Counselors provide treatment and advise patients who are experiencing mental, behavioral and emotional issues. If you’re interested in helping others through counseling, there is a wide variety of counseling positions you can pursue. These include school counselors, career counselors, child and adolescent counselors and substance abuse counselors.
While counselors work with clients to resolve specific issues, therapists help their clients determine the cause of a mental state and work to change the attitude or habit that is causing the problem. Much of the work of counselors and therapists overlaps. The nuances are usually determined by the population a therapist or counselor is working with.
For example, mental health counselors work with those who have mental health issues, such as anxiety or depression. Marriage and family therapists work with couples and families who are undergoing issues ranging from infidelity to addiction within a family.
If you’re considering a career in mental health counseling versus marriage and family therapy, learning about the key differences can help you decide. If you’re considering school and wondering whether to pursue a career as a licensed marriage and family therapist (LMFT) or a licensed professional counselor (LPC), get details on what the programs entail.
Licensed marriage and family therapists (LMFTs) help couples and family members manage problems within their relationships. Many LMFTs work in private practices and meet regularly with clients to learn about experiences and emotions that are causing issues.
The COAMFTE-accredited online MFT can be completed in as few as 24 months. Enjoy the same rigorous curriculum and expert teaching as in the on-campus program. Full- and part-time options available.
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Often, LMFTs use cognitive behavioral therapy with their clients. In this goal-oriented approach, an LMFT helps clients learn how beliefs, feelings and thoughts are affecting their actions. The LMFT teaches them to recognize destructive patterns and work to change them.
LMFTs may work with individuals one-on-one who are going through couple- or family-related issues, with multiple related parties one-on-one, or with couples or groups together in the same room. Even when they’re working with an individual, the LMFT focuses on family or couple dynamics to guide recommendations. LMFTs may work in conjunction with social workers, especially when there are family issues such as abuse or addiction present.
Licensed professional counselors (LPCs), who may specialize as mental health counselors, provide treatment and support to those who are experiencing mental health issues like stress, low- self-esteem, suicidal thoughts and grief. LPCs work with individuals as well as couples, families and groups who are undergoing stressful situations.
LPCs evaluate their clients’ mental health and create treatment goals and plans. They work with their clients to develop the skills they need to change their behavior and achieve better mental health outcomes.
LPCs may work in private practices as well as in hospitals, residential mental health facilities and outpatient mental health centers.
The COAMFTE-accredited online MFT can be completed in as few as 24 months. Enjoy the same rigorous curriculum and expert teaching as in the on-campus program. Full- and part-time options available.
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The main differences between an LMFT and an LPC are the populations they work with and the issues they treat. LMFTs are more likely to treat issues in marriage and family dynamics. LPCs treat mental health issues that may be rooted in a variety of causes, though some LPCs will work with clients who have mental health issues stemming from familial or spousal causes.
The goal of an LMFT is to create greater harmony within couples or families. The goal of an LPC is to help the individuals or groups they work with improve habits that affect their mental health.
While there are differences, there are many similarities between LMFTs and LPCs. These include:
The skills that are needed for success in LMFT and LPC careers are also similar. All counselors and therapists must possess the ability to effectively:
LMFTs and LPCs need to be organized and professional. They must maintain confidentiality when necessary and provide services best tailored to the clients they work with.
In both LMFT and LPC roles, these therapists and counselors can make a positive difference in their clients’ lives every day. What type of role makes sense for you depends on the types of people you want to work with and the types of issues you want to help resolve.
Most licensure programs for LMFT and LPC roles require a relevant master’s degree. For LMFTs, candidates need to have a master’s in a related field. This can include a master’s in marriage and family therapy or a psychotherapeutic-related master’s degree. For LPCs, a graduate degree in mental health counseling is required.
Marriage and family therapists (MFTs) and mental health counseling master’s degree programs are similar in the time required to complete, usually ranging from 2 to 3 years. Both programs will require students to complete clinical experience during the program, which is usually in the form of an internship under the supervision of a licensed counselor or therapist. After completion of both MFT and mental health counseling master’s degrees, graduates will be able to apply for the licensure required to begin practicing.
The difference between the programs lies in the coursework. In MFT programs, students focus on subjects related to family systems and couples therapy, including child and adolescent counseling, trauma and grief work, and human sexuality.
In mental health counseling master’s degree programs, students learn about multiculturalism and diversity; theories of psychopathology and other systems; biological and developmental bases of behavior; and social, organizational and community basis of behavior.
In both MFT and mental health counseling master’s degree programs, students typically learn about laws and ethics, case conceptualization and formulation, mental health disorders, and research methods and statistics.
The job outlook for LPCs and LMFTs is growing faster than average across all positions. According to the U.S. Bureau of Labor Statistics (BLS), the job outlook for behavioral disorder, substance abuse and mental health counselors is projected to grow 17% between 2024 and 2034, which is much faster than average. More than 81,000 new jobs are expected to be added during that period, bringing the total to 483,500, up from 2024 levels.
The BLS reports that marriage and family therapist jobs are projected to grow 13% between 2024 and 2034, which is much faster than average. There are 9,800 new jobs expected to be added to the 77,800 marriage and family therapist jobs in 2024.
Salaries for LMFTs and LPCs vary and usually depend on the environment the professional works in. The BLS reports the 2024 median salary for behavioral disorder, substance abuse and mental health counselors was $59,190 per year. The highest 10% earned more than $98,210. The median 2024 pay for counselors working in \in state, local and private hospitals is $61,930. Salary may increase depending on geographic location and experience.
The BLS reports the 2024 median pay was $63,780 per year for marriage and family therapists. The highest 10% earned more than $111,610. The 2024 median pay for marriage and family therapists who worked in state government, excluding education and hospitals, was $89,030. It was $73,230 for marriage and family therapists who worked in outpatient care centers.
Counselors and therapists help individuals, couples, and families improve their relationships, emotional well-being, and overall mental health. Career demand remains strong in both fields: the U.S. Bureau of Labor Statistics projects 13% job growth for marriage and family therapists and 17% job growth for substance abuse, behavioral disorder, and mental health counselors from 2024 to 2034.
There are many online and hybrid graduate programs offered by universities across the country for students pursuing careers in counseling and therapy. These programs can make it easier to continue working while earning a degree, although licensure-track programs typically still require supervised practicum and internship experiences, and some programs include in-person components.
Information Last Updated: March 2026
