Mid-Level

Child and Adolescent Therapist

You help young people work through trauma, anxiety, and behavioral challenges. As a Child and Adolescent Therapist, you're using developmentally appropriate techniques to help kids and teens process difficult experiences—working with families to create supportive environments for healing.

Career Level
Junior
Mid
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Director
VP
Executive
Work Personality
S
I
A
C
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Socialhelping, teaching
Investigativeanalytical, curious
Based on Holland Code framework
Job markets for Child and Adolescent Therapists
Employment concentration · ~332 areas
Based on employment in related occupations
Mapped SOC categories:
BLS Occupational Employment Statistics
What it's like

What it's like to be a Child and Adolescent Therapist

Therapy with children and adolescents looks quite different from adult work—developmentally appropriate approaches like play therapy, art therapy, and game-based techniques are often central, especially with younger clients. With teenagers, the work shifts toward talk-based therapy, but building alliance with a skeptical or reluctant adolescent is its own skill.

Working with families is a constant feature of the work, even when your client is the child. Parents need regular updates, often disagree with treatment approaches, and sometimes have dynamics that are part of what the child needs to heal from. Navigating that without losing the child's trust or alienating the family requires nuance.

People who tend to thrive are genuinely drawn to childhood development and comfortable with unconventional session formats. If sitting across from an eight-year-old playing with sand trays doesn't feel professionally diminished to you, and if you find adolescent psychology genuinely interesting rather than draining, this specialty tends to be deeply rewarding. Vicarious trauma is a real occupational risk, especially in trauma-focused work, so active self-care is important rather than optional.

RelationshipsHigh
IndependenceHigh
AchievementAbove avg
Working ConditionsAbove avg
RecognitionAbove avg
SupportLower
O*NET Work Values survey
✦ Editorial — written by Truest from industry research and career patterns
Career Paths

Where this role sits in the broader career landscape — and where it can take you.

$239K$179K$119K$60K$0KLower paying387 metro areas, sorted by salary level
All experience levels1
This level's estimated range
INDUSTRIES PAYING ABOVE AVERAGE
1 BLS OEWS May 2024 covers all Child and Adolescent Therapists (SOC 19-3033.00, 21-1013.00), not just this title · BEA RPP 2023
* Top salaries exceed this figure. BLS caps reported wages at ~$240K to protect individual privacy in high-earning roles.
Also appears in: Social Services
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✦ Editorial — career progression and interview guidance based on industry patterns
The Broader Landscape

Roles like this one sit within a broader occupational category. The numbers below reflect that full landscape — helpful for context, but your specific experience will depend on level, specialty, and where you work.

$43K–$170K
Salary Range
10th – 90th percentile
138K
U.S. Employment
+11.9%
10yr Growth
13K
Annual Openings

How this category is changing

$77K$74K$71K$68K$65K201920202021202220232024$65K$77K
BLS OEWS May 2024 · BLS Employment Projections 2024–2034

Skills & Requirements

Active ListeningReading ComprehensionSocial PerceptivenessSocial PerceptivenessCritical ThinkingActive ListeningWritingSpeakingSpeakingWriting
O*NET OnLine · Bureau of Labor Statistics
19-3033.0021-1013.00

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Federal data: BLS Occupational Employment & Wage Statistics (May 2024) · BLS Employment Projections · O*NET OnLine
Truest editorial: Fit check, role profile, things that vary, advancement analysis, lateral moves, interview questions.