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What is Mental Health Counseling?


Mental health issues are prevalent in our society, affecting individuals of all ages and backgrounds. In response to this growing concern, the field of mental health counseling has gained significant importance. In North Carolina, this profession plays a crucial role in providing support, guidance, and therapeutic interventions to individuals facing various mental health challenges.

To become a mental health counselor in North Carolina, certain educational and licensing requirements must be met. Typically, individuals need to obtain a master's degree in counseling or a related field from an accredited institution. North Carolina also requires the completion of a minimum of 3,000 hours of supervised clinical experience post-graduation. Additionally, passing the National Counselor Examination (NCE) or the National Clinical Mental Health Counseling Examination (NCMHCE) is necessary for licensure.

Once licensed, mental health counselors in the state can work in a variety of settings including private practices, schools, hospitals, community agencies, and government organizations. They provide therapy, counseling, and interventions to individuals, couples, families, and groups dealing with mental health issues such as depression, anxiety, trauma, addiction, and relationship problems.

According to the Bureau of Labor Statistics (BLS), as of May 2020, there were 4,960 mental health counselors employed in North Carolina. The annual mean wage for mental health counselors in the state was $49,640, while the average hourly wage was $23.87. However, these figures may vary depending on factors such as location, years of experience, and specialization within the field.

The demand for mental health counselors in North Carolina is expected to grow in the coming years. As awareness about mental health increases and stigma diminishes, more individuals are seeking professional help for their mental well-being. This trend, coupled with the ongoing impact of the COVID-19 pandemic on mental health, reinforces the need for qualified and skilled mental health professionals.

The field of mental health counseling offers a rewarding and fulfilling career for individuals passionate about helping others overcome their mental health challenges. By providing guidance, support, and evidence-based interventions, mental health counselors in North Carolina contribute significantly to the well-being of individuals and communities.

Students interested in completing a program in this field will have options for counseling degrees across the state. These options may include North Carolina Central University, Appalachian State University, Wake Forest University, UNC Charlotte, and other educational opportunities.

Online Mental Health Counseling Education in North Carolina


A mental health counselor is a trained professional who specializes in providing counseling services to individuals dealing with mental health problems. These professionals work closely with their clients to assess, diagnose, and treat a range of mental health issues including anxiety, depression, stress, grief, addiction, and more. Mental health counselors utilize various therapeutic approaches and interventions to help their clients overcome and manage their mental health difficulties.

One of the key goals of mental health counselors is to create an accepting and nonjudgmental atmosphere for their clients so that they feel safe sharing their thoughts, feelings, and experiences without judgment. Counselors use active listening skills and empathy to form strong therapeutic alliances with their clients; by cultivating trust through this relationship, they can effectively guide individuals toward positive changes and growth.

The services provided by mental health counselors are crucial in helping individuals improve their mental well-being. These professionals assist clients in developing coping strategies, managing stress, improving communication skills, and resolving conflicts. Mental health counselors may conduct individual counseling sessions, group therapy, couples therapy, or family therapy, depending on their training and the needs of their clients.

Mental health counselors not only offer therapy services, but often work closely with other healthcare professionals such as psychiatrists, psychologists, and social workers to provide comprehensive care to their clients. If necessary, they may refer individuals for additional specialized services or support groups.

The demand for mental health counselors is increasing as societies recognize the importance of mental health and destigmatize seeking help for mental health issues. Mental health counselors can find work in a variety of settings including private practices, community mental health centers, hospitals, schools, and rehabilitation centers.

Online Associates (AS)

An associate degree in psychology or counseling is an excellent option for individuals who think they might be interested in pursuing a career in the mental health field, but aren’t certain or are looking for a way to take a step into the field without committing themselves to a full bachelor's degree. You are unlikely to find a degree in mental health counseling specifically, but a foundational degree can be found. These two-year programs provide students with foundational knowledge and skills necessary to assist individuals facing various mental health challenges, though it will not prepare you to receive full licensure. From learning about different counseling theories and techniques to understanding the ethical guidelines of the profession, students will gain invaluable insights into providing effective therapeutic support.

One thing that may be hard to find in an associate degree is the opportunity for hands-on experience through internships and practicum placements. These practical experiences allow students to work directly with clients under the supervision of licensed professionals, providing them with real-world exposure early on in their educational journey, but they are uncommon at this level. Fortunately, if you choose to progress into a bachelor’s, you are more likely to find an immersive learning environment that can help build essential clinical skills and allows students to discover their strengths and interests within the field.

