Addiction Counselor Jobs & Career Guide 2024

What is an addiction counselor?

An addiction counselor is a mental health professional who specializes in helping people overcome addictions to drugs, alcohol, or other substances. Addiction counselors work with individuals, families, and groups to identify the underlying causes of addiction and develop strategies to manage and overcome addictive behaviors.

What does an addiction counselor do?

Addiction counselors have several main responsibilities. One of their primary responsibilities is to conduct assessments of their clients to determine the extent and nature of their addiction. They may use interviews, questionnaires, or other assessment tools to gather information about a client’s substance use, mental health, and other factors that may be contributing to their addiction. Based on the results of these assessments, addiction counselors develop individualized treatment plans for their clients.

Another key responsibility of addiction counselors is to provide counseling and support to their clients throughout the recovery process. They may use a variety of counseling techniques, such as cognitive-behavioral therapy, motivational interviewing, or family therapy, to help clients overcome addiction and achieve their recovery goals.

Addiction counselors also provide education and resources to clients and their families about addiction, relapse prevention, and other related topics.

On the job, you can expect to:

  • Find options for addiction support groups and recommend them to their clientele.
  • If their client has a criminal record, they may be required to give updates on the individual’s progress in the program to a court.
  • Manage a group therapy session.
  • Give their clients healthy coping mechanisms to successfully traverse the difficulties of everyday life.
  • Evaluate their clients’ addiction problems and use that information to develop realistic goals and a treatment plan.
  • Get their clients back into the workforce.
  • Talk to their client’s support system (most likely family or friends) to give them guidance.
  • Create an aftercare plan, so their client is supported during their recovery.
“Being an addiction counselor can be incredibly rewarding, but it’s also challenging work. It requires a deep understanding of addiction and the ability to work with clients who may be resistant to change. It takes patience, empathy, and a willingness to meet clients where they are in their recovery journey. Addiction counseling can be emotionally taxing, but seeing clients successfully overcome addiction and achieve their recovery goals makes it all worth it.”
Dr. Sheila Vakharia, PhD, Deputy Director of the Department of Research and Academic Engagement at the Drug Policy Alliance.

Here is a typical daily schedule for an addiction counselor:

8:00 AM – 9:00 AM: Review and respond to any urgent emails or messages from clients or colleagues. Prepare for the day’s appointments.

9:00 AM – 10:00 AM: Conduct an initial assessment with a new client to determine the extent of their addiction and develop an individualized treatment plan.

10:00 AM – 11:00 AM: Facilitate a group counseling session for clients who are in the early stages of recovery.

11:00 AM – 12:00 PM: Meet with an individual client for a one-on-one counseling session to discuss their progress and challenges in overcoming addiction.

12:00 PM – 1:00 PM: Take a break for lunch and attend to any administrative tasks, such as documenting client progress notes or scheduling appointments.

1:00 PM – 2:00 PM: Conduct a family therapy session with a client and their loved ones to address any family dynamics that may be contributing to the client’s addiction.

2:00 PM – 3:00 PM: Meet with a client to provide education and support for relapse prevention strategies.

3:00 PM – 4:00 PM: Collaborate with other mental health professionals, such as psychiatrists or social workers, to coordinate care for a client with co-occurring mental health disorders.

4:00 PM – 5:00 PM: Facilitate a support group session for clients who are in the maintenance phase of recovery.

5:00 PM – 6:00 PM: Wrap up any administrative tasks and prepare for the next day’s appointments.

Where does an addiction counselor work?

Addiction counselors are employed in a variety of settings, including:

  1. Substance abuse treatment facilities: Addiction counselors may work in residential or outpatient treatment centers that specialize in helping individuals overcome addiction.
  2. Mental health clinics: Addiction counselors may work in mental health clinics that offer counseling and support services to individuals with substance abuse and mental health disorders.
  3. Hospitals: Some hospitals may employ addiction counselors to provide counseling and support services to patients who are recovering from substance abuse or addiction.
  4. Educational institutions: Addiction counselors may work in universities or other educational institutions to provide counseling and support services to students who struggle with addiction.
  5. Government agencies: Addiction counselors may work for government agencies such as the Department of Veterans Affairs, providing counseling and support services to veterans who struggle with addiction.
  6. Private practice: Some addiction counselors may choose to work in private practice, offering counseling and support services to clients on a fee-for-service basis.

