Substance Abuse and Behavioral Disorder Counselors

Minimal Risk
Low High

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Occupation snapshot

What does this snowflake show?
The Snowflake is a visual summary of the five badges: Automation Risk (calculated), Risk (polled), Growth, Wages and Volume. It gives you an instant snapshot of an occupations profile. The colour of the Snowflake relates to its size. The better the occupation scores in relation to others, the larger and greener the Snowflake becomes.
JOB SCORE
8.2/10
What's this?
Job Score (higher is better):

We rate jobs using four factors. These are:

- Chance of being automated
- Job growth
- Wages
- Volume of available positions

These are some key things to think about when job hunting.

Risk & user votes

Calculated automation risk

5% (Minimal Risk)

Minimal Risk (0-20%): This occupation appears difficult to replace end-to-end with current or near-future automation, including AI software and robotics. Roles in this range usually depend on human judgement, creativity, care, leadership, specialist expertise, or adapting to messy real-world situations. AI and machines may still change parts of the work, but the occupation is likely to remain a distinct human role.

More information on what this score is, and how it is calculated is available here.

Human strengths important in this job

These are human abilities and work contexts that are important in this occupation. They may help explain why parts of the role are harder to replace end-to-end, but they are not the only inputs into the automation score.

Therapy and counseling expertise

Very important
Why this matters
Uses clinical and counseling methods to assess people’s needs, build trust, and guide treatment or rehabilitation—work that depends on empathy, nuanced judgment, and adapting to each person’s situation.
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Decision-making and problem solving

Very important
Why this matters
Analyze information, weigh tradeoffs, and choose the best solution—especially when situations are ambiguous, high-stakes, or have real-world consequences.
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Communicating with people outside the organization

Very important
Why this matters
Represents the organization to customers, the public, or government—handling questions, concerns, and relationship-building through conversations, writing, calls, or email.
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Developing objectives and strategies

Very important
Why this matters
Sets long-term goals and chooses strategies and actions to reach them, weighing tradeoffs and adapting plans as conditions change.
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Psychology knowledge

Very important
Why this matters
Understanding human behavior, motivation, and individual differences to assess needs, respond appropriately, and support behavior change or mental health.
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Show 5 more strengths

Education and training expertise

Very important
Why this matters
Designing and delivering instruction—adapting lessons to different learners and measuring whether training actually works.
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Thinking creatively

Quite important
Why this matters
Coming up with original ideas and designs—creating new concepts, products, systems, or artistic work. This kind of open-ended invention and taste-based judgment is harder to automate end-to-end than routine, rule-based tasks.
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Persuasion

Quite important
Why this matters
Influencing people to change their minds or behavior through conversation, trust, and negotiation.
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Coordinating others’ work

Quite important
Why this matters
Bringing people together, assigning tasks, and keeping a group aligned so work gets done.
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Active learning

Quite important
Why this matters
Keeps learning from new information and applying it to make better decisions now and in the future, especially when situations change.
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What users think

Based on 56 votes

20% chance of full automation within the next two decades

Our visitors have voted there's a low chance this occupation will be automated. This assessment is further supported by the calculated automation risk level, which estimates 5% chance of automation.

What do you think the risk of automation is?

What is the likelihood that Substance Abuse and Behavioral Disorder Counselors will be replaced by robots or artificial intelligence within the next 20 years?

Sentiment

Based on user votes over time

View sentiment trend

How opinions have changed over time

Pay & outlook

Wages

Moderately paid relative to other professions

In 2024, the median annual wage for Substance Abuse, Behavioral Disorder, and Mental Health Counselors was $59,190 ($28 per hour).

The median annual wage for Substance Abuse, Behavioral Disorder, and Mental Health Counselors was 19.6% higher than the national median annual wage, which stood at $49,500.

* Data from the Bureau of Labor Statistics

Growth

Very fast growth relative to other professions

The number of 'Substance Abuse, Behavioral Disorder, and Mental Health Counselors' job openings is expected to rise 16.8% by 2034

* Data from the Bureau of Labor Statistics for the period between 2023 and 2033
Updated projections are due 09-2025.

Volume

Significantly greater range of job opportunities compared to other professions

As of 2024 there were 440,380 people employed as 'Substance Abuse, Behavioral Disorder, and Mental Health Counselors' within the United States.

This represents around 0.29% of the employed workforce across the country

Put another way, around 1 in 350 people are employed as 'Substance Abuse, Behavioral Disorder, and Mental Health Counselors'.

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What people are saying (3)

Seamus o’D. (No chance)
20 Jun 2025 09:57
Assigning the work to an AI does not mean it will actually be done effectively. Substance use is complex and multifaceted and above all, really human. In ‘therapy’, AI tend to simply reinforce and agree with what someone has said, but sometimes this is not helpful. If AI were to be put in this position, perhaps it could do an outwardly passable job at first, but in general rates of recovery would plummet. Furthermore, due to the sensitive nature of addiction, many people entering recovery often need human interaction to assist in community reintegration and rebuilding healthy relationships, as well as uniquely human, experienced based perspectives and true (not imitated) compassion. Lastly, many may be uncomfortable working with AI and would simply refuse services due to the sensitivity and vulnerability of substance use services, and the potential violations of patient confidentiality involved in AI data use.
Jess G. (No chance)
04 Mar 2023 05:09
You need deep meaningful connections to make a real impact and cause a real change in the attitudes and behaviors that brought them to seek treatment in the first place, I would know I have been to 8 treatment centers. There is a complete difference from a therapist that has walked down this path and one that has read it out of a book. You can't learn what it was like to live through active addiction you have either been through it or haven't and know the way out through your own experiences or you know what the book told you to say. You can't learn personal skills like that.
C W (No chance)
21 Aug 2019 18:50
There are complex interpersonal and emotive skills required to be an effective counselor.

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Job description

Counsel and advise individuals with alcohol, tobacco, drug, or other problems, such as gambling and eating disorders. May counsel individuals, families, or groups or engage in prevention programs.

O*NET-SOC code: 21-1011.00