An associate degree primarily serves as a steppingstone toward further education and career advancement. Many colleges offer seamless transfer options for those who wish to continue their studies at the bachelor's or master's level after completing their associate degree. This allows individuals to build upon their foundational knowledge while exploring specialized areas such as substance abuse counseling or couples therapy. By starting with an associate degree, students can gradually progress in their education while accumulating valuable experience along the way.

Online Bachelors (BS)

A bachelor's degree in mental health counseling may be difficult to find, but a degree in psychology, social work, or counseling is the most common first step into the field and is an excellent foundation for those interested in pursuing a career in the field. These degree programs usually offer a comprehensive curriculum that covers various aspects of mental health including psychological theories, counseling techniques, and ethical considerations. Students can also gain practical experience through internships and supervised clinical work, further preparing them for their future roles as counselors.

One of the advantages of a bachelor's degree in psychology or social work is its versatility. Graduates can find employment opportunities in various settings once they earn a master’s such as hospitals, community clinics, schools, and private practice. They can work with diverse populations ranging from children to elderly individuals and specialize in different areas, such as substance abuse counseling or trauma-focused therapy. With mental health awareness increasing and the demand for qualified professionals growing steadily, graduates can expect a promising job market and rewarding career prospects. A bachelor's degree can equip students with the necessary knowledge and skills while also promoting empathy, compassion, and professional integrity - qualities that are essential when working with vulnerable individuals who seek support during difficult times.

National Rankings - Top 10 Online Bachelors

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Online Masters (MS)

A master's degree in mental health counseling is a valuable pursuit for individuals interested in helping others navigate the complexities of their mental and emotional well-being. This advanced degree equips students with the knowledge and skills needed to provide effective counseling services to diverse populations. One of the most appealing aspects of this program is its focus on practical experience, allowing students to gain hands-on training through internships, fieldwork, and supervised clinical practice. This emphasis ensures that graduates are prepared to enter the professional world with confidence and competence.

One unique aspect of pursuing a master's degree in mental health counseling is the opportunity for personal growth and self-reflection it offers students. Through coursework and supervised practice sessions, individuals are encouraged to explore their own values, beliefs, biases, and limitations in order to become more self-aware as counselors. This process not only enhances their ability to form strong therapeutic relationships but also allows them to examine how their own experiences may influence their work with clients. Ultimately, this level of introspection fosters empathy and compassion – essential qualities for any mental health professional.

In addition to providing support for individual clients, mental health counselors also play an important role in advocating for change at a broader systemic level. Armed with an understanding of social justice issues and cultural diversity, counseling professionals can actively fight against discrimination and inequalities within mental health care systems. By addressing these overarching issues that impact marginalized communities’ access quality care efficiently engage with plans designed according patient’s need rather than only sticking to conventional clinical methods-that primarily focus on symptoms.

Prospective students in graduate programs can also complete a specialization at this level. Options may prepare students to work in clinical mental health counseling, counselor education, professional school counseling, addictions counseling, career counseling, professional counselors in a private setting, psychological counseling, group counseling, human development, industrial-organizational psychology or professional development, clinical assessment, crisis management, and other related educational programs that will aid their career goals and allow them to work in various mental health settings.

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Online Doctorate (PhD)

A PhD in mental health counseling is a prestigious and rigorous program that prepares individuals to make significant contributions in the field of counseling. While many may assume that a master's degree is sufficient, pursuing a PhD opens doors to advanced research opportunities and leadership roles. These programs delve deeply into the theory and practice of counseling, equipping students with an in-depth understanding of psychology, psychopathology, and various treatment approaches.

One of the unique aspects of a PhD in this field is the emphasis on research. As part of their doctoral studies, students are required to conduct original research that contributes to the existing body of knowledge. This hands-on experience not only allows students to explore their own research interests, but also provides valuable insights for improving counseling practices. By conducting groundbreaking research within the field, graduates can significantly impact the mental health community and pave new paths for future counselors.

Furthermore, pursuing a PhD empowers individuals with invaluable skills to take on leadership positions within mental health organizations. With advanced training in counseling theories and techniques, doctoral graduates are well-equipped to lead other counselors and guide them in delivering high-quality care. These leadership positions enable graduates to shape policies and advocate for improved mental health services at local, national, or even international levels. With their expertise and qualifications, individuals who hold a PhD in mental health counseling have the potential to make lasting positive changes within societies around the world.

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Online Certifications

Mental health counseling certifications play a crucial role in ensuring that counselors are well-equipped to handle the complexities of their profession. While a master's degree in mental health counseling is typically the basic requirement for entering this field, certifications offer an additional layer of specialized knowledge and expertise. These credentials not only demonstrate a counselor's commitment to their profession but also enhance their credibility among clients and employers.