How to become an addiction counselor

It can take anywhere from 5-10 years to become an addiction counselor, depending on your educational path and the specific requirements in your state.

Obtain a bachelor’s degree

Addiction counselor positions require a bachelor’s degree in psychology, social work, counseling, or a related field. Some programs may offer a specialization in addiction counseling.

Obtain a master’s degree

Many addiction counseling positions require a master’s degree in counseling psychologycounseling, social work, or a related field. A master’s degree typically takes two to three years to complete and includes coursework in topics such as counseling theory, group counseling, family therapy, and substance abuse treatment.

Some master’s degree programs offer specializations in addiction counseling, which may include coursework in addiction-specific topics such as addiction theory, pharmacology, and relapse prevention. In addition to coursework, master’s degree programs typically include supervised clinical experience working with individuals with substance abuse or addiction issues.

Some states may require a master’s degree for licensure as an addiction counselor, while others may only require a bachelor’s degree. That being said, many organizations will (irrespective of state guidelines) likely favor candidates with a Master’s degree over applicants with a Bachelor’s degree.

Supervised experience

Many states require a certain number of supervised clinical hours working with individuals with substance abuse or addiction issues in order to become licensed as an addiction counselor. The amount of required clinical experience varies by state, but typically ranges from 2,000 to 4,000 hours.

Supervised clinical experience involves working under the guidance of a licensed and experienced addiction counselor or other mental health professional. The supervisor provides feedback, guidance, and support to help the trainee develop the skills and knowledge necessary to provide effective counseling and support to individuals with addiction.

During supervised clinical experience, trainees may work with clients one-on-one, facilitate group counseling sessions, conduct assessments, develop treatment plans, and provide education and support to clients and their families. The goal of supervised clinical experience is to provide trainees with hands-on experience working with clients and to ensure that they are prepared to provide effective counseling and support on their own.

Obtain certification

Certification is a voluntary process for addiction counselors, but many states and employers require or prefer that addiction counselors hold certification from a professional organization. Certification indicates that an addiction counselor has met certain education and training requirements and has demonstrated competency in the field of addiction counseling.

The main organization that offers certification for addiction counselors is the National Association of Alcoholism and Drug Abuse Counselors (NAADAC). To become certified by NAADAC, addiction counselors must meet certain education and training requirements, including completion of a minimum of 270 hours of addiction-specific education, at least six hours of ethics training, and at least 300 hours of supervised clinical experience. In addition, candidates must pass a certification exam and adhere to a code of ethics.

Obtain licensure

Licensure is required in some states for addiction counselors to practice independently.

In addition to meeting the above educational and experience requirements, licensure also requires adherence to a code of ethics and ongoing continuing education to maintain the license.

The licensing exam typically covers topics related to addiction counseling, such as screening and assessment, treatment planning, pharmacology, and relapse prevention. Some states may also require an additional exam covering state-specific laws and regulations related to addiction counseling.

It’s important to research the specific licensing requirements in your state or country and choose a program that meets those requirements. Some states may have different requirements for different levels of licensure, such as a licensed addiction counselor (LAC) or licensed professional counselor (LPC) with a specialization in addiction counseling.

Addiction Counselor Salary

According to the Bureau of Labor Statistics (BLS), the median annual wage for addiction counselors (which fall under the substance abuse, behavioral disorder, and mental health counselors category) is $47,660.

Here are the top 5 states for earnings as an addiction counselor, ranked by mean annual wage:

  1. California: $55,840
  2. New Jersey: $55,340
  3. Alaska: $53,400
  4. New York: $53,290
  5. Rhode Island: $50,900

Here are some ways addiction counselors can improve their earning potential:

Obtain additional education or certification

Pursuing advanced education such as a Ph.D. can increase an addiction counselor’s earning potential. Similarly, obtaining specialized certification in areas such as trauma-informed care or co-occurring disorders can demonstrate expertise and may lead to higher-paying job opportunities.

Gain experience in a specialized area

Specializing in a particular area of addiction counseling such as working with adolescents or treating opioid addiction can demonstrate expertise and lead to higher-paying job opportunities. Gaining experience in a specialized area can also increase an addiction counselor’s marketability to potential employers.

