Choosing a career in counseling can open the door to meaningful work that helps individuals, families, and communities navigate life’s challenges. Counselors play a vital role in supporting mental health, personal development, academic success, addiction recovery, and more. At the same time, many people exploring counseling careers also consider closely related mental health professions that offer similar opportunities to make an impact.
This guide highlights 24 of the highest-paying counseling and related mental health careers, outlining salary expectations, common work settings, and typical education and licensure pathways. Some roles—such as school counselors, mental health counselors, and substance abuse counselors—require a master’s degree in counseling. Others, including psychologists and specialized therapists, involve different training and licensing requirements but are often considered by the same students and career-changers who are comparing these fields.
By understanding the distinctions among these careers—as well as their earning potential—you can identify the pathway that best aligns with your interests, strengths, and long-term goals.
Walden University : MS in Clinical Mental Health Counseling (CACREP Accredited, six specializations to choose from)
Walden University : MS in School Counseling (CACREP Accredited)
Northwestern University : Online MA in Counseling (CACREP Accredited)
Northwestern University : Master of Science in Marriage and Family Therapy (Complete your COAMFTE-accredited MFT online program in as few as 21 months. No GRE required.)
Grand Canyon University : Master's Degree in Counseling (CACREP Accredited)
Liberty University : MA: Clinical Mental Health Counseling (Online with required intensives)
National University : Master of Science in Clinical Mental Health Counseling (Accredited. No GRE. Scholarships Available)
University of Denver : Master of Arts in School Counseling (CACREP Accredited)
Mid-America Christian University (MACU) : Master of Science (MS) in Counseling (100% Online, No GRE Required)How Much Do Counselors Make?
According to the U.S. Bureau of Labor Statistics (BLS), the median annual salary for substance abuse, behavioral disorder, and mental health counselors was $59,190 in May 2024. Salary can vary widely depending on factors such as geographic location, years of experience, specialization, and work setting. For example, counselors working in private practices or high-demand specialties often earn more than those in community or school-based roles.
It’s also important to note that some of the careers featured in this guide fall outside the counseling profession and require different levels of training, including doctoral education. These roles—such as clinical and counseling psychologists—typically have higher earning potential because of their additional responsibilities, advanced assessment skills, and broader scope of practice.
Exploring counseling and related mental health careers side by side can help prospective students compare salary potential, licensure requirements, and long-term growth opportunities as they map out the path that best fits their professional goals.
What Types of Counselors Have the Highest Salaries?
Counselor earnings vary based on factors such as specialization, experience level, and work environment. BLS data shows that salaries for substance abuse, behavioral disorder, and mental health counselors differ notably across industries. In 2024, median wages were highest in the following settings:
- Hospitals: $61,930
- Offices of other health practitioners: $59,570
- Outpatient mental health and substance abuse centers: $58,200
- Individual and family services: $57,080
- Residential mental health and substance abuse facilities: $49,610
These differences highlight why certain counseling roles and practice settings offer higher earning potential. They also help explain why related mental health fields—such as psychology roles that require doctoral-level training—often fall at the top of the overall salary range.
The sections that follow provide a detailed look at 24 counseling and related mental health careers, including typical responsibilities, education pathways, and salary expectations.
Understanding the Roles Included in This List
The careers highlighted in this guide span both counseling roles and related mental health professions. Most counseling positions require a master’s degree in counseling or a closely related field, along with state-issued licensure. Other roles included here—such as clinical and counseling psychologists—require doctoral training and have a broader scope of practice, particularly in areas like assessment and research.
Because education and licensure requirements vary widely, it’s important for prospective students to choose programs that align with the specific career they want to pursue. Each entry in the list below outlines:
- typical responsibilities
- common work settings
- education and licensure pathways
- salary and job outlook
- professional organizations to know
Reviewing these details side by side can help you compare career paths, understand differences in training, and identify roles that match your long-term goals.
Consider a Featured Online Counseling Program
| School and Program Information | Online Program? Entry Requirements | Course Information | |
|---|---|---|---|
|
Walden University
MS in Clinical Mental Health Counseling
CACREP Accredited |
✔ Online
GRE scores not required
|
Walden’s online CACREP-accredited MS in Clinical Mental Health Counseling program can help you become the competent, compassionate counselor you know you can be.
|
Learn More |
|
Walden University
MS in School Counseling
CACREP Accredited |
✔ Online
GRE scores not required
|
CACREP-accredited program provides a solid foundation in school counseling theories, approaches, and best practices while enabling you to gain hands-on experience.
|
Learn More |
|
Northwestern University
Online MA in Counseling
CACREP Accredited |
✔ Online
GRE Not Required
Bachelor's Required |
CACREP-accredited online Master of Arts in Counseling from The Family Institute at Northwestern University. Prepare to pursue licensure in as few as 18 months.
|
Learn More |
|
Northwestern University
Master of Science in Marriage and Family Therapy
COAMFTE Accredited
|
✔ Online
GRE Not Required
Bachelor's Required |
Complete your COAMFTE-accredited MFT online program in as few as 21 months. No GRE required.
|
Learn More |
|
Grand Canyon University
Master's Degree in Counseling
CACREP Accredited |
✔ Online
|
CACREP-accredited MS in Clinical Mental Health Counseling. Emphases: Marriage & Family Therapy, Christian Counseling, Childhood & Adolescence Disorders, & Trauma.