There are several reputable organizations that offer mental health counseling certifications, each with its own specific requirements and focus areas. For instance, the National Board for Certified Counselors (NBCC) offers the widely recognized National Certified Counselor (NCC) certification, which emphasizes general counseling skills. On the other hand, organizations like the American Association for Marriage and Family Therapy (AAMFT) provide specialized certifications such as Licensed Marriage and Family Therapist (LMFT). These certifications enable counselors to expand their scope of practice by focusing on specific populations or therapy modalities.

Become a Mental Health Counselor in North Carolina


Mental health counselors play a crucial role in providing support and guidance to individuals who are facing mental and emotional challenges. If you are in North Carolina and want to pursue a career in this field, here are the steps you need to take.

  • Step 1: Earn a Bachelor's Degree

    Step one in becoming a mental health counselor is earning a bachelor's degree in psychology, counseling, or related disciplines from an accredited program. When selecting a degree to gain admission to this field of work, it is vitally important that you choose a program that is properly accredited. Otherwise, the licensure board for your state will not accept your degree as evidence of your education in the field.

  • Step 2: Earn a Master's Degree

    After earning your bachelor's degree, the next step will be pursuing a master's in counseling or a closely related field. When selecting your program it is crucial that it is accredited by either CACREP or CORE - two bodies which offer quality assurance of educational standards in their accreditation process.

  • Step 3: Complete a Practicum and Internship

    A practicum provides hands-on counseling experience within a professional environment; an internship offers more extensive supervision. Both will equip you with invaluable practical skills that allow you to work directly with clients under guidance from licensed professionals.

  • Step 4: Obtain Supervised Experience

    Once you complete your master's program, the next step will be gaining supervised experience. North Carolina requires that at least 1,500 hours be direct client contact; all supervised hours must be monitored by either a licensed professional counselor or clinical mental health counselor.

  • Step 5: Pass the National Counselor Examination (NCE)

    Once your supervised experience has concluded, the National Counselor Examination (NCE), conducted by the National Board for Certified Counselors (NBCC), must be passed. This exam measures your knowledge and abilities across various aspects of counseling.

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What Can I Do with a Bachelor's in Mental Health Counseling?


A bachelor's degree in mental health counseling can prepare you for further education but it doesn’t open the door to many options in the range of counseling career opportunities. It may not qualify you to become a licensed counselor but does provide a solid foundation for further study or entry-level positions related to the field. The most followed option is to pursue a master's degree, which is required for licensure as a professional counselor. With this advanced degree, you can work independently or as part of a team in clinical settings, schools, or community organizations.

Alternatively, with just a bachelor's degree in counseling or psychology, you could explore careers such as case management, crisis intervention, or social work. You could also work as a paraprofessional in a school setting or as a psychiatric aide. The skills and knowledge gained through your undergraduate studies will enable you to understand and support individuals experiencing mental health challenges while working closely with other professionals in various settings. You could also consider roles that involve research and program development aimed at promoting mental health awareness and advocacy on local and national levels.

A bachelor's degree will not lead directly to becoming a licensed counselor, but it can still offer valuable opportunities for meaningful careers. Whether your future lies in pursuing further education or entering the workforce right away – there are numerous paths waiting for dedicated individuals who want to make an impact on people's lives and contribute to improving mental well-being within their communities.

Potential Careers for Mental Health Counseling Graduates


  • Clinical Psychologist:

    A clinical psychologist is responsible for assessing, diagnosing, and treating mental health disorders and psychological issues in individuals of all ages. They utilize various therapeutic techniques to help clients overcome their challenges and improve their overall well-being.

    Necessary Requirements:

    • A doctoral degree (PhD or PsyD) in clinical psychology from an accredited institution
    • State licensure as a clinical psychologist
    • Strong knowledge of psychological theories, assessment methods, and therapeutic interventions
    • Excellent interpersonal and communication skills to establish rapport with clients and work effectively with a diverse range of individuals

    Estimated Salary

    • The mean annual wage for clinical and counseling psychologists in the US in 2021 was $102,740
    • The mean annual wage for clinical and counseling psychologists in North Carolina is $93,010
  • Geriatric Counselor:

    A geriatric counselor is responsible for providing counseling and support services to elderly individuals to help them cope with the challenges and emotional issues related to aging. The counselor will work closely with the elderly clients, their families, and healthcare professionals to assess their mental health needs and develop personalized treatment plans.

