Mental Health Counseling Degree Programs

Therapist talking to patient on a couch.

What is Mental Health Counseling?

Updated on Feb 1, 2021
Mental health counseling is a psychology subspecialty in which the professional works with children, adolescents, adults or families to help resolve emotional or behavioral issues. Mental health counseling can include diagnosing, treating and helping prevent mental health disorders, addictions, school, work or relationship problems, or trauma. Typically, mental health counselors work in an office where they see clients throughout the day, although they may also work in nontraditional settings.

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Mental health counselors approach their practice in a different manner than other health professionals. Instead of relying on traditional medical illness treatments, mental health counselors work with the client to encourage positive life choices and a general wellness model for growth. A mental health counselor makes determinations through interviews, observation and testing to clarify a client’s needs.

Clients may be individuals, couples or entire families, as the origins for mental health issues can be environmental, social or family-based in nature. A mental health counselor will often work alongside other professionals, such as marriage and family counselors, school counselors and social workers in aiding the growth and improvement of the patient.

What Does a Mental Health Counselor Do?

The typical day for a mental health counselor often consists of appointments with patients, generally in treatment facilities, homes or hospitals. Evaluating and determining patient risk is a vital component of the job. From there, the counselor must help the patient make healthy life decisions to positively shape their future and improve their existing relationships.

Depending on the nature, position and severity of the patient, it can be important to collaborate with other health professionals. Collaboration ensures more effective treatments for problems such as substance abuse, sex addiction, depression and anger management.

Applying to a Mental Health Counseling Program

Most mental health counseling degree graduate programs require students to have a bachelor’s degree in a related field, such as psychology or education. You can boost your acceptance chances by volunteering at a mental health services agency.

Many schools require applicants to submit their GRE and/or MAT test scores. Submitting one or both of these test scores could help you stand out to admissions staff and improve your chance of acceptance, especially to highly competitive programs.

The GRE, or Graduate Record Examination, is a general test taken by prospective graduate students to demonstrate skills like verbal reasoning, quantitative reasoning, and analytical writing. Similarly, the MAT, or Miller Analogies Test, is designed to assess a prospective graduate student’s analytical thinking ability.

Note that, due to the Covid-19 pandemic, a large number of US universities have begun temporarily waiving the GRE. Sachin Pullil has compiled a list of top schools and their departments that have chosen to waive the GRE. This list is not comprehensive, so be sure to check with the schools you’re planning to apply to.

How Long Does It Take to Become a Mental Health Counselor?

Mental health counselors must earn a bachelor’s degree and a master’s degree as well as complete 2,000 – 4,000 hours of supervised clinical experience. They must also obtain a license, whether by taking the National Counselor Examination or the National Clinical Mental Health Counseling Examination. Altogether, this process takes about eight to ten years.

An undergraduate degree takes about four years to complete, while master’s programs last between one and a half and three years. Working full time, most people complete the supervised clinical experience requirement in around two years.

Lastly, some people need significant time to study for their licensing test. Depending on whether you pass the first time you take it, this final step can take between zero and two years or more.

Career and Earnings Outlook in Mental Health Counseling

As of May 2019, the Bureau of Labor Statistics projected that 283,540 professionals were currently practicing within this industry. Earnings for the group were as follows:

  • Mental health counselors in the 90th percentile earned an annual salary of $76,080 (or $36.58 per hour).
  • Mental health counselors in the 50th percentile earned an annual salary of $46,240 (or $22.23 per hour).
  • Mental health counselors in the 90th percentile earned an annual salary of $29,520 (or $14.19 per hour).
  • Annual mean wages were highest at $63,740 for those who worked at junior colleges.
  • Annual mean wages were lowest at $41,400 for those who worked at residential intellectual and developmental disability, mental health, and substance abuse facilities.
  • Workers at private practices generally earned more than those working at facilities.

What Are the Licensing and Certification Requirements for Mental Health Counselors?

All mental health counselors must be licensed. You can obtain a license by taking the National Counselor Examination, or NCE, and/or the National Clinical Mental Health Counseling Examination, or NCMHCE.

Depending on the state in which you intend to practice, you may be required to obtain other certifications. For example, once you become licensed, you may pursue certification from the National Board of Certified Counselors.

Pursuing additional certifications and specializations in particular niches is not necessarily required, but improves employability. If you’re particularly interested in a certain facet of mental health counseling, it’s recommended to obtain a certification within that specialty.

What Accreditations Should My Mental Health Counseling Program Have?

The top accreditation for mental health counseling degree programs is the CACREP accreditation. Other graduate degree programs in mental health counseling are accredited by the American Psychological Association.

In general, all graduate degree programs should be accredited by the Higher Learning Commission. There are also several specialized mental health degree accreditors, including the National Association of School Psychologists.

Can I Study for a Mental Health Counseling Degree Online?

There are multiple graduate programs in mental health counseling that allow you to study online. From Pepperdine University’s Master’s in Clinical Psychology program to Capella University’s Master’s in Clinical Mental Health Counseling, it’s easier than ever to study counseling online at institutions across the country.

Obtaining a Mental Health Counseling Degree

An undergraduate degree in psychology or counseling is a first step, but graduate education is essential. You are required to earn your master’s degree in counseling, social work or a similar field. That means earning your MA, MS, or MSW, or attaining a Ph.D. in mental health therapy or clinical or counseling psychology.

Internships and volunteer work at treatment facilities or hospitals are also great resume builders. In all but two states and the District of Columbia, further certification/licensing procedures are required. This includes passing a state or nationally certified licensure exam and completing two years of supervised work as a post-graduate in a clinical setting.

Working within a peaceful environment conducive to professional growth is a perk of the field. Perhaps the greatest benefit, however, is your role in helping individuals, couples and families achieve happiness and peace of mind.

