10 Key Job Interview Questions with Examples for a Mental Health Counsellor

Job interviews for mental health counsellors are often behavioral job interviews, where hiring managers ask about previous experiences.

The key to success is gained by the applicant’s ability to demonstrate both their technical expertise and their ability to connect with clients on a deeper level.

Job Outlook for Mental Health Counsellors – Growth Projections


The job outlook for mental health counsellors is generally strong, with demand expected to grow significantly in the coming years. According to the U.S. Bureau of Labor Statistics (BLS), the employment of mental health counsellors is projected to grow by 22% from 2021 to 2031, and it’s a similar picture in the UK and Europe, which is much faster than the average for all occupations.

This growth is primarily driven by:

  • Increased awareness of mental health: As public awareness of mental health issues continues to rise, more individuals are seeking professional help.
  • Expanded access to services: Healthcare reforms and insurance coverage expansions have made mental health services more accessible to a broader population.
  • Challenges related to mental health crises: The increasing prevalence of anxiety, depression, and stress-related disorders (often exacerbated by the COVID-19 pandemic) has created a heightened need for counseling services.

Where are the jobs? Geographic Variation in Demand

The demand for mental health counsellors can vary by geographic region. Some areas may have a higher demand due to:

  • Urban vs. Rural Locations: Larger cities typically have a greater demand due to population density, but rural areas may also have a shortage of counsellors, making them an attractive option for those willing to work in less populated regions.
  • State and Local Health Priorities: States or regions that have higher rates of mental health conditions (e.g., addiction, depression, trauma) may have a more significant need for counsellors. Additionally, states with greater public health funding for mental health initiatives may see higher demand.

How competitive is a Mental Health Counsellor job interview?

Medium in competitiveness

Specializations within Mental Health Counselling

The field of mental health counselling offers various specialized areas, and the demand for counsellors in certain specialties can influence job opportunities and salary potential:

  • Addiction Counselling: With the opioid crisis and other substance use disorders at the forefront, addiction counsellors are in high demand.
  • Trauma and PTSD Counselling: Counsellors specializing in trauma, particularly related to PTSD, are increasingly sought after, especially in regions with higher military or first-responder populations.
  • Marriage and Family Therapy (MFT): Mental health counsellors who specialize in couples or family therapy may find a niche market in both urban and suburban areas.
  • School Counselling: There is growing demand for school counsellors at both the elementary and secondary levels, especially in districts with higher student-to-counsellor ratios.
  • Telehealth Counselling: The rise of telehealth has expanded opportunities for mental health counsellors, particularly for those willing to work remotely and offer virtual sessions.

Job interview questions will vary depending on the job roles speciality, with employers asking for examples and looking for high levels of knowledge around the specialism.

Emerging Trends

The mental health counselling field is evolving, and some key trends to watch include:

  • Telehealth: Virtual counselling services have become increasingly popular, especially post-pandemic, offering flexibility for clients and counsellors alike.
  • Integrated care: More counsellors are working in collaboration with other healthcare providers (e.g., doctors, social workers, and psychologists) to provide integrated care for clients.
  • Focus on preventative care: As mental health becomes a larger part of the public health conversation, more emphasis is being placed on early intervention and prevention of mental health issues, which could increase the demand for counselling services in schools, workplaces, and community settings.

Research prior to the job interview is vital to predict questions (and prepare interview answers) for questions around emerging trends. Tip: check if the organisation advertising the role use or plans to embed AI, robotics, technology, remote counselling, and integrate care in their practice. If so, there is likely to be an interview question relating to this.  

Interview Specifics:

Structural job interview last 45 minutes with 8 interview questions being asked

Can you demonstrate the relevant knowledge and experience to pass a Mental Health Counsellor job interview?

  • emotional intelligence and self-awareness, sensitivity, and empathy
  • keen observation skills
  • a broad-minded, non-judgemental attitude and a respect for others
  • be able to think clearly under pressure
  • listening, verbal and written communication skills
  • an ability to establish rapport with people from all backgrounds and to gain their trust
  • multiagency working
  • an understanding of GDPR
  • a belief in people’s inherent ability to change and develop

Salary Information

Median annual salary: According to the BLS, the median annual wage for mental health counsellors was around $49,710 (USA) in 2022. However, this number can fluctuate based on location, specialization, and experience level. In the Uk the median salary for a mental health counsellor is £38,000

Salaries for mental health counsellors can vary depending on location, education level, and experience. On average, mental health counsellors earn:

Check the average pay.

Mental health hiring managers will ask a variation of the common questions listed below, but it is important to follow the three rules of a successful job interview:

One – identify the skills and experiences of the counsellor specialism

Two – be a self-promoter by your personal qualities and experiences by using real examples throughout the job interview

Three – communicate confidently. Explain in detail your work experience and how it meets the job criteria

Get Interview Ready

To pass a job interview, it is important to predict the interview questions and practice delivering the interview answers confidently.

  • Mock interviews help to practice an interview in full
  • Re-writing interview answers helps with memory
  • Talking at a slower pace (as interviewees then speed up due to nervousness) helps the employer to record your experiences and skills

10 job interview questions and answers for a mental health counsellor

The template below is designed to be amended by the interviewee who can add more detailed (real) examples to the example answer below. It is important to ensure answers describe how previous roles meet the new job criteria for the advertised job role.


1. Can you describe your counselling approach and how you tailor it to different clients?

Your approach to therapy should be adaptable to meet each client’s unique needs. Interviewers are looking for counsellors who can customize their methods based on the situation at hand.