|
Learn More |
|
Liberty University
MA: Clinical Mental Health Counseling
CACREP Accredited |
✔ Online
Online with required intensives
|
Our CACREP-accredited online master’s in counseling helps you become a skilled mental health counselor ready to empower others for positive change.
|
Learn More |
|
National University
Master of Science in Clinical Mental Health Counseling
WSCUC Accredited
|
✔ Online
GRE Scores Not Required
|
Focused on training highly skilled counselors to provide impactful and culturally sensitive mental health services in their communities.
|
Learn More |
|
University of Denver
Master of Arts in School Counseling
CACREP Accredited |
✔ Online
No GRE Required; Minimum GPA 2.5 Required
|
With no GRE required, earn your CACREP-accredited Master's in School Counseling online in as few as 24 months from the University of Denver.
|
Learn More |
|
Mid-America Christian University (MACU)
Master of Science (MS) in Counseling
Higher Learning Commission (HLC)
|
✔ Online
100% Online
|
The largest MS in Counseling program in OK. Emphasis in addiction & substance abuse, applied behavioral science, clinical mental health counseling, and more!
|
Learn More |
*Sponsored Counseling Programs
For detailed degree information, view the guides to:
Online CACREP Accredited programs | Online MPCAC Accredited programs
24 Highest-Paying Counseling and Related Mental Health Careers
The careers below represent a mix of counseling roles and related mental health professions with varying education, licensure, and salary expectations. Reviewing them can help you compare responsibilities, work settings, and long-term earning potential as you explore the path that best aligns with your goals.
1. School Counselor
Overview
School counselors support students’ academic, social, and emotional development from elementary school through college. They help students set goals, navigate challenges, and prepare for life after graduation.
What They Do
- Help students develop academic and career plans
- Provide short-term counseling for personal or social concerns
- Identify barriers to student progress and coordinate support services
- Assist with college and career readiness activities
- Collaborate with teachers, families, and administrators
Education and Licensure
School counselors typically complete a master’s degree in school counseling and a supervised practicum or internship. Licensing requirements vary by state and may include an exam and additional fieldwork depending on the school setting. Prospective students can look at the featured school counseling degrees and Licensed Professional Counselor Licensure for more information.
Salary and Job Outlook
According to the U.S. Bureau of Labor Statistics (BLS), school and career counselors earned a median salary of $65,140 per year in 2024. The BLS reports a projected job growth of 4% from 2024 to 2034, which is about the average for all occupations.
Common Work Settings
- Elementary, middle, and high schools
- Colleges and universities
- District-level student support services
- Community education organizations
Professional Organization to Know
The American School Counselor Association (ASCA) provides resources, training, and advocacy for school counselors nationwide.
2. Career Counselor
Overview
Career counselors help individuals identify strengths, explore career options, and develop plans for entering or advancing in the workforce. They often assist students, job seekers, and career changers in navigating employment decisions with confidence.
What They Do
- Conduct assessments to identify skills, interests, and career goals
- Teach job-search skills such as interviewing, networking, and resume building
- Provide guidance on education and training pathways
- Refer clients to employers or workforce resources
- Support adults transitioning into new careers or reentering the workforce
Education and Licensure
Most career counselors hold a master’s degree in counseling or a related field and complete supervised clinical experience as part of their training. Some pursue additional credentials, such as becoming a National Certified Counselor (see also: National Certified Counselor Licensure), although requirements vary by state and employer.
Salary and Job Outlook
According to the U.S. Bureau of Labor Statistics (BLS), school and career counselors earned a median salary of $65,140 per year in 2024. The BLS reports job growth of 4% between 2024 and 2034, which is about average.
Common Work Settings
- High schools and colleges
- Workforce development agencies
- Community organizations
- Correctional facilities
- Private career coaching practices
Professional Organization to Know
The National Career Development Association (NCDA) offers professional development, training standards, and resources for those working in career counseling and career development. Those interested in becoming career counselors can look at some of the featured career counseling programs for more information.
3. Marriage and Family Therapist
Overview
Marriage and family therapists (MFTs) help couples, families, and individuals navigate relational challenges, strengthen communication, and improve emotional well-being. They focus on the dynamics between people rather than treating concerns in isolation.
What They Do
- Assess relationship patterns and identify areas of conflict
- Provide therapy to couples, families, and individuals
- Guide clients through life transitions such as separation, divorce, or major stressors
- Teach skills that promote healthier communication and problem-solving
- Collaborate with other mental health and healthcare providers when needed
Education and Licensure
MFTs complete a master’s degree in marriage and family therapy or a closely related counseling field, followed by supervised clinical experience. Family and marriage therapy licensure requirements vary by state and typically include completing post-degree clinical hours and passing a licensing exam. Those interested in becoming marriage counselors can look at some of the featured marriage counselor degrees for more information.
Salary and Job Outlook
According to the U.S. Bureau of Labor Statistics (BLS), marriage and family therapists earned a median salary of $63,780 in May 2024. The BLS reports a projected job growth rate of 13% from 2024 to 2034, which is much faster than average.
Common Work Settings
- Private practice
- Community mental health centers
- Healthcare and hospital systems
- Social service agencies
- Counseling centers serving couples and families
Professional Organization to Know
The American Association for Marriage and Family Therapy (AAMFT) supports MFTs through advocacy, training, and professional standards.