Useful Mental Health Counseling Resources

Browse All Mental Health Counseling Degree Programs

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The College of Saint Rose

Albany, New York
School Type: Private not-for-profit; 4 or more years

Degrees Offered

Certificate in Mental Health Counseling/Counselor
Master's in Mental Health Counseling/Counselor
Student Population
4,652
Student:Teacher Ratio
14 to 1
Tuition
$32,218
Acceptance Rate
87%

The Community College of Baltimore County

Baltimore, Maryland
School Type: Public; At least 2 but less than 4 years

Degrees Offered

Associate in Psychiatric/Mental Health Services Technician
Student Population
22,887
Student:Teacher Ratio
17 to 1
Tuition
$5,184
Acceptance Rate
Open enrollment policy

The University of Alabama

Tuscaloosa, Alabama
School Type: Public; 4 or more years

Degrees Offered

Master's in Mental Health Counseling/Counselor
Student Population
42,432
Student:Teacher Ratio
22 to 1
Tuition
$30,250
Acceptance Rate
83%

The University of Tennessee-Chattanooga

Chattanooga, Tennessee
School Type: Public; 4 or more years

Degrees Offered

Certificate in Mental Health Counseling/Counselor
Student Population
12,718
Student:Teacher Ratio
19 to 1
Tuition
$23,954
Acceptance Rate
82%

The University of Texas at El Paso

El Paso, Texas
School Type: Public; 4 or more years

Degrees Offered

Master's in Mental Health Counseling/Counselor
Student Population
29,881
Student:Teacher Ratio
20 to 1
Tuition
$22,556
Acceptance Rate
100%

The University of Texas at San Antonio

San Antonio, Texas
School Type: Public; 4 or more years

Degrees Offered

Certificate in Mental Health Counseling/Counselor
Master's in Mental Health Counseling/Counselor
Student Population
35,755
Student:Teacher Ratio
25 to 1
Tuition
$17,511
Acceptance Rate
77%

The University of Texas Health Science Center at Houston

Houston, Texas
School Type: Public; 4 or more years

Degrees Offered

Doctorate in Community Health Services/Liaison/Counseling
Master's in Community Health Services/Liaison/Counseling
Student Population
6,553
Student:Teacher Ratio
5 to 1
Tuition
$32,235
Acceptance Rate
Open enrollment
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The University of West Florida

Pensacola, Florida
School Type: Public; 4 or more years

Degrees Offered

Bachelor's in Community Health Services/Liaison/Counseling
Master's in Community Health Services/Liaison/Counseling
Student Population
16,122
Student:Teacher Ratio
21 to 1
Tuition
$16,004
Acceptance Rate
31%

Thomas Nelson Community College

Hampton, Virginia
School Type: Public; At least 2 but less than 4 years

Degrees Offered

Associate in Mental and Social Health Services and Allied Professions, Other - Online
Student Population
11,588
Student:Teacher Ratio
18 to 1
Tuition
$9,978
Acceptance Rate
Open enrollment

Three Rivers Community College

Norwich, Connecticut
School Type: Public; At least 2 but less than 4 years

Degrees Offered

Associate in Psychiatric/Mental Health Services Technician
Student Population
5,307
Student:Teacher Ratio
16 to 1
Tuition
$11,952
Acceptance Rate
Open enrollment

Tidewater Community College

Norfolk, Virginia
School Type: Public; At least 2 but less than 4 years

Degrees Offered

Associate in Mental and Social Health Services and Allied Professions, Other
Student Population
31,098
Student:Teacher Ratio
20 to 1
Tuition
$9,978
Acceptance Rate
Open enrollment

Touro College

New York, New York
School Type: Private not-for-profit; 4 or more years

Degrees Offered

Master's in Mental Health Counseling/Counselor
Student Population
14,699
Student:Teacher Ratio
13 to 1
Tuition
$18,038
Acceptance Rate
69%

Tri-County Community College

Murphy, North Carolina
School Type: Public; At least 2 but less than 4 years

Degrees Offered

Associate in Mental and Social Health Services and Allied Professions, Other
Student Population
1,397
Student:Teacher Ratio
16 to 1
Tuition
$8,448
Acceptance Rate
Open enrollment

Trinity Washington University

Washington,
School Type: Private not-for-profit; 4 or more years

Degrees Offered

Master's in Community Health Services/Liaison/Counseling
Master's in Mental and Social Health Services and Allied Professions, Other
Student Population
2,011
Student:Teacher Ratio
12 to 1
Tuition
$24,220
Acceptance Rate
97%

Truckee Meadows Community College

Reno, Nevada
School Type: Public; 4 or more years

Degrees Offered

Associate in Community Health Services/Liaison/Counseling
Student Population
15,740
Student:Teacher Ratio
20 to 1
Tuition
$9,656
Acceptance Rate
Open enrollment

Tunxis Community College

Farmington, Connecticut
School Type: Public; At least 2 but less than 4 years

Degrees Offered

Associate in Psychiatric/Mental Health Services Technician
Student Population
5,777
Student:Teacher Ratio
16 to 1
Tuition
$11,952
Acceptance Rate
Open enrollment

Union Institute & University

Cincinnati, Ohio
School Type: Private not-for-profit; 4 or more years

Degrees Offered

Master's in Mental Health Counseling/Counselor
Student Population
1,399
Student:Teacher Ratio
8 to 1
Tuition
$13,080
Acceptance Rate
Open enrollment

University at Buffalo

Buffalo, New York
School Type: Public; 4 or more years

Degrees Offered

Certificate in Mental Health Counseling/Counselor
Master's in Mental Health Counseling/Counselor
Student Population
35,111
Student:Teacher Ratio
13 to 1
Tuition
$24,740
Acceptance Rate
61%