BLS has no occupation called therapist; for Hawaii it publishes three, and they split three ways.
Counselors, a combined occupation that also counts substance abuse counselors, had a median of $60,090, 1% above their national median.
Marriage and family therapists had a median of $141,960, 112% above theirs and the highest of the 45 jurisdictions that publish one, on an employment estimate of just 220.
Mental health and substance abuse social workers had a median of $54,390, 10% below their national median.
Counselors (combined) · SOC 21-1018
$60,090/yr
+1% vs. national $59,350
$28.89/hr median
Marriage & family therapists · SOC 21-1013
$141,960/yr
+112% vs. national $66,940
$68.25/hr median
MH & substance abuse social workers · SOC 21-1023
$54,390/yr
−10% vs. national $60,280
$26.15/hr median
Why three figures, not one
U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 state and national estimates — Hawaii, SOCs 21-1018, 21-1013, 21-1023.
Retrieved 2026-09-24 from the BLS Public Data API.
How to read these figures
Each occupation is compared with its own national median from the same May 2025 release (national pages for counselors, marriage and family therapists, and social workers), and the national therapist salary page explains why the figures are never blended.
Ranks count only the jurisdictions (states plus DC) where BLS publishes that occupation’s figure.
Differences are whole percentages of the national figure, rounded half away from zero, computed from the figures shown.
By estimated employment, Hawaii ranks 38th of 50 for counselors (combined), 27th of 40 for marriage and family therapists.
Set against their own national figures, the three Hawaii medians do not move together.
The counselor median of $60,090 is $740 above the national $59,350, the family therapist median of $141,960 is $75,020 above the national $66,940, and the social worker median of $54,390 is $5,890 below the national $60,280.
The spacing between the rows changes too.
Nationally, family therapists lead counselors by $7,590 and social workers edge counselors by $930; in Hawaii the family therapist lead over counselors is $81,870, while counselors sit $5,700 above social workers, reversing the national order of those two rows.
Any single Hawaii figure for the whole title would have to hide one of these directions, which is why this page shows all three.
Hawaii counselors sit above their national distribution at every published percentile, and the margin is widest at the floor.
The 10th percentile of $48,460 is $9,520, or 24% above the national figure, and the 25th percentile of $50,290 is 7% above; the two sit only $1,830 apart, against $8,160 nationally.
The middle runs closest: the median of $60,090 is $740, or 1% above the national median, and the 75th percentile of $77,200 is $670 above.
The 90th percentile of $104,790 is 7% above the national figure.
The middle half of the Hawaii distribution spans $26,910, narrower than the national band of $29,430, while the 10th-to-90th span is $56,330 against $58,650.
For someone weighing a counselor offer, the Hawaii median and ceiling both sit slightly above their national counterparts, with the smallest margin in the middle.
This is a combined occupation, so the figures describe every kind of counselor it pools, not one licence.
Hawaii ranks 22nd of the 51 jurisdictions publishing a median for this occupation, and 38th of the 50 publishing an employment estimate, with 2,110 employed.
What this figure covers: A COMBINED occupation: BLS publishes no wage series for licensed mental health counselors (LPC, LMHC, LPCC, LCPC) alone, so this figure pools them with substance abuse and behavioral disorder counselors.
Nobody can tell from this release which way the blend pulls the figure.
Hawaii marriage and family therapists have a median of $141,960, $75,020 above the national median of $66,940, a difference of 112%.
The hourly median is $68.25 against $32.18 nationally, a gap of $36.07, or 2.1 times the national figure.
By median, Hawaii ranks 1st of the 45 jurisdictions that publish one for the occupation.
This is also the row to read with the most caution: BLS estimates only 220 marriage and family therapists employed in Hawaii, 27th of the 40 jurisdictions that publish an employment estimate, and on a count that small the percentile table can swing sharply between releases.
So this page quotes only the row's median, hourly median and employment estimate.
OEWS does not say why the median sits so far above national, and this page does not guess.
What this figure covers: An occupation of its own for marriage and family therapists — the only one of the three that is not a blend or a split.
⚠️ BLS's employment estimate for this occupation in Hawaii is 220 — under 500, so these percentiles rest on a small sample.
Read the median; treat the tails with caution.
Mental health and substance abuse social workers in Hawaii have a median of $54,390, $5,890 below the national median of $60,280, a difference of 10%.
The hourly median is $26.15 against $28.98 nationally, $2.83 below.
By median, Hawaii ranks 28th of the 51 jurisdictions that publish one for this occupation.
The row's employment estimate is the second caveat: BLS publishes no employment estimate for these social workers in Hawaii, so there is no headcount behind the table, and the page quotes only the row's median and hourly median.
OEWS does not say why the median sits below national, and this page does not guess.
