Common Conditions Treated
by Mental Health Counselors
Mental Health Counselors are trained to diagnose and treat a wide range of conditions. Here are some of the most common conditions that mental health counselors help patients manage:
What to Expect During Your Visit
Understanding what happens during your appointment can help you feel more prepared. Here's what you can typically expect when visiting a mental health counselor.
Your First Visit
- Intake paperwork covering your history, concerns, and goals for therapy
- Discussion of what brings you to counseling and your current symptoms
- Review of your personal history including family, relationships, and past treatment
- Explanation of confidentiality, its limits, and informed consent
- Discussion of the counselor's therapeutic approach and how they can help
- Collaborative goal-setting for your treatment
- Initial sessions typically last 50-60 minutes
Diagnosis & Testing
- Clinical interview assessing symptoms, duration, and impact on functioning
- Mental status examination evaluating mood, thought patterns, and cognition
- Standardized assessment questionnaires for depression, anxiety, PTSD, or other conditions
- Review of medical history to rule out physical contributors to symptoms
- Assessment of risk factors including safety concerns
- Development of a diagnostic impression and treatment recommendations
Treatment Options
- Evidence-based therapy approaches tailored to your specific concerns (CBT, DBT, EMDR, etc.)
- Weekly or bi-weekly sessions typically lasting 45-60 minutes
- Homework assignments to practice skills between sessions
- Regular review of progress toward treatment goals
- Coordination with other providers such as psychiatrists if medication is needed
- Gradual decrease in session frequency as symptoms improve
- Development of a relapse prevention plan before ending treatment
Tip for Your Visit
Bring a list of current medications, previous test results, and questions you want to ask. Writing down your symptoms—when they occur and what affects them—helps your mental health counselor provide accurate diagnosis and effective treatment.
How to Choose the Right Mental Health Counselor
Finding the right healthcare provider is important for your health and peace of mind. Here are key factors to consider when selecting a mental health counselor.
Credentials to Verify
- Current state licensure as LPC, LMHC, LCPC, or equivalent
- Master's degree or higher in counseling or related field from accredited program
- National Certified Counselor (NCC) credential from NBCC (optional but preferred)
- Specialized training or certification in specific approaches (trauma, couples, DBT)
- Completion of continuing education requirements
- Membership in professional organizations such as ACA or AMHCA
Important Considerations
- Specialization in your specific concerns (anxiety, trauma, couples, etc.)
- Therapeutic approach that aligns with your preferences and needs
- Experience working with clients similar to you
- Practical factors: location, availability, telehealth options
- Cultural competence and ability to understand your background
- Good rapport and feeling comfortable with the counselor
- Insurance acceptance or sliding scale options if cost is a concern
Quick Tip
Don't hesitate to schedule consultations with multiple mental health counselors before making your decision. The right fit isn't just about credentials—it's also about feeling comfortable and confident in your care.
Cost and Insurance Information
Understanding the costs associated with seeing a mental health counselor can help you plan for your healthcare needs.
Average Costs (Without Insurance)
Initial Visit
$150-$250 (intake assessment)
Follow-up Visit
$100-$200 per session
Common Procedures
Note: These are estimated average costs and can vary based on location, provider, and specific services required.
Insurance Coverage
- Most health insurance plans cover mental health counseling services
- Mental Health Parity laws require equivalent coverage to medical benefits
- Check if the counselor is in-network to maximize coverage
- Some plans require a referral or pre-authorization for mental health services
- Employee Assistance Programs (EAPs) often provide free short-term counseling
- Many counselors offer sliding scale fees based on income
Medicare Information
Medicare Part B covers outpatient mental health services at 80% of the approved amount after the deductible. Licensed clinical professional counselors became eligible to bill Medicare directly starting in 2024. Medicare covers individual and group therapy, diagnostic assessments, and crisis intervention services.
Money-Saving Tips
- 1Always verify your mental health counselor is in-network before scheduling
- 2Ask about self-pay discounts if you don't have insurance
- 3Inquire about payment plans for expensive procedures
- 4Get prior authorization when required to avoid claim denials
- 5Use FSA or HSA funds for eligible medical expenses
Questions to Ask Your Mental Health Counselor
Being prepared for your appointment helps you get the most out of your time with your doctor. Here are important questions to consider asking a mental health counselor:
What is your experience treating my specific concerns?
What therapeutic approaches do you use and why?
How will we measure progress in therapy?
How often do you recommend we meet?
What should I expect in terms of homework between sessions?
Do you coordinate with psychiatrists if medication might help?
What is your cancellation policy?
Do you offer telehealth sessions?
How do you handle crisis situations between sessions?
What are your fees and do you accept my insurance?
Pro Tip
Write down your questions before your appointment and bring them with you. Don't hesitate to take notes during your visit or ask for written instructions.
Mental Health Counselor vs. Other Specialists
Understanding the differences between medical specialists helps you choose the right provider for your needs. Here's how mental health counselors compare to similar specialists:
Not sure which specialist you need?
Your primary care physician can help determine the right specialist for your condition and provide a referral if needed.
Sources & References
Information about mental health counselors is sourced from peer-reviewed medical literature and the following authoritative organizations:
Last updated: December 2025
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Frequently Asked Questions
What is the difference between a mental health counselor and a psychologist?
Mental health counselors hold a master's degree and focus primarily on providing therapy for emotional, behavioral, and mental health concerns. Psychologists have a doctoral degree (PhD or PsyD) and can provide therapy as well as psychological testing and assessment. Both can diagnose mental health conditions and provide effective treatment. The best choice depends on your specific needs.
How long does therapy typically take?
The duration of therapy varies based on your concerns and goals. Some issues may improve in 8-12 sessions of focused therapy, while more complex concerns like trauma or personality patterns may require longer treatment. Your counselor will work with you to establish treatment goals and regularly assess progress.
Is what I tell my counselor confidential?
Yes, confidentiality is a cornerstone of the therapeutic relationship. What you share stays private with few exceptions required by law: imminent risk of harm to yourself or others, suspected abuse or neglect of children or vulnerable adults, or court orders. Your counselor will explain these limits during your first session.
What is CBT and how does it work?
Cognitive Behavioral Therapy (CBT) is an evidence-based approach that focuses on the connection between thoughts, feelings, and behaviors. By identifying and changing unhelpful thought patterns, you can reduce distressing emotions and change problematic behaviors. CBT is highly effective for anxiety, depression, and many other conditions.
Can I do therapy online or does it need to be in-person?
Telehealth therapy has been shown to be equally effective as in-person therapy for most conditions. Many counselors offer video sessions for convenience and accessibility. Some situations, such as severe symptoms or certain types of trauma work, may benefit from in-person sessions. Discuss your preferences with potential counselors.
Medical Disclaimer
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your physician or qualified health provider with questions about a medical condition. If you have a medical emergency, call 911.
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