendahealth | Child Therapist | Cape May Court House, NJ | 06/28/2025 | $55,000 |
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