4. Counseling Psychologist
Overview
Counseling psychologists help individuals manage emotional, social, and behavioral challenges by focusing on strengths, wellbeing, and problem-solving. They often work with clients experiencing stress, anxiety, life transitions, or interpersonal difficulties.
What They Do
- Provide individual or group psychotherapy
- Assess emotional or behavioral concerns and develop treatment plans
- Use evidence-based interventions to support mental health and personal growth
- Conduct psychological assessments (within their scope and training)
- Work alongside other healthcare and mental health professionals
Education and Licensure
This role requires a doctoral degree—typically a Doctor of Psychology (PsyD) or Doctor of Philosophy (PhD) in psychology—along with supervised clinical experience. Licensure is regulated at the state level and generally involves completing postdoctoral hours and passing the Examination for Professional Practice in Psychology (EPPP).
Salary and Job Outlook
According to the U.S. Bureau of Labor Statistics (BLS), counseling psychologists fall within the broader category of clinical and counseling psychologists, who earned a median salary of $95,830 in May 2024. The BLS reports job growth of 6% from 2024 to 2034, which is faster than average.
Common Work Settings
- Private practice
- Hospitals and healthcare systems
- Colleges and universities
- Government and community agencies
Professional Organization to Know
The Society of Counseling Psychology (Division 17 of the American Psychological Association) supports counseling psychologists through research, training standards, and advocacy.
5. Mental Health Counselor
Overview
Mental health counselors assess, diagnose, and treat common mental health concerns across the lifespan. They use evidence-based counseling approaches to help clients manage conditions such as anxiety, depression, trauma, and stress-related challenges.
What They Do
- Conduct assessments and develop treatment plans
- Provide individual, group, or family counseling
- Use therapeutic approaches such as cognitive behavioral therapy and trauma-informed care
- Support clients coping with emotional and behavioral difficulties
- Coordinate care with healthcare providers and community resources
Education and Licensure
Mental health counselors typically complete a master’s degree in counseling or a closely related field, followed by supervised clinical experience. Most states require graduates to complete a significant number of post-degree supervised hours and pass a state licensure exam to become a Licensed Mental Health Counselor or equivalent credential. See also: Licensed Mental Health Counselor Licensure
Salary and Job Outlook
According to the U.S. Bureau of Labor Statistics (BLS), substance abuse, behavioral disorder, and mental health counselors earned a median salary of $59,190 in May 2024. The BLS reports projected job growth of 17% from 2024 to 2034, which is much faster than average.
Common Work Settings
- Community mental health centers
- Hospitals and healthcare systems
- Private practice
- Educational institutions
- Crisis intervention organizations
Professional Organization to Know
The American Mental Health Counselors Association (AMHCA) advances professional standards and provides specialized training for mental health counselors.
6. Pediatric Counselor
Overview
Pediatric counselors provide mental health support to children and adolescents, often focusing on early intervention for trauma, behavioral challenges, emotional difficulties, or developmental concerns. Their work emphasizes creating a safe, developmentally appropriate environment where young clients can express themselves and build healthy coping skills.
What They Do
- Provide counseling to children experiencing emotional or behavioral challenges
- Use child-specific therapeutic techniques such as play-based or expressive therapies
- Offer early intervention after traumatic events or significant life changes
- Collaborate with parents, caregivers, teachers, and other professionals
- Support healthy social, emotional, and behavioral development
Education and Licensure
Most pediatric counselors complete a master’s degree in counseling with a specialization in child or youth counseling. Post-degree supervised experience under a licensed counselor is typically required, and licensure requirements vary by state. See also: National Certified Counselor Licensure and Licensed Professional Counselor Licensure.
Salary and Job Outlook
Pediatric counselors fall within a broad category of roles tracked outside of BLS reporting. As of November 2025, PayScale reports a median salary of about $34,000 for pediatric counseling positions. Because pediatric counseling is commonly practiced within general counseling roles (e.g., mental health counseling), job growth trends generally follow those categories.
Common Work Settings
- Counseling centers and community clinics
- Schools and educational support services
- Social service agencies
- Court and juvenile referral programs
Professional Organization to Know
The Association for Child and Adolescent Counseling (ACAC) supports counselors who specialize in working with children and adolescents through training, advocacy, and professional resources.
7. Grief Counselor
Overview
Grief counselors support individuals experiencing loss, whether related to the death of a loved one, major life transitions, health changes, or other significant disruptions. Their work centers on helping clients process emotions, reduce stigma around mourning, and develop healthy coping strategies.
What They Do
- Provide counseling for clients experiencing various forms of grief
- Normalize the grieving process and reduce shame or self-blame
- Teach coping strategies and emotional regulation skills
- Create a safe, supportive space for clients to express difficult emotions
- Support clients through complex or prolonged grief responses
Education and Licensure
Most grief counselors complete a master’s degree in counseling with a focus on grief or thanatology, followed by supervised clinical experience. State licensure requirements apply and vary by jurisdiction. See also: National Certified Counselor Licensure and Licensed Professional Counselor Licensure.
Salary and Job Outlook
Grief counselors fall within broader counseling categories tracked outside of BLS data. PayScale reports a median salary of about $57,600 as of November 2025. Because grief counseling is often practiced within general mental health counseling roles, job outlook trends mirror that broader field.
