My Client Wants To Talk Career Counseling! HELP!

Many of us remember our graduate career counseling course as a single summer semester crammed with theory and jargon. In the clinical room, however, career issues rarely present as simple vocational choices. When a client pivots from discussing family dynamics to saying, "I think I need a new job," it can feel like a "uh-oh" moment for therapists who don't specialize in vocational work. 

The purpose of career counseling in a clinical setting is to help clients bridge the gap between their internal identity and their external contributions, ensuring their professional life supports, rather than depletes, their mental health.

1. Treating the Topic, Not Just the Task

When a client brings up career development, it’s easy to feel like you should switch into coach mode or start proofreading resumes. However, the most effective clinical approach is to stay in your therapist's seat. Affirming, reflecting, assessing needs, and goal planning function exactly the same when the topic is a job search as they do when the topic is a relationship conflict.

In our practice, we’ve found that career distress is often a symptom of deeper identity work. If a client is unsure of where they want to go in life, the purpose of career counseling is to explore the "why" behind their indecision. 

Are they struggling with perfectionism? Do they have a fear of failure? By treating the vocational struggle with the same depth as a clinical diagnosis, you help the client gain self-trust that will serve them across all areas of life.

2. Differentiating Skills from Interests

As clinicians, we can help clients see beyond their current job titles. A common roadblock in career development is the "pigeonhole effect," where a client feels they can only do what they have already done. We can help them expand their perspective by differentiating between their skills (what they can do) and their interests (what they want to do).

Encourage your clients to think about skills that exist outside of their professional history. Not every skill or interest needs to be part of a 9-to-5 job, but identifying them can help highlight:

  • What could be a fulfilling primary career path.

  • What should remain a restorative hobby.

  • What might work as a side hustle to provide financial flexibility.

Therefore, your role is to help them identify their transferable skills (e.g., communication, organization, empathy) and see how those can be applied to new, more fulfilling environments.

3. Utilizing Personality and Preference Assessments

Objective data can be an excellent clinical intervention. Using personality assessments allows clients to see how their personality, preferences, and needs work together.

As a tip, remember that these assessments are most useful when used as conversation starters rather than diagnostic tools. In a career conversation, these results help the client understand why they might be clashing with a specific management style or why a certain work environment feels draining. This provides a language for their discomfort, which reduces the shame of feeling like they "just can't cut it" in their current role.

4. Addressing the "Resume Anxiety"

Resumes are objectively intimidating. They represent a high-stakes summary of a person’s worth. If your client is struggling to start, encourage them to move away from rigid templates. Templates often make it difficult to adjust spacing and structure, leading to more frustration.

If your client has a degree, a great clinical resource is to check if they still have access to their university’s career services as alumni. Many universities in the Dallas and Houston areas offer lifetime support, including resume reviews and mock interviews. If those services aren't available, suggest they look for on-demand resources on university websites, which often provide free, high-quality guides for job searching and interview prep.

Frequently Asked Questions (FAQs)

  • The primary goal of a career conversation in therapy is to align a client’s professional choices with their personal values and mental health needs. It is about helping the client see work as a part of their identity that can be managed and improved, rather than a fixed burden.

  • Consider a referral if the client needs highly technical assistance, such as niche industry networking or executive-level resume writing, that goes beyond your clinical scope. However, for most issues regarding career clarity, identity, and work-life balance, you are likely already equipped to help.

  • If the work environment is toxic to the point of causing severe depression or anxiety, the clinical priority shifts to safety and stabilization. The purpose of career counseling then becomes creating a containment plan to manage their mental health while they safely transition out of that environment.

  • Yes. Many career-related clinical tools, such as assessment reviews and resource sharing, are highly effective in a virtual format. Online therapy provides a convenient space for clients to discuss their professional lives without the added stress of a commute.

Integrating Career and Mental Health

The purpose of career counseling is to help our clients become comfortable finding their potential in every aspect of who they are. As therapists, we have the unique opportunity to help them believe in themselves during a time when their confidence might be low. By using the four tips discussed, you can provide immense value to clients navigating professional transitions.


The information provided in this blog post is for educational purposes only and is intended as a clinical resource for professionals. It is not a substitute for professional diagnosis or treatment. For immediate crisis support, encourage clients to contact the 988 Suicide & Crisis Lifeline (call or text 988) or the Crisis Text Line (text HOME to 741741).

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