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Marriage and Family Therapists vs Mental Health Counselor: what changes?

Consider Marriage and Family Therapists if you want to diagnose and treat mental and emotional disorders, whether cognitive, affective, or behavioral, within the context of marriage and family systems. Consider Mental Health Counselor if you would rather counsel and advise individuals and groups to promote optimum mental and emotional health, with an emphasis on prevention. Entry credentials differ: Marriage and Family Therapists, master's degree; Mental Health Counselor, specialty requirements need verification.

Try this next: Compare three local entry-level postings for Marriage and Family Therapists and Mental Health Counselor. List the duties, credentials, prior experience, and paid training each employer actually asks for. Try a supervised class or sample project from each field before choosing a program.

BLS 2025 wages and 2025–2035 projections. National medians are not starting offers. Occupation size is not a count of vacancies. View the BLS data.

The labor-market benchmark for Mental Health Counselor covers the broader BLS group Substance abuse, behavioral disorder, and mental health counselors (21-1018). It does not isolate this specialty.

Compare the practical differences
What this means in practice

The facts most likely to affect your decision

Start with earnings, the route into the job, training, available openings, and a day-to-day reality.

Marriage and Family Therapists

National median pay (2025)
$66,940
Route into the job
Master's degree; Internship or residency follows qualifying education. Check its duration, pay, and licensing requirements
Prior related experience
No prior related occupation is typically required; employer requirements vary.
Training and licensing
Internship or residency follows qualifying education. Check its duration, pay, and licensing requirements.
Work to investigate
Encourage individuals and family members to develop and use skills and strategies for confronting their problems in a constructive manner.
Annual openings (2025–2035)
6,900
Know before you choose

Training continues through internship/residency after the degree path.

See the full Marriage and Family Therapists brief

Mental Health Counselor

National median pay (2025)
$59,350
Route into the job
specialty-specific preparation that needs verification with programs and employers; the broader BLS occupation's education category is not a verified route for this specialty
Prior related experience
Prior experience requirements need verification for this occupation.
Training and licensing
Verify the specialty's training, licensing, and full preparation time with an accredited program or employer.
Work to investigate
Maintain confidentiality of records relating to clients' treatment.
Annual openings (2025–2035)
50,500
Know before you choose

Training continues through internship/residency after the degree path.

See the full Mental Health Counselor brief
See scores, detailed data, and how the comparison works

How the national numbers differ

1

Mental Health Counselor has the edge on annual openings

Mental Health Counselor is at 50,500 annual openings, compared with 6,900 annual openings for Marriage and Family Therapists.

2

Marriage and Family Therapists has the edge on median pay

Marriage and Family Therapists is at $66,940, compared with $59,350 for Mental Health Counselor.

3

Mental Health Counselor has the edge on projected growth

Mental Health Counselor is at 18.4% projected growth, compared with 13.5% projected growth for Marriage and Family Therapists.

60.5/ 100

Marriage and Family Therapists

vs
66.5/ 100

Mental Health Counselor

Each available metric is ranked from 0 to 100 against the careers on ChooseField. The weighted average uses this profile: pay 30%, growth 25%, openings 30%, preparation level 15%. Missing values are not scored as zero; their weights are redistributed across available metrics. Occupation size has zero weight: employment is not accessible vacancies. Preparation categories do not measure admission difficulty or years without earnings. The score summarizes national measures; local opportunities and personal fit still need separate consideration.

Detailed evidence

Marriage and Family Therapists vs Mental Health Counselor

DimensionMarriage and Family TherapistsMental Health Counselor
Median pay (2025)$66,940$59,350
Pay percentile58.6 percentile46.8 percentile
Projected growth (2025–2035)13.5%18.4%
Annual openings (2025–2035)6,90050,500
2025 employment76,300533,400
How you qualifyMaster's degree; Internship or residency follows qualifying education. Check its duration, pay, and licensing requirementsspecialty-specific preparation that needs verification with programs and employers; the broader BLS occupation's education category is not a verified route for this specialty
O*NET preparation groupJob Zone 5Job Zone 5
Related work experienceNo prior related occupation is typically required; employer requirements vary.Prior experience requirements need verification for this occupation.
On-the-job trainingInternship or residency follows qualifying education. Check its duration, pay, and licensing requirements.Verify the specialty's training, licensing, and full preparation time with an accredited program or employer.

The table reports national benchmarks and reviewed work descriptions. It does not rate personal suitability, job security, or physical safety.