Common Work Settings
- Private practices
- Community mental health agencies
- Hospitals and hospice programs
- Crisis response services
- Funeral homes offering bereavement support
Professional Organization to Know
The American Academy of Grief Counseling provides training and professional development for counselors specializing in grief and bereavement.
8. Geriatric Counselor
Overview
Geriatric counselors support older adults facing age-related emotional, behavioral, and psychological challenges. Their work often involves helping clients cope with illness, loneliness, life transitions, loss, and fears about aging, while promoting resilience and quality of life.
What They Do
- Provide counseling tailored to the emotional and mental health needs of older adults
- Develop treatment plans that improve daily functioning and well-being
- Address issues such as grief, chronic illness adjustment, depression, and anxiety
- Coordinate with healthcare providers and caregivers when appropriate
- Encourage engagement in activities that support mental, social, and emotional health
Education and Licensure
These counselors typically earn a master’s degree in counseling with a specialization in gerontology or aging. Supervised clinical experience and state-specific licensure are required to practice independently. See also: National Certified Counselor Licensure (NCC) and Licensed Professional Counselor Licensure (LPC).
Salary and Job Outlook
Because geriatric counselors fall under broader counseling classifications, their exact earnings are not tracked separately by the BLS. PayScale reports a median salary of about $59,000 as of November 2025. Demand for professionals in aging services is expected to grow alongside the needs of an expanding older adult population.
Common Work Settings
- Counseling centers
- Retirement communities and assisted-living facilities
- Hospitals and medical centers
- Social service agencies
- Private practices
Professional Organization to Know
The American Geriatrics Society (AGS) supports professionals dedicated to improving the health and well-being of older adults across healthcare settings.
9. Veteran Counselor
Overview
Veteran counselors work with military service members, veterans, and their families to address mental health concerns related to trauma, deployment, reintegration, and adjustment. Their work frequently involves treating conditions such as PTSD, depression, and anxiety, while helping clients navigate both emotional and practical challenges.
What They Do
- Provide counseling for issues including PTSD, depression, anxiety, and adjustment stress
- Conduct assessments and develop individualized treatment plans
- Support clients through trauma recovery and reintegration into civilian life
- Collaborate with VA services, healthcare providers, or military support organizations
- Offer counseling to families of service members and veterans
Education and Licensure
Most veteran counselors complete a master’s degree in counseling with a specialization in military or veteran populations. Supervised practice is required, and licensure varies by state. See also: National Certified Counselor Licensure (NCC) and Licensed Professional Counselor Licensure (LPC).
Salary and Job Outlook
Veteran counselors fall under broader counseling categories not tracked separately by the BLS. PayScale reports a median salary of about $43,700 as of 2025. Demand remains strong due to increasing awareness of veterans’ mental health needs and expanded access to support services.
Common Work Settings
- Veterans Affairs (VA) facilities and government agencies
- Military bases and family support centers
- Community mental health organizations
- Private practices focused on trauma or military populations
- Nonprofit organizations serving veterans
Professional Organization to Know
The Military and Government Counseling Association (MGCA) supports counselors working with service members, veterans, and their families through advocacy, education, and professional development.
10. Substance Abuse Counselor
Overview
Substance abuse counselors help individuals navigate recovery from substance use disorders. Their work includes assessment, treatment planning, and ongoing support for clients in various stages of recovery, whether they are in residential treatment, outpatient programs, or transitioning back into daily life.
What They Do
- Assess substance use patterns and identify related behavioral or mental health concerns
- Provide individual or group counseling for clients in recovery
- Develop and monitor treatment plans focused on lifestyle change and relapse prevention
- Support clients as they adjust to substance-free routines
- Collaborate with healthcare providers, family members (when appropriate), and recovery teams
Education and Licensure
Requirements vary by state, but many substance abuse counselors complete a master’s degree in counseling with an addiction specialization, followed by supervised clinical experience. Some states offer tiered credentials that begin at the bachelor’s level, while independent practice typically requires full licensure. See also: Licensed Mental Health Counselor Licensure.
Salary and Job Outlook
The U.S. Bureau of Labor Statistics (BLS) reported a median annual wage of $59,190 in May 2024 for substance abuse, behavioral disorder, and mental health counselors—a category including substance abuse counselors. Job growth is projected to increase 17% from 2024 to 2034, much faster than average.
Common Work Settings
- Residential rehabilitation centers
- Outpatient treatment programs
- Hospitals and primary care settings
- Correctional facilities
- Schools, colleges, and community agencies
Professional Organization to Know
NAADAC — The Association for Addiction Professionals, which supports addiction counselors through training, advocacy, and ethics guidance.
11. Behavioral Counselor
Overview
Behavioral counselors work with individuals experiencing behavioral health challenges that interfere with daily functioning. Their work often focuses on helping clients understand patterns of behavior, develop healthier coping skills, and improve emotional and relational outcomes.
What They Do
- Assess and treat behavioral health concerns across a wide age range
- Teach coping strategies to manage stress, anger, or impulsive behaviors
- Help clients identify behavior patterns and develop alternative responses
- Provide individual or group counseling depending on the setting
- Support clients as they make long-term lifestyle or behavior changes
Education and Licensure
Behavioral counselors typically complete a master’s degree in counseling or behavioral science, sometimes with a behavior-focused specialization. After graduation, they must accumulate supervised clinical hours and meet state licensure requirements. Some roles require or prefer Board Certified Behavior Analyst (BCBA) credentials. See also: Board Certified Behavior Analyst Licensure.
