truest.me
Sector

Careers in Mental Health & Counseling

Mental health and counseling provides therapy, counseling, and psychiatric care โ€” addressing psychological and emotional needs. Very high credential requirements with mostly on-site work, though telehealth is expanding.

242K
U.S. jobs
In this sector
$64K
Median salary
Across all roles
Mental Health & Counseling jobs by metro area
Bubble size = total employment
Mental Health & Counseling employment by metro ยท ~393 areas
1.New York-Newark-Jersey City, NY-NJ5K
2.Los Angeles-Long Beach-Anaheim, CA5K
3.Chicago-Naperville-Elgin, IL-IN2K
4.Philadelphia-Camden-Wilmington, PA-NJ-DE-MD2K
5.Boston-Cambridge-Newton, MA-NH2K

Jobs per 100K workforce โ€” measures industry density

1.Pueblo, CO146.8
2.Bay City, MI131.9
3.Bloomington, IN131.8
4.Mankato, MN114.6
5.Amherst Town-Northampton, MA103.3
BLS OEWS May 2024
Understanding this Sector
What it's like to work in Mental Health & Counseling

Mental health and counseling help people with psychological challenges โ€” there's profound satisfaction in therapeutic relationships, seeing clients improve, and work that touches people at their most vulnerable. Many find meaning in healing that isn't physical.

The challenge can come from emotional demands and insurance limitations. Absorbing others' pain takes toll. Insurance coverage restricts session numbers and reimbursement. Building a private practice takes time. Severe mental illness can be difficult to treat effectively.

The field varies by license and setting. Psychiatrists differ from psychologists, social workers, or counselors. Inpatient differs from outpatient, community mental health, or private practice. Specialties like trauma, addiction, or child therapy require additional training.

For those who thrive here, the rewards are profound: therapeutic relationships, client transformation, meaningful work, and helping during psychological crises. If you're drawn to mental health, can maintain boundaries while caring deeply, and want healing careers, counseling offers deeply meaningful paths.

How people break in

MPH or related degrees help for professional positions. Epidemiology and biostatistics require specific training. Health education and administration roles may be more accessible.

Work environment tends toward
Population health focusMPH valuedGovernment employmentEmergency responsePolicy and programs
Industries it connects to
Salary vs. national average
-10%
$64K median vs. $71K national
$239K$179K$119K$60K$0K$17K$37K$150K$239K*387 metro areas across 50 states, sorted by salary level โ†’
Salary range across all mental health & counseling roles
Where your dollar goes furthest
1. San Jose-Sunnyvale-Santa Clara$89K
2. Boulder$76K
3. Washington-Arlington-Alexandria$72K
4. Trenton-Princeton$69K
5. Durham-Chapel Hill$69K
BLS OEWS May 2024
* Top salaries exceed this figure. BLS caps reported wages at ~$240K to protect individual privacy in high-earning roles.

Median salaries range from ~$69K in mid-market metros to ~$100K in top-tier cities. But cost of living closes a lot of that gap โ€” metros with lower regional price parities often offer the best purchasing power.

Highest paying
San Jose-Sunnyvale-Santa Clara ยท $100K
San Francisco-Oakland-Fremont ยท $85K
Washington-Arlington-Alexandria ยท $78K
Best purchasing power
San Jose-Sunnyvale-Santa Clara ยท $89K adj.
Boulder ยท $76K adj.
Washington-Arlington-Alexandria ยท $72K adj.
Most jobs
New York ยท 22M
Los Angeles ยท 14.2M
Chicago ยท 10M
BLS OEWS May 2024 ยท BEA Regional Price Parities

What the data says about this sector

Beyond salary and job counts โ€” signals that shape the day-to-day experience of working in Mental Health & Counseling.

๐Ÿšช
Annual Quit Rate
Based on all Healthcare data
23%
Higher than average turnover. This could indicate challenging conditions, seasonal work, or abundant external opportunities.
โ†‘ 1%vs. 22% all industries
๐Ÿข
Typical Employer Size
Small-skewed
Small businesses dominate. More variety in roles but less formal structure and benefits.
98%
Small
<50
2%
Mid
50โ€“249
0%
Large
250+
๐Ÿ 
Remote / Hybrid Prevalence
Mostly on-site
Many roles can be done remotely. Location flexibility is a realistic expectation.
Mostly on-siteHybrid commonRemote-first
๐Ÿ“‹
Credential Density
High
Most roles don't require formal credentials. Skills and experience matter more than certificates.
Few credentialsSome requiredMany required
๐Ÿค
Union Presence
Based on all Healthcare data
~6%
Minimal union coverage means compensation is individually negotiated. Know your market rate going in.
โ†“ 6%vs. 11% all industries
BLS JOLTS 2024 ยท BLS QCEW 2024 ยท O*NET Work Context ยท BLS Union Members Summary 2024
Career Tracks

Career tracks in Mental Health & Counseling

How jobs in this sector break down by function, and what they typically pay.

Healthcare ยท Hospitals, clinics, and medical practices. Direct patient care, specialization paths, shift work common. Meaningful impact, strong demand.
16%
$68K median
Explore โ†’
Social Services ยท The heart of social services employment โ€” hospitals, mental health facilities, and community health organizations providing direct care and support.
14%
$66K median
Explore โ†’
Admin & Office ยท Medical offices, hospitals, and clinics need organized admins who can handle sensitive information. Stable, meaningful work with clear career paths.
12%
$69K median
Explore โ†’
Science ยท Clinical research, medical laboratories, pharmaceutical R&D, and biotech โ€” translating science into treatments and diagnostics.
10%
$72K median
Explore โ†’
Business Operations ยท Hospitals and clinics balance patient care with complex operations. Regulatory pressure, 24/7 demands, meaningful impact. Growing field with strong demand.
10%
$76K median
Explore โ†’
Education ยท Patient education, clinical training, and health literacy programs. Blend of teaching skills with healthcare knowledge. Growing field.
10%
$71K median
Explore โ†’
Median salary for occupations employed within Mental Health & Counseling. BLS OEWS May 2024.

Explore careers in Mental Health & Counseling

Understand your strengths, plan your next move, and build your career record.

Get Started with Truest
Federal data: BLS Occupational Employment & Wage Statistics (May 2024) ยท BLS JOLTS 2024 ยท BLS QCEW 2024 ยท O*NET Work Context ยท BLS Employment Projections 2024โ€“2034
Truest editorial: Industry narrative, sector context, career track mapping, working signals analysis.