    Necessary Requirements:

    • Master's degree in Counseling or a related field
    • Licensure as a mental health counselor or clinical social worker

    Estimated Salary

    • The median annual wage for rehabilitation counselors in the US in 2021 was $38,560
    • The mean annual wage for rehabilitation counselors in North Carolina is $39,610
  • Career Counselor:

    Career counselors provide assistance and guidance for individuals in their career development process. They assist clients in exploring their interests, skills, and goals so that they can make more informed decisions regarding education, training and employment options, and job search strategies such as resume writing, interview preparation, and networking.

    Necessary Requirements:

    • Bachelor's degree in counseling, psychology, social work, or a related field. Master's degree preferred
    • Proven experience as a career counselor or in a related role
    • Strong knowledge of career development theories

    Estimated Salary

    • The median annual wage for school and career counselors and advisors in the US in 2021 was $60,510
    • The mean annual wage for educational, guidance, and career counselors and advisors in North Carolina is $52,120
  • Behavioral Disorder Counselor:

    A behavioral disorder counselor's role is to offer counsel and support to individuals diagnosed with behavioral disorders. They collaborate closely with clients to assess their specific needs and challenges, create personalized treatment plans, and implement therapeutic techniques designed to manage and improve behavior in schools, clinics, hospitals, or residential facilities.

    Necessary Requirements:

    • Bachelor's or master's degree in counseling, psychology, social work, or a related field
    • Certification or licensure as a counselor or therapist (e.g., licensed professional counselor)
    • Strong knowledge of behavioral disorders and therapeutic interventions
    • Excellent communication and interpersonal skills to build

    Estimated Salary

    • The median annual wage for substance abuse, behavioral disorder, and mental health counselors in the US in 2021 was $48,520
    • The mean annual wage for substance abuse, behavioral disorder, and mental health counselors in North Carolina is $55,530
  • Rehabilitation Counselor:

    Rehabilitation counselors assist those with disabilities to achieve maximum independence and integration into society. They collaborate closely with clients to assess their needs, design personalized treatment plans, and offer guidance and support throughout the rehabilitation process.

    Necessary Requirements:

    • Bachelor's or master's degree in rehabilitation counseling or a related field
    • Strong knowledge of various disabilities, rehabilitation techniques, and assistive technologies
    • Excellent communication and interpersonal skills to establish rapport

    Estimated Salary

    • The median annual wage for rehabilitation counselors in the US in 2021 was $38,560
    • The mean annual wage for rehabilitation counselors in North Carolina is $39,610
  • Substance Abuse Counselor/Social Worker:

    Substance abuse counselors and social workers provide vital services, counseling, advocacy, and support for individuals experiencing mental health disorders or substance use issues. Their role includes assessing clients' needs, creating treatment plans for them, and coordinating services so that overall well-being and recovery is promoted.

    Necessary Requirements:

    • Bachelor's or Master's degree in counseling or social work or a related field
    • Valid licensure as a social worker

    Estimated Salary

    • The mean annual wage for mental health and substance abuse social workers in the US in 2021 was $60,130
    • The mean annual wage for mental health and substance abuse social workers in North Carolina is $53,940
  • Psychometrist:

    A psychometrist is responsible for administering and scoring psychological assessments and tests under the supervision of a licensed psychologist or psychiatrist. They play a crucial role in the assessment and evaluation of individuals' mental health, cognitive abilities, and personality traits. The psychometrist must have a strong understanding of psychological testing procedures and be skilled in maintaining accuracy and confidentiality.

    Necessary Requirements:

    • Bachelor's degree in psychology or a related field (master's degree preferred)
    • Certification as a psychometrist is desirable
    • Strong knowledge of psychological testing methods, tools, and procedures
    • Familiarity with administering a wide range of psychological assessments
    • Excellent organizational skills to manage multiple assessments simultaneously
    • Proficient computer skills for test administration, scoring, and report writing

    Estimated Salary

    • The median annual wage for psychologists in the US in 2021 was $81,040
    • The mean annual wage for psychologists, all other in North Carolina is $93,970
  • Industrial Organizational Psychologist:

    An industrial-organizational psychologist applies principles of psychology to the workplace to improve productivity, performance, and overall well-being of employees. They conduct research, analyze data, and develop strategies to optimize organizational effectiveness and employee satisfaction.

    Necessary Requirements:

    • Master's or doctoral degree in industrial organizational psychology or a related field
    • Strong knowledge of psychological theories and principles as they apply to the workplace

    Estimated Salary

    • The mean annual wage for industrial-organizational psychologists in the US in 2021 was $144,610
    • The mean annual wage for industrial-organizational psychologists in North Carolina is $73,260

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