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What does the home life of a substance abuse counselor look like?

I'm doing a career project on substance abuse counseling, how does a typical day look? Do you schedule your own hours, are you expected to pick up the phone at home a lot for patients who may need you, and how many hours in a day are these counselors usually occupied for?


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Grace’s Answer

Hi! I’m a licensed alcohol and drug counselor in Minnesota. Right now, I work in admissions and compliance, but I’ve also worked as a case manager in the past. I’m based at a facility that offers both residential and outpatient services, so my schedule has depended a lot on the role.
In general, my hours are set by the company. I typically work 8:00 AM to 4:00 PM with an hour lunch. In both positions, I’ve had some flexibility with start/end times, but I was still expected to put in a full 8-hour day. I currently work Mondays through Fridays, with using Friday as a work-from-home day. As a case manager, I was expected to work either a Saturday or Sunday at least once per month.

As a case manager, a big part of my role was running groups (usually 1–3 hours most days) and meeting individually with clients. I tried to block out recurring times for individual sessions and always left the first and last 15 minutes of my day for planning and organizing. My caseload was around 8 clients, in addition to groups.

In my current admissions/compliance role, I have more control over my daily flow. I usually see 2–3 clients a day for intakes or assessments, and the rest of my time is focused on chart audits and other compliance tasks. I try to keep my schedule consistent even though I have flexibility.
Regarding availability outside of work: as a case manager in residential, I often had to answer calls during the day to approve things, but I was not expected to be on-call after hours. At outpatient, it’s even more flexible. Some counselors choose to answer calls/emails outside of work, and others don’t. Personally, I keep firm work/life boundaries. I don’t have work email on my phone unless I know I’ll need it (like for a conference). Most counselors are not officially on-call, unless the agency you work with has an on-call rotation.

So, in short: most substance abuse counselors work fairly standard full-time hours (around 40 per week). Some roles require more flexibility and phone availability, but many counselors set boundaries to protect their own time outside of work.
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