Seek employment in a high-demand area

Addiction counselors can improve their earning potential by seeking employment in areas where there is a high demand for their services. This could include working in areas with high rates of substance abuse or in areas with a shortage of addiction counselors. Additionally, working in higher-paying industries such as healthcare or government can increase an addiction counselor’s earning potential.

Get more salary insights in our addiction counselor salary guide

Latest Addiction Counselor Job Listings

PositionCompanyLocationPosted
Substance Abuse Counselor (116544)Johns Hopkins University Baltimore, Maryland US12/18/2024
Cornerstone at Helping Up Mission is seeking a Casual (10-12 hrs/week) Substance Abuse Counselor to be responsible for providing counseling and coordinating counseling activities according to protocol for clients age 18 and over. Duties and Responsibilities Provide rehabilitation counseling to clients with a substance use disorder using multiple treatment modalities including Reinforcement-Based Treatment which is an evidence-based treatment approach that … More
Community Preceptor – Psychiatry & Behavioral MedicineEast Carolina University Greenville, North Carolina US12/18/2024
Job Description: he Brody School of Medicine (BSOM) is committed to the goals of its mission: to increase the supply of primary care physicians serving the state, to improve the health and well-being of the region, and to train physicians who will meet the health care needs of the state. The key to achieving this mission is to assure that students receive a significant portion of their clinical education in the community practices throughout our region. This dedicated … More
Inpatient Psychiatry Assignment with Work Life BalanceCurative Greenville, North Carolina US12/17/2024
Inpatient Psychiatry Opportunity with Addiction Focus No Call or WeekendsA healthcare facility in North Carolina is looking for a Psychiatry locum tenens provider. This opportunity offers a balanced work schedule and a supportive care environment.Practice Setting Full-time inpatient psychiatryPatient population includes short-term psych patients with addiction issues48-bed capacity, collaborative care team (Psychiatrist, … More
Join UPMC as a Child Psychiatrist in Affordable, Family Friendly Community! Work/Life Balance, Established Group!UPMC Hamot Erie, Pennsylvania US12/17/2024
UPMC Western Behavioral Health at Safe Harbor, located in Erie, Pennsylvania is seeking a child psychiatrist to join a well-established comprehensive, community behavioral health outpatient program.Erie is an ideal destination for family living with high-quality educational opportunities, a vibrant cultural scene, and endless recreational activities to enjoy. Plus, Erie is situated less than two hours from Pittsburgh, Cleveland and Buffalo. Toronto is less than four hours away. You … More
Psychiatrist, MorristownAtlantic Health System Morristown, New Jersey US12/17/2024
JOB DESCRIPTIONPosition Summary: Provides direct, comprehensive psychiatric assessments, medication management and short-term follow-up care for patients, including adults, adolescents, and children, in the Behavioral Health Assessment Center. Works closely with the Coordinator of the Assessment Center, Crisis Intervention Services, Medical Director of Outpatient Services and the Chairman of the Department of Psychiatry to provide clinical excellence to all psychiatric … More
14 on/14 off Adult Psychiatry Position in Newburgh, IN | 15 miles east of EvansvilleLifePoint Health Newburgh, Indiana US12/17/2024
Brentwood Springs in Newburgh, Indiana (located 15 miles from Evansville) is seeking a BC/BE Adult Psychiatrist to join Lifepoint s Behavioral Health team.Position Details: Full-time position 48-bed adult behavioral health facility Schedule is 14 days on/ 14 days off Patient volume is 13-15 patients per day About the Facility: … More
Addictions Physician M60240 Department of PsychiatryVirginia Commonwealth University Richmond, Virginia US12/17/2024
Mission or Goal of Unit:The mission of the Division of Addictions Psychiatry is to advance research, education, and clinical care for patients with addictions.Chief Purpose of this position:To provide addiction services to patients at VCUHS and teach addiction psychiatry/medicine.Position Responsibilities: Teaching and Administration: 10% for teaching and teaching-related activities. This educational effort shall … More
Principal Neuroscientist – Evans Family Professor of Psychiatry and NeuroscienceDartmouth Health Lebanon, New Hampshire US12/16/2024