Salary and Job Outlook
The U.S. Bureau of Labor Statistics (BLS) groups behavioral counselors within substance abuse, behavioral disorder, and mental health counseling roles, which carried a median annual wage of $59,190 in May 2024. Employment in this group is projected to grow 17% from 2024 to 2034, much faster than average.
Common Work Settings
- Community mental health centers
- Private practices
- Schools and educational programs
- Residential treatment facilities
- Healthcare organizations
Professional Organization to Know
The National Association of Cognitive-Behavioral Therapists (NACBT), which promotes training and professional development in cognitive behavioral approaches.
12. Rehabilitation Counselor
Overview
Rehabilitation counselors help individuals with disabilities, injuries, chronic health conditions, or major life disruptions regain independence and improve their quality of life. Their work blends counseling with practical support, often focusing on employment readiness, adaptive strategies, and navigating community resources.
What They Do
- Assess clients’ strengths, needs, and barriers to independence
- Provide counseling related to disability adjustment, employment challenges, or trauma recovery
- Develop individualized plans that support personal, vocational, and functional goals
- Coordinate services with healthcare providers, vocational programs, or social service agencies
- Advocate for clients in educational, workplace, or community settings
Education and Licensure
Most rehabilitation counselors complete a master’s degree in rehabilitation counseling or a related field. States typically require supervised clinical experience before candidates can sit for a licensure exam and practice independently. See also: Licensed Mental Health Counselor Licensure.
Salary and Job Outlook
The U.S. Bureau of Labor Statistics (BLS) reported a median annual wage of $46,110 for rehabilitation counselors in May 2024. Employment in this field is projected to grow 1% from 2024 to 2034, which is slower than average.
Common Work Settings
- Hospitals and rehabilitation centers
- Social service agencies
- Vocational rehabilitation programs
- Schools and disability services offices
- Private practices specializing in disability support
Professional Organization to Know
The American Rehabilitation Counseling Association (ARCA), which promotes excellence and advocacy in rehabilitation counseling.
13. Clinical Psychologist
Overview
Clinical psychologists diagnose and treat mental, emotional, and behavioral disorders, ranging from short-term challenges to chronic conditions. Unlike counselors—who typically train at the master’s level—clinical psychologists complete doctoral training that prepares them for advanced assessment, psychological testing, and research in addition to therapy.
What They Do
- Diagnose and treat mental health disorders through evidence-based therapy
- Conduct psychological testing and assessments
- Develop treatment plans informed by research and clinical findings
- Provide individual, group, or family therapy
- Contribute to research, program development, or clinical supervision
Education and Licensure
Clinical psychologists must earn a doctoral degree (Ph.D. or Psy.D.) followed by supervised clinical hours. Licensure requires passing a national exam and meeting state-specific requirements. A master’s degree may qualify graduates for supervised roles but not for independent practice as a psychologist.
Salary and Job Outlook
The U.S. Bureau of Labor Statistics (BLS) reported a median salary of $94,310 for clinical and counseling psychologists in May 2024. Employment for psychologists is projected to grow 6% from 2024 to 2034, faster than average.
Common Work Settings
- Private practices
- Hospitals and clinics
- Schools and universities
- Government agencies
- Research institutions
Professional Organization to Know
The American Psychological Association (APA), the leading organization for psychologists in clinical, research, and applied settings.
14. Psychotherapist
Overview
Psychotherapists provide talk therapy to help individuals, couples, or groups address emotional, behavioral, and mental health challenges. Unlike protected titles such as psychologist or licensed professional counselor, psychotherapist is a practice descriptor used by multiple licensed mental health professionals—including counselors, marriage and family therapists, social workers, and some psychologists. Training requirements depend on the provider’s underlying license.
What They Do
- Use evidence-based talk therapy approaches to address mental and emotional health concerns
- Help clients identify patterns, explore emotions, and develop coping strategies
- Provide individual, couples, family, or group therapy depending on training and setting
- Support clients navigating issues such as anxiety, depression, trauma, and relationship difficulties
Education and Licensure
Because psychotherapist is not a standalone license, requirements vary. Most psychotherapists hold a graduate degree—such as a master’s in counseling, social work, or marriage and family therapy—and practice under a state-recognized license (e.g., LPC, LMFT, LCSW). Psychologists practicing psychotherapy must hold a doctoral degree.
Salary and Job Outlook
Psychotherapist salaries vary by underlying license and setting. PayScale reports a median annual wage of about $68,900 as of November 2025. Roles involving psychotherapy fall across several BLS categories, each with its own job outlook.
Common Work Settings
- Private practices
- Community mental health organizations
- Hospitals and healthcare systems
- Schools and university counseling centers
- Nonprofit agencies
Professional Considerations
Because the term psychotherapist spans multiple credentials, clients should verify a provider’s specific license and training to understand scope of practice.
15. Sex Therapist
Overview
Sex therapists help individuals or couples address emotional, relational, and psychological concerns related to intimacy, sexual functioning, and sexual identity. Their work focuses on communication, emotional connection, and resolving barriers to healthy sexual relationships. This is a specialized form of talk therapy practiced by providers with advanced training in human sexuality.
