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Substance abuse counselor vs mental health therapist

The differences between substance abuse counselors and mental health therapists can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 4-6 years to become a substance abuse counselor, becoming a mental health therapist takes usually requires 2-4 years. Additionally, a mental health therapist has an average salary of $50,259, which is higher than the $43,069 average annual salary of a substance abuse counselor.

The top three skills for a substance abuse counselor include patients, substance abuse treatment and social work. The most important skills for a mental health therapist are social work, patients, and mental health.

Substance abuse counselor vs mental health therapist overview

Substance Abuse CounselorMental Health Therapist
Yearly salary$43,069$50,259
Hourly rate$20.71$24.16
Growth rate-9%
Number of jobs78,643114,386
Job satisfaction5-
Most common degreeBachelor's Degree, 57%Master's Degree, 49%
Average age3945
Years of experience64

What does a substance abuse counselor do?

Substance abuse counselors act as a support system for people with drug and alcohol problems and other behavioral issues. They help the patients control their behavior until they achieve a full recovery. The mental health counselors aid patients to overcome their chemical dependencies and become self-sufficient individuals. Part of their duty includes meeting clients to evaluate their health and substance issues while creating goals and treatment plans. They teach clients coping mechanisms, refer them to support groups, and engage them in group therapy sessions. Once the patient is stable, they help them re-establish their careers and give updates and reports of progress to the courts. Requirements for the job include a master's degree in counseling and social work.

What does a mental health therapist do?

The job of mental health therapists is to guide individuals, groups, couples, and families with problems that are impacting their well-being and mental health. Their duties and responsibilities include encouraging clients to talk about their experiences, examining issues that may affect mental health such as substance abuse and bullying, and assisting clients in defining their goals and action plans. Mental health therapists are also responsible for developing therapeutic processes, referring clients to other services or resources like psychologists, and helping them adjust to life changes.

Substance abuse counselor vs mental health therapist salary

Substance abuse counselors and mental health therapists have different pay scales, as shown below.

Substance Abuse CounselorMental Health Therapist
Average salary$43,069$50,259
Salary rangeBetween $27,000 And $67,000Between $35,000 And $70,000
Highest paying CityTrenton, NJSan Francisco, CA
Highest paying stateNew HampshireConnecticut
Best paying companyErlanger Health SystemTykes And Teens
Best paying industryNon ProfitsNon Profits

Differences between substance abuse counselor and mental health therapist education

There are a few differences between a substance abuse counselor and a mental health therapist in terms of educational background:

Substance Abuse CounselorMental Health Therapist
Most common degreeBachelor's Degree, 57%Master's Degree, 49%
Most common majorPsychologySocial Work
Most common collegeCalifornia State University - Long BeachCalifornia State University - Long Beach

Substance abuse counselor vs mental health therapist demographics

Here are the differences between substance abuse counselors' and mental health therapists' demographics:

Substance Abuse CounselorMental Health Therapist
Average age3945
Gender ratioMale, 34.3% Female, 65.7%Male, 23.3% Female, 76.7%
Race ratioBlack or African American, 11.4% Unknown, 4.6% Hispanic or Latino, 15.4% Asian, 4.6% White, 63.2% American Indian and Alaska Native, 0.9%Black or African American, 7.9% Unknown, 6.2% Hispanic or Latino, 7.9% Asian, 3.1% White, 74.2% American Indian and Alaska Native, 0.6%
LGBT Percentage12%15%

Differences between substance abuse counselor and mental health therapist duties and responsibilities

Substance abuse counselor example responsibilities.

  • Ensure and manage the compliance with Didi Hirsch policies and procedures, contracts and other regulatory agencies, HIPAA and DMH.
  • Conduct group check-in and co-lead group psychotherapy sessions to help clients identify and manage problems associate with psychiatric conditions.
  • Perform assessment of patients using ASAM criteria and recommendation for appropriate level of programming.
  • Process detox patient admissions on computer system which include - conducting alcohol and drug assessment, taking psycho/social history.
  • Provide clinical services, patient care, education and opiate addiction counseling services to patients receiving methadone maintenance and detoxification treatment.
  • Certify for first aid and CPR.
  • Show more

Mental health therapist example responsibilities.

  • Create and lead PTSD group for women, depression and stress management groups for men and women.
  • Collaborate with patients to develop individualize treatment plans and evaluate plans periodically to monitor progress towards achieving identify goals and objectives.
  • Provide clinical supervision for MFT intern and participate in peer to peer reviews.
  • Receive training in diagnoses, physical restraints and CPR.
  • Care for children with autism and document daily data collection.
  • Utilize therapy techniques from various modalities including EMDR, TF-CBT, and DBT
  • Show more

Substance abuse counselor vs mental health therapist skills

Common substance abuse counselor skills
  • Patients, 16%
  • Substance Abuse Treatment, 11%
  • Social Work, 8%
  • Crisis Intervention, 8%
  • Intake Assessments, 5%
  • Rehabilitation, 4%
Common mental health therapist skills
  • Social Work, 35%
  • Patients, 10%
  • Mental Health, 6%
  • Group Therapy Sessions, 5%
  • Mental Health Issues, 3%
  • Community Resources, 3%

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