The Presidential Cluster on the Neural Code at Dartmouth College is delighted to invite applications for the Evans Family Professorship. Qualified candidates will be considered at the Professor or Associate Professor rank. The appointment will be in the Department of Psychiatry (in the Geisel School of Medicine and part of Dartmouth Health). The Neural Code Cluster is one of 10 faculty clusters in priority areas for innovative science and scholarship across … More
Position
Cornerstone at Helping Up Mission is seeking a Casual (10-12 hrs/week) Substance Abuse Counselor to be responsible for providing counseling and coordinating counseling activities according to protocol for clients age 18 and over. Duties and Responsibilities Provide rehabilitation counseling to clients with a substance use disorder using multiple treatment modalities including Reinforcement-Based Treatment which is an evidence-based treatment approach that … More
Company
Johns Hopkins University
Location
Baltimore, Maryland US
Posted
12/18/2024
Position
Job Description: he Brody School of Medicine (BSOM) is committed to the goals of its mission: to increase the supply of primary care physicians serving the state, to improve the health and well-being of the region, and to train physicians who will meet the health care needs of the state. The key to achieving this mission is to assure that students receive a significant portion of their clinical education in the community practices throughout our region. This dedicated … More
Company
East Carolina University
Location
Greenville, North Carolina US
Posted
12/18/2024
Position
Inpatient Psychiatry Opportunity with Addiction Focus No Call or WeekendsA healthcare facility in North Carolina is looking for a Psychiatry locum tenens provider. This opportunity offers a balanced work schedule and a supportive care environment.Practice Setting Full-time inpatient psychiatryPatient population includes short-term psych patients with addiction issues48-bed capacity, collaborative care team (Psychiatrist, … More
Company
Curative
Location
Greenville, North Carolina US
Posted
12/17/2024
Position
UPMC Western Behavioral Health at Safe Harbor, located in Erie, Pennsylvania is seeking a child psychiatrist to join a well-established comprehensive, community behavioral health outpatient program.Erie is an ideal destination for family living with high-quality educational opportunities, a vibrant cultural scene, and endless recreational activities to enjoy. Plus, Erie is situated less than two hours from Pittsburgh, Cleveland and Buffalo. Toronto is less than four hours away. You … More
Company
UPMC Hamot
Location
Erie, Pennsylvania US
Posted
12/17/2024
Position
JOB DESCRIPTIONPosition Summary: Provides direct, comprehensive psychiatric assessments, medication management and short-term follow-up care for patients, including adults, adolescents, and children, in the Behavioral Health Assessment Center. Works closely with the Coordinator of the Assessment Center, Crisis Intervention Services, Medical Director of Outpatient Services and the Chairman of the Department of Psychiatry to provide clinical excellence to all psychiatric … More
Company
Atlantic Health System
Location
Morristown, New Jersey US
Posted
12/17/2024
Position
Brentwood Springs in Newburgh, Indiana (located 15 miles from Evansville) is seeking a BC/BE Adult Psychiatrist to join Lifepoint s Behavioral Health team.Position Details: Full-time position 48-bed adult behavioral health facility Schedule is 14 days on/ 14 days off Patient volume is 13-15 patients per day About the Facility: … More
Company
LifePoint Health
Location
Newburgh, Indiana US
Posted
12/17/2024
Position
Mission or Goal of Unit:The mission of the Division of Addictions Psychiatry is to advance research, education, and clinical care for patients with addictions.Chief Purpose of this position:To provide addiction services to patients at VCUHS and teach addiction psychiatry/medicine.Position Responsibilities: Teaching and Administration: 10% for teaching and teaching-related activities. This educational effort shall … More
Company
Virginia Commonwealth University
Location
Richmond, Virginia US
Posted
12/17/2024
Position
The Presidential Cluster on the Neural Code at Dartmouth College is delighted to invite applications for the Evans Family Professorship. Qualified candidates will be considered at the Professor or Associate Professor rank. The appointment will be in the Department of Psychiatry (in the Geisel School of Medicine and part of Dartmouth Health). The Neural Code Cluster is one of 10 faculty clusters in priority areas for innovative science and scholarship across … More
Company
Dartmouth Health
Location
Lebanon, New Hampshire US
Posted
12/16/2024