What They Do
- Provide therapy for concerns such as intimacy issues, performance anxiety, desire differences, and sexual dysfunction
- Help clients explore beliefs, emotions, and relational patterns affecting their sexual well-being
- Work with individuals or couples to improve communication and strengthen relationships
- Offer psychoeducation on sexual health, consent, and healthy relationships
- Collaborate with medical providers when cases involve underlying health conditions
Education and Licensure
Sex therapists typically hold a master’s degree in counseling, psychology, social work, or marriage and family therapy. They must also be licensed in their primary discipline (e.g., LPC, LMFT, LCSW) before practicing independently. Many pursue specialized certification through professional organizations and gain supervised clinical experience in sex therapy.
Salary and Job Outlook
Sex therapists are not tracked as a separate category by the BLS. PayScale reports a median annual wage of about $61,600 as of November 2025. Income varies widely depending on location, specialization, and whether the therapist works in private practice.
Common Work Settings
- Private practice
- Healthcare clinics
- Family therapy centers
- Counseling agencies
- University or community health centers
Professional Organization to Know
The American Association of Sexuality Educators, Counselors, and Therapists (AASECT) provides widely recognized certification and training standards for sex therapy.
16. Sports Psychologist
Overview
Sports psychologists help athletes, teams, and performers enhance mental skills, manage stress, improve focus, and optimize performance. Their work spans competitive athletics, rehabilitation settings, and high-performance environments. While some related mental-skills coaching roles exist at the master’s level, practicing as a psychologist requires doctoral training and licensure.
What They Do
- Help athletes develop mental skills such as focus, motivation, visualization, and goal setting
- Support individuals coping with performance anxiety, burnout, or injury-related stress
- Provide therapy for mental health concerns that affect athletic performance
- Work with teams to strengthen communication and interpersonal dynamics
- Collaborate with coaches, trainers, and medical professionals to support whole-athlete well-being
Education and Licensure
Sports psychologists typically complete a doctoral degree (Ph.D. or Psy.D.) in psychology with specialized training in sport or performance psychology. A state psychology license is required for independent clinical practice. Some non-clinical roles—such as mental performance consulting—may be open to those with a master’s degree, but they do not involve clinical therapy. See also: Online Sports Psychology Master’s Programs.
Salary and Job Outlook
Sports psychology is not separately tracked by the BLS. PayScale reports a median annual wage of about $82,300 as of November 2025. Salaries vary significantly depending on setting, clientele, and whether the provider works clinically as a licensed psychologist.
Common Work Settings
- Professional and collegiate sports teams
- Hospitals and rehabilitation centers
- Private practices specializing in performance or clinical psychology
- Training facilities and sports academies
- Travel roles with athletic teams
Professional Organization to Know
The Association for Applied Sport Psychology (AASP) provides certification and professional standards for performance and sports psychology professionals.
17. Domestic Violence Therapist
Overview
Domestic violence therapists support individuals who have experienced intimate partner violence or family violence. Their work focuses on trauma recovery, safety planning, emotional stabilization, and helping clients rebuild autonomy and self-worth. Because domestic violence often intersects with housing, legal, and safety concerns, these therapists frequently collaborate with multidisciplinary support teams.
What They Do
- Provide trauma-informed counseling for survivors of intimate partner or family violence
- Conduct assessments to ensure emotional and physical safety
- Develop individualized treatment plans that address trauma symptoms and coping needs
- Support clients in processing abuse-related emotions such as shame, fear, and grief
- Coordinate with social services, advocacy programs, shelters, and legal resources when appropriate
Education and Licensure
Domestic violence therapists typically complete a master’s degree in counseling, social work, or marriage and family therapy. State licensure is required for independent practice, and many pursue additional training or certification in trauma counseling or domestic violence intervention.
Salary and Job Outlook
Domestic violence therapists are not tracked separately by the BLS. PayScale reports a median salary of about $63,000 as of November 2025. Roles in domestic violence services often overlap with mental health counseling positions, which have strong projected job growth.
Common Work Settings
- Domestic violence shelters and crisis centers
- Community mental health agencies
- Hospitals and healthcare systems
- Social service organizations
- Private practices specializing in trauma
Professional Organization to Know
The National Coalition Against Domestic Violence (NCADV) provides resources, advocacy, and training for professionals supporting survivors of domestic violence.
18. Licensed Professional Counselor (LPC)
Overview
Licensed Professional Counselors (LPCs) provide mental health counseling to individuals, couples, families, and groups. They treat a wide range of emotional and behavioral concerns and are trained to use evidence-based therapeutic approaches. “LPC” is a state-issued license, and while titles vary—such as Licensed Clinical Professional Counselor (LCPC) or Licensed Mental Health Counselor (LMHC)—all represent independently licensed counseling professionals.
What They Do
- Assess mental health concerns and develop treatment plans
- Provide individual, couples, family, or group counseling
- Use therapeutic techniques such as CBT, solution-focused therapy, and trauma-informed care
- Support clients coping with anxiety, depression, grief, stress, and relationship challenges
- Refer clients to medical or psychiatric providers when needed
Education and Licensure
LPCs typically complete a master’s degree in counseling or a related field. Licensure requires supervised post-degree clinical hours and passing a state licensing exam. Specific title and requirements vary by state, but all LPC roles require independent practice authority once licensed.
