Substance abuse and behavioral disorder counselors typically do the following:

• Evaluate clients' mental and physical health, addiction, or problem behavior and assess their readiness for treatment
• Help clients develop treatment goals and plans
• Review and recommend treatment options with clients and their families
• Help clients develop skills and behaviors necessary to recover from their addiction or modify their behavior
• Work with clients to identify behaviors or situations that interfere with their recovery
• Teach families about addiction or behavior disorders and help them develop strategies to cope with those problems
• Refer clients to other resources and services, such as job placement services and support groups
• Conduct outreach programs to help people identify the signs of addiction and other destructive behavior, as well as steps to take to avoid such behavior

Substance abuse and behavioral disorder counselors, also called addiction counselors, work with clients individually and in group sessions. Many incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA) to guide their practice. They teach clients how to cope with stress and life's problems in ways that help them recover. Furthermore, they help clients rebuild professional relationships and, if necessary, reestablish their career. They also help clients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.

Some addiction counselors work in facilities that employ many types of healthcare and mental health professionals. Addiction counselors may work with psychiatrists, social workers, physicians, and registered nurses to develop treatment plans and coordinate care for patients.

Some counselors work with clients who have been ordered by a judge to receive treatment for addiction. Others work with specific populations, such as teenagers, veterans, or people with disabilities. Some specialize in crisis intervention; these counselors step in when someone is endangering his or her own life or the lives of others. Other counselors specialize in noncrisis interventions, which encourage a person with addictions or other issues to get help. Noncrisis interventions often are performed at the request of friends and family.

Some substance abuse and behavioral disorder counselors work in private practice, where they work alone or with a group of counselors or other professionals. These counselors manage their practice as a business. This includes working with clients and insurance companies to receive payment for their services. In addition, they market their practice to bring in new clients.