Working as a substance abuse counselor requires patience, dedication, and a desire to help people in crisis. The job entails providing confidential counseling and support to addicts and their families. Counseling may be in group settings or individual settings with the goal of encouraging a healthy, addiction-free lifestyle for each client.

Substance abuse counselors are also expected to work with community services and resources to find ongoing support, safe places to live, jobs, and other support for clients.