Salary and Job Outlook
LPC salaries fall within the broader BLS category of substance abuse, behavioral disorder, and mental health counselors, which had a median annual wage of $59,190 in May 2024, according to the U.S. Bureau of Labor Statistics (BLS). The BLS reports projected job growth of 17% from 2024 to 2034, much faster than average.
Common Work Settings
- Private practices
- Hospitals and integrated behavioral health programs
- Community counseling agencies
- Schools and colleges
- Social service organizations
Professional Organization to Know
The American Counseling Association (ACA) offers training standards, advocacy, and continuing education for LPCs and related counseling professionals.
19. Mental Health Program Manager
Overview
Mental health program managers oversee the design, delivery, and evaluation of mental health services in hospitals, clinics, and community agencies. While many have clinical experience, this is primarily an administrative and leadership role rather than a counseling position.
What They Do
- Supervise clinical and support staff within mental health programs
- Develop, implement, and monitor policies, procedures, and quality standards
- Manage budgets, staffing, and resource allocation
- Coordinate services across departments and community partners
- Analyze program data and outcomes to guide improvements
Education and Licensure
Most mental health program managers hold a master’s degree in a relevant field, such as health administration, public health, social work, counseling, or business. Employers typically expect several years of experience in mental health or human services and prior supervisory or leadership experience. Licensure as a counselor or other mental health professional may be preferred but is not always required, depending on the role.
Salary and Job Outlook
Mental health program managers are generally classified under medical and health services managers. According to the U.S. Bureau of Labor Statistics (BLS), these professionals earned a median annual wage of $117,960 in May 2024, and the BLS reports a projected job growth of 23% from 2024 to 2034, which is much faster than average.
Common Work Settings
- Hospitals and integrated health systems
- Community mental health centers
- Residential treatment programs
- Nonprofit social service organizations
Professional Organization to Know
The American College of Healthcare Executives (ACHE) offers networking, education, and credentials for leaders in healthcare administration, including those managing mental health programs.
20. Outpatient Therapist
Overview
Outpatient therapists provide assessment, diagnosis, and psychotherapy to clients who receive services in non-residential settings. Unlike inpatient or residential clinicians, outpatient therapists typically work with clients who live independently and attend scheduled appointments for ongoing mental health care.
What They Do
- Assess and diagnose emotional, behavioral, and mental health conditions
- Provide individual, group, or family psychotherapy
- Develop and update treatment plans
- Coordinate care with physicians, case managers, or community providers
- Monitor client progress and adjust interventions as needed
Education and Licensure
Most outpatient therapist positions require a master’s degree in counseling, social work, marriage and family therapy, or a related field. State licensure—such as licensed professional counselor (LPC), licensed clinical social worker (LCSW), or licensed marriage and family therapist (LMFT)—is typically required. New graduates may practice under supervision while accruing post-degree clinical hours.
Salary and Job Outlook
According to the U.S. Bureau of Labor Statistics (BLS), therapists working outside of hospital inpatient settings earned a median annual wage of $65,010 in May 2024. Salary can vary by license type, specialty, geographic location, and work setting.
Common Work Settings
- Outpatient mental health clinics
- Private practices
- Hospitals and integrated health systems
- Correctional facilities and government agencies
Professional Organization to Know
The American Counseling Association (ACA) provides continuing education, ethics resources, and professional advocacy for clinicians working in outpatient settings.
21. Art Therapist
Overview
Art therapists use creative processes—such as drawing, painting, sculpting, and other expressive techniques—to help clients explore emotions, develop coping skills, and support mental and emotional well-being. This is a specialized form of psychotherapy that integrates clinical training with artistic methods.
What They Do
- Guide clients through art-based activities that support emotional expression
- Assess client needs and develop individualized treatment plans
- Use creative modalities to address trauma, anxiety, depression, grief, and other concerns
- Document client progress and adjust interventions as needed
- Collaborate with healthcare providers, educators, or treatment teams
Education and Licensure
Art therapists typically earn a master’s degree in counseling or art therapy. Many states offer specific licensure or credentialing for art therapists, which usually includes supervised clinical hours and a licensing exam. Requirements vary by state, so prospective students should review regional regulations.
Salary and Job Outlook
While the U.S. Bureau of Labor Statistics (BLS) does not publish salary data specifically for art therapists. PayScale reports a median salary of about $50,800 as of November 2025.
Common Work Settings
- Schools and educational programs
- Hospitals and healthcare systems
- Community mental health clinics
- Private practice
Professional Organization to Know
The American Art Therapy Association (AATA) offers resources, advocacy, education, and professional standards for art therapists nationwide.
22. Child Psychologist
Overview
Child psychologists specialize in assessing, diagnosing, and treating mental, emotional, developmental, and behavioral concerns in children and adolescents. Their work often involves understanding how biological, social, educational, and family factors interact to shape a child’s well-being.
What They Do
- Conduct psychological assessments and developmental evaluations
- Provide individual or family therapy
- Diagnose mental health, behavioral, or learning disorders
- Collaborate with parents, teachers, and healthcare professionals
- Develop treatment plans tailored to children’s developmental needs
Education and Licensure
Becoming a child psychologist requires earning a Doctor of Psychology or Ph.D. in psychology. After completing doctoral training, candidates must pass a state licensing exam and fulfill supervised clinical hour requirements. Many also complete specialized training or postdoctoral work in child psychology.