What this figure covers: Clinical social workers (LCSWs) are counted either here or in SOC 21-1022, healthcare social workers, depending on the setting of the job.
This page shows 21-1023 only, so it does not describe every LCSW.
⚠️ BLS publishes no employment estimate for this occupation in Hawaii, so the size of the sample behind these percentiles is unknown.
Read the median; treat the tails with caution.
Start with the occupation the job would be counted in, and compare against that row rather than a blended number.
An offer at the counselor median of $60,090 sits $5,700 above the social worker median of $54,390 and $81,870 below the family therapist median of $141,960.
Hourly postings read the same way: the Hawaii hourly medians are $28.89 for counselors, $68.25 for marriage and family therapists and $26.15 for mental health and substance abuse social workers, against national hourly medians of $28.53, $32.18 and $28.98.
A percentile is a position in the state distribution, not a pay step, so an offer at the 25th percentile says where it sits among Hawaii jobs in that occupation, not a judgement about the person hired.
None of the three rows is a licence figure.
The counselor row pools LMHCs with substance abuse and behavioral disorder counselors, and BLS publishes no LMHC-only median for Hawaii; an associate mental health counselor tier exists below the LMHC, but OEWS does not split the row by licence stage.
The family therapist row is the closest to a single licence, an occupation of its own for marriage and family therapists, whom Hawaii licenses under the marriage and family therapist title with an associate marriage and family therapist provisional licence below it, but OEWS does not split it by stage either, so it cannot say what an associate marriage and family therapist earns.
In social work, Hawaii licenses the LBSW, the LSW and the LCSW, and clinical social workers holding the LCSW are counted either in this social worker row or in healthcare social work, depending on the setting, so the $54,390 median does not describe every LCSW.
The licensure pages linked below own the requirements for each title.
What each licence requires in Hawaii is summarized in counselor licensure in Hawaii, social work licensure in Hawaii, and MFT licensure in Hawaii.
Before you weigh an offer, check which licence the posting asks for — browse therapist jobs in Hawaii.
Two rows on this page carry the small-sample flag, for different reasons.
The marriage and family therapist row rests on a small employment estimate, 220, so the count behind its percentiles is known and small.
For mental health and substance abuse social workers, BLS withholds the employment estimate, so the size of the count behind that row is unknown rather than small.
Because of those flags, in prose this page quotes only the median, hourly median and, where published, employment for both rows; the percentile tables carrying the amber caveats are in the sections above.
The $141,960 family therapist median is the page's headline figure, and it should be read with that uncertainty attached rather than as a settled benchmark.
There is no single figure, because BLS publishes no occupation called therapist.
For May 2025 it publishes three Hawaii medians: $60,090 for counselors (a combined occupation that also counts substance abuse counselors), $141,960 for marriage and family therapists and $54,390 for mental health and substance abuse social workers.
The counselor median is 1% above its national median, the family therapist median 112% above, and the social worker median 10% below.
Use the row for the occupation the job would be counted in.
At the median, marriage and family therapists: $141,960 against $60,090, a gap of $81,870 — the family therapist median is 2.4 times the counselor median.
Nationally the gap is $7,590, with the family therapist median of $66,940 over the counselor median of $59,350, so the ordering is the same at both levels but the Hawaii gap is far wider.
Two caveats attach: the family therapist row rests on an employment estimate of 220, so this page quotes no percentiles for it, and the counselor row is a combined occupation.
Because the row carries the page's small-sample flag: BLS estimates 220 marriage and family therapists employed in Hawaii, and on a count that small the percentile table can swing sharply from one release to the next.
The page therefore quotes only that row's median of $141,960, its hourly median of $68.25 and its employment estimate.
By median, Hawaii ranks 1st of the 45 jurisdictions that publish one for the occupation, and that rank should be read with the sample size attached.
The Hawaii 90th percentile for counselors is $104,790, 7% above the national 90th percentile of $97,590 — one in ten counselors in the state earned more than that figure.
This page quotes no 90th percentile for marriage and family therapists or for mental health and substance abuse social workers, because both rows carry the small-sample flag; the full percentile tables for all three occupations appear in the sections above with that caveat attached.
BLS estimates 2,110 counselors in the combined occupation and 220 marriage and family therapists employed in Hawaii; for mental health and substance abuse social workers it publishes no employment estimate.
Those are headcounts of people in jobs during the survey period, not open positions.
By employment, Hawaii ranks 38th of the 50 jurisdictions that publish an estimate for counselors and 27th of 40 for family therapists.
Sources
Wage figures: BLS OEWS May 2025 state and national estimates, SOCs 21-1018, 21-1013, 21-1023, retrieved 2026-09-24.
Page last updated 2026-09-25.