What is addiction counseling? What is it like? People who struggle with addiction issues often have great difficulty talking about their, use, misuse, or abuse of alcohol and other drugs. An addiction counselor is someone skilled at these types of difficult conversations. An addiction counselor has a high level of knowledge and experience in the areas of drugs, alcohol, and the abuse of drugs or alcohol. Most importantly, addiction counselors understand the complex ways that alcohol and drug abuse affect an individual’s relationships: with himself or herself, with a spouse, with an employer, with God. An addiction counselor seeks to build a trusting relationship with the client in the hopes that this relationship will help the client make changes that once seemed impossible.