- Learn More: How to Become a Child Psychologist
Salary and Job Outlook
Child psychologists fall within the psychologist occupational group, which had a median annual wage of $94,310 in May 2024, according to the U.S. Bureau of Labor Statistics (BLS). Job growth for psychologists is projected to increase by 6% between 2024 and 2034, which is faster than average.
Common Work Settings
- Schools and educational systems
- Hospitals and pediatric healthcare centers
- Private practice
- Community mental health agencies
Professional Organization to Know
The American Psychological Association (APA) includes divisions dedicated to children, adolescents, and developmental psychology, offering research, guidance, and professional resources.
23. Nutritional Therapist
Overview
Nutritional therapists help clients improve their health by assessing dietary habits, identifying nutritional needs, and creating personalized plans that support physical and emotional well-being. Their work may involve addressing digestive issues, nutrient deficiencies, chronic health concerns, or lifestyle-related conditions.
What They Do
- Conduct dietary assessments and evaluate clients’ health histories
- Develop individualized nutrition plans
- Recommend supplements, behavioral changes, or lifestyle adjustments
- Monitor progress and adjust recommendations as needed
- Educate clients on nutrition, wellness, and healthy eating habits
Education and Licensure
Requirements for nutritional therapists vary widely by state. Some states allow practice with a bachelor’s degree in a relevant field, while others require a master’s degree and/or certification from organizations such as the Clinical Nutrition Certification Board. Prospective practitioners should review state regulations to ensure compliance.
Salary and Job Outlook
Nutritional therapists are included within the broader category of nutritionists and dietitians, who had a median annual wage of $73,850 in May 2024, according to the U.S. Bureau of Labor Statistics (BLS). Job growth for nutritionists is projected to increase by 6% between 2024 and 2034, which is faster than average.
Common Work Settings
- Private practice
- Long-term care facilities
- Fitness and wellness centers
- Schools and educational settings
Professional Organization to Know
The Clinical Nutrition Certification Board (CNCB) provides credentialing pathways and professional resources for nutritional therapy practitioners.
24. Addiction Therapist
Overview
Addiction therapists support individuals navigating substance use disorders by helping them understand triggers, develop healthier coping strategies, and build skills for long-term recovery. They often work as part of multidisciplinary teams to provide emotional, behavioral, and mental health support.
What They Do
- Conduct assessments and identify patterns related to substance use
- Provide individual or group therapy focused on recovery
- Help clients develop relapse-prevention plans
- Teach coping strategies and support behavioral change
- Collaborate with medical providers, case managers, and support networks
Education and Licensure
Most addiction therapists complete a degree in substance abuse counseling or a related field, followed by supervised practicum hours. Licensure requirements vary by state but generally include passing an exam and completing a set number of supervised clinical hours. Students should review their state’s specific guidelines.
Salary
According to PayScale, addiction therapists earn a median annual salary of approximately $56,800 as of November 2025.
Common Work Settings
- Inpatient and outpatient treatment centers
- Hospitals and healthcare systems
- Correctional facilities
- Schools and educational programs
Professional Organization to Know
NAADAC, the Association for Addiction Professionals, offers education, credentialing, and advocacy for professionals working in addiction treatment.
Walden University - MS in Clinical Mental Health Counseling (CACREP Accredited)
Walden University - MS in School Counseling (CACREP Accredited)
Northwestern University - Online MA in Counseling (CACREP Accredited)
Northwestern University - Master of Science in Marriage and Family Therapy (COAMFTE Accredited)
Grand Canyon University - Master's Degree in Counseling (CACREP Accredited)
Liberty University - MA: Clinical Mental Health Counseling (CACREP Accredited)
National University - Master of Science in Clinical Mental Health Counseling (WSCUC Accredited)
University of Denver - Master of Arts in School Counseling (CACREP Accredited)
Mid-America Christian University (MACU) - Master of Science (MS) in Counseling (Higher Learning Commission (HLC) Accredited)
Tips for Increasing Your Salary as a Counselor
Advancing in counseling or related mental health professions often means expanding your skills, experience, and professional visibility. While salaries vary widely by specialty and setting, the following strategies can help you grow your earning potential:
- Pursue additional credentials. Postgraduate training, specialty certifications, or advanced licensure can strengthen your qualifications and open the door to higher-paying roles.
- Build clinical expertise. Developing specialization—such as trauma-informed care, couples counseling, or addiction treatment—can make you more competitive in private practice and organizational roles.
- Gain leadership experience. Supervising interns, managing programs, or coordinating services can lead to higher-paying administrative or managerial positions.
- Consider private practice or contracting. Independent practice may offer increased flexibility and income potential, though requirements vary by state and credential.
- Expand your professional network. Staying connected through associations, conferences, and mentorship can lead to new opportunities and higher-earning positions.
These approaches can help counselors and related mental health professionals find pathways to financial growth while continuing to support the well-being of their communities.
Related: Highest Paying Counseling Degrees
Exploring Your Next Steps
Whether you’re drawn to school counseling, therapy-focused roles, or related mental health careers such as psychology or behavioral health, there are many ways to shape a meaningful path forward. Reviewing accredited degree options, understanding your state’s licensure requirements, and identifying the settings where you want to make an impact can help guide your decision-making.
If you’re ready to explore academic pathways, you can browse online counseling degrees or look into master’s programs for counseling to find options that support your interests and long-term goals.

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