Example Answer:
“My counseling approach combines person-centered therapy and cognitive-behavioral techniques. I create a non-judgmental, empathetic environment where clients feel heard and safe. For clients with anxiety, I may incorporate cognitive restructuring to help challenge unhelpful thought patterns. For trauma survivors, I might integrate mindfulness and grounding techniques to help them stay present and reduce anxiety. By adapting my approach to each client’s unique needs, I ensure that therapy is both effective and empowering.”


2. How do you handle a situation where a client is resistant to treatment?

Resistance can often occur, especially early in therapy. Employers want to know that you’re skilled in overcoming this challenge and building rapport.

Example Answer:
“When I encounter resistance, I first aim to understand the root cause. I might explore with the client whether they’re feeling uncertain or fearful about the process. I normalize that resistance is part of therapy, ensuring they feel heard. For example, with one client who was initially skeptical of therapy, I took time to explain the benefits and how it could work for them. Over time, they became more comfortable and opened up, allowing us to make significant progress.”


3. Describe a time when you had to manage a crisis situation. How did you handle it?

Counsellors often need to act quickly in crisis situations. This question assesses your ability to think on your feet and respond effectively.

Example Answer:
“In one instance, I worked with a client who had just experienced a traumatic loss and was at risk of self-harm. I stayed calm, practiced grounding techniques, and kept the conversation focused on the present moment to reduce their immediate distress. After assessing the level of risk, I contacted emergency support services and made sure the client had a safety plan in place. After the crisis was averted, we followed up with ongoing therapy to address grief and trauma.”


4. How do you ensure confidentiality in your work with clients?

Confidentiality is a foundational principle in counselling, and interviewers will want to know that you take it seriously.

Example Answer:
“I take confidentiality very seriously by storing all records securely, whether digital or paper. I make sure to explain the limits of confidentiality to clients at the start, especially in situations involving harm to self or others. I always obtain written consent if information needs to be shared with other professionals. Additionally, I’m mindful of privacy in conversations—ensuring that no sensitive information is shared inappropriately, even in casual settings.”


5. How do you assess a client’s mental health and develop a treatment plan?

Your ability to assess clients and develop a tailored plan is essential for effective treatment. Employers want to know that you have a structured approach.

Example Answer:
“I begin with a thorough intake assessment, which includes standardized assessments and open-ended questions to understand the client’s history and current struggles. For example, when working with a client experiencing depression, I might use a depression-specific screening tool to assess the severity. I then collaborate with the client to develop goals that are achievable and measurable. We regularly revisit the treatment plan to make adjustments as needed based on progress.”


6. How do you approach working with clients from diverse cultural backgrounds?

Cultural competence is a critical skill for counsellors in today’s diverse world. Employers want to know that you can work effectively with clients from all walks of life.

Example Answer:
“I believe in a culturally sensitive approach. I always make sure to learn about and respect each client’s cultural values and experiences. For example, when working with a client from a collectivist background, I might explore how family dynamics impact their mental health. I also recognize that some therapeutic practices may not align with a client’s cultural or spiritual beliefs, so I adapt my approach to ensure it feels respectful and appropriate.”

7. What steps do you take to maintain your own mental health and avoid burnout in this profession?

Self-care is essential for maintaining long-term effectiveness as a counselor. Interviewers want to see that you take proactive steps to preserve your well-being.

Example Answer:
“I prioritize my own mental health through a combination of supervision, peer support, and personal self-care. I have regular check-ins with a supervisor to debrief challenging cases, and I also participate in support groups with fellow counsellors. Outside of work, I ensure I take time for physical activities like yoga, and I spend time with family and friends to recharge. Setting clear boundaries with clients is also important to avoid burnout.”


8. Can you give an example of a successful therapy outcome you’ve had with a client?

This question allows you to highlight your achievements and demonstrate the positive impact of your work.

Example Answer:
“I had a client who struggled with social anxiety and had a deep fear of public speaking. Over several sessions, we worked on gradual exposure techniques and cognitive restructuring. By the end of therapy, the client felt comfortable speaking in front of small groups and even volunteered to lead a presentation at work. It was rewarding to see them gain confidence and take on new challenges.”


Evolve the mind book on Amazon

9. How do you handle working with clients who have severe mental health disorders, such as schizophrenia or bipolar disorder?

Dealing with severe mental health conditions requires specialized knowledge. Interviewers want to gauge your experience and comfort level in this area.

Example Answer:
“I work closely with psychiatrists and other healthcare providers when treating clients with severe conditions like schizophrenia or bipolar disorder. I use evidence-based interventions such as cognitive-behavioral therapy for psychosis (CBTp) and psychoeducation to help clients understand their condition. For example, with a client who had bipolar disorder, I worked on building coping strategies for managing mood swings, and we discussed the importance of medication adherence in managing symptoms.”


10. What do you think are the most important qualities of a good mental health counsellor?

This is a great opportunity to express your values as a counsellor and emphasize the qualities that make you effective in your role.

Example Answer:
“I believe the most important qualities in a counsellor are empathy, patience, and strong listening skills. A good counsellor must also be flexible and open-minded, as each client brings their own unique experiences. It’s crucial to build trust and create a non-judgmental space. I also believe in continual professional development—learning new techniques and staying informed about the latest research to provide the best care.”


Preparing for a mental health counsellor interview requires more than just understanding technical knowledge; it’s about demonstrating how you connect with clients and approach complex situations. By practicing responses to these common interview questions, you’ll be ready to show your future employer that you’re not only a skilled clinician, but also someone who deeply cares about supporting others on their mental health journey.

Need help? Book an interview coaching session.

Close