What Is Mental Health Counseling?

What is mental health counseling, really? It may sound like a basic question, but over the years, we’ve received calls or questions from individuals who are uncertain about what counseling involves or what role a counselor actually plays. Sometimes people assume it’s about giving advice or helping someone “make the right decision.” But that’s not what counseling is meant to be.

So in this post, I’d like to offer some clarity. My hope is to share what mental health counseling is—and just as importantly, what it is not.

What Mental Health Counseling Is

Mental health counseling gives clients the opportunity to develop a therapeutic relationship with a counselor built on trust and rapport. Mental health counselors recognize that this takes time. The counselor provides a safe space that encourages open communication and exploration.

Counseling works best when clients feel safe enough to be honest and open. As trust builds, counselors provide honest feedback and gently help clients recognize unhealthy patterns of behavior that may be getting in the way of growth.

Mental health counselors empower their clients by helping them identify the strengths and resources they already possess. The goal is to support clients in overcoming challenges and achieving meaningful personal growth. Counselors also teach practical strategies, techniques, and skills to manage life’s difficulties—but this work is collaborative. Progress often depends on the client’s willingness to engage in the process, which may include completing homework, practicing new skills, and exploring recommended approaches between sessions.

When necessary, mental health counselors also make referrals to additional resources in the community.

What Mental Health Counseling Is Not

Mental health counseling is not a quick fix. As mentioned above, it takes time, effort, a willingness to change, and active participation from the client.

Counselors do not impose their own opinions onto clients. Client self-discovery is a key part of the process. Mental health counseling is not judgmental. Counselors respect their clients’ values and choices—including religious beliefs, sexual orientation, and other personal preferences.

Counseling is also not necessarily a replacement for medication or other treatments. There are times when counseling alone may not be sufficient.

A counselor is not a client’s friend. Maintaining healthy boundaries is an important part of the counseling relationship, and there are ethical guidelines that prohibit dual roles like friendship.

The counselor’s role is also not to engage with others who attempt to involve themselves in the process in ways that are inappropriate or beyond what the law allows. Confidentiality is taken seriously—and there are clear legal and ethical limits around who a counselor can speak with, and under what circumstances. These boundaries are in place to protect the client’s privacy and to create a space where healing work can happen safely.

We understand that counseling can feel unfamiliar or even intimidating at first—especially if you’re not sure what to expect. But we believe it can be a powerful step toward healing, clarity, and personal growth.

Mental health and well-being are of great importance to everyone. If you have questions or concerns, please reach out to us at (717) 786-2802. We would be happy to speak with you.

Stay Connected

If you’d like to follow along with New Hope’s work, I invite you to connect with us on social media or subscribe to our email newsletter, The Common Thread. I’ll be sharing regular updates as we continue this journey together.

By Dr. Gantt, PhD, LCSW, Counseling Supervisor, New Hope Counseling Center