Substance abuse counselors work with people who are seeking treatment for various types of addictions. Substance abuse counselors may assist families with interventions, work with those just starting treatment or work with those actively in treatment or recovery. Substance counselors may work with those that are addicted to alcohol, heroin, prescription drugs, cocaine or inhalants.
Counselors may work in outpatient treatment centers, inpatient treatment centers, churches, community outreach centers, hospitals or doctor’s offices. Most substance abuse counselors have at least a two year degree in alcohol and drug counseling, and adhere to a certain philosophy of treatment. These philosophies range from 12-step programs to cognitive-behavioral therapy.
Substance abuse counselors may provide individual therapy or group therapy to addicts. Counselors attempt to get to the root of the problem and assist the addicts in discovering why they started using drugs. Also, counselors may assist the addicts in learning to cope with cravings, desires and the challenges of staying clean and sober. Counselors should have some degree of empathy, some street smart awareness, knowledge of drugs and effects of the drugs on a human body.
Training to become a substance abuse counselor may involve taking classes in medical terminology, physiological effects of alcohol, behavioral strategies, impulse control, trauma therapy and counseling techniques. Other important aspects of substance abuse counseling training involve learning CPR and first aid. This can aid the counselor in dealing with medical emergencies related to overdose or withdrawal symptoms.
Substance abuse counselors may also choose a specialty population. Counselors may work with veterans, adolescents, homeless, mentally ill or the elderly. Along with knowledge of substance abuse they will have to specific knowledge about the population and how to properly assist them in changing themselves. Substance counseling can be difficult, but rewarding work. Empowering others to change their lives is a powerful feeling and many people stay in the profession for years and years.












