Excellent site, frustrating upper management - Counselor Pyramid Healthcare Employee Review

4.0
Aug 14, 2016
Recommend
CEO approval
Business Outlook

Pros

I spent 5 years as a Counselor at the South Side Outpatient site, working various schedules and levels of care, and I really enjoyed my time there. We went through periods of high clinician turnover, but my immediate supervisors always made me feel valued and respected, and without their support I wouldn't have stayed as long. The benefits were good, and even though we didn't get most holidays off, we earned a lot of Paid Time Off throughout the year, and the supervisors did their best to accommodate all requests for time off. We were required to complete a certain amount of training, and encouraged to do more, and the company is highly invested in evidence-based methods and curricula.

Cons

The work was emotionally draining, as many of the clients were legally mandated and unhappy about being there, and unfortunately we experienced some deaths, which is unfortunately the nature of substance abuse work. We weren't always adequately staffed, through no fault of the site supervisors, so sometimes our caseloads were high and we felt spread thin. Upper management made increasing changes that affected us clinically, and didn't seem to care about our input when we tried to explain how it would not only make our jobs harder, but would also negatively affect the quality of service for the clients. The company also seemed to invest more into expansion than into its current sites and employees. I don't think we were paid enough for the work we did, but that seems common for the mental health profession.

Explore other reviews about Pyramid Healthcare

5.0
Jun 26, 2026
Recommend
CEO approval
Business Outlook

Pros

Pyramid has been a great place to grow professionally. They genuinely support employees who want to further their education and develop their careers. It's an excellent place to gain hands-on experience in the behavioral health field, and there are real opportunities for advancement if you're willing to put in the work. Leadership is approachable, supportive, and willing to teach, making it a great environment for learning and professional growth.

Cons

The work can be fast-paced and stressful at times, but that's part of working in behavioral healthcare. Seeing clients make progress and knowing you're helping improve their quality of life makes it worthwhile

3.0
Jul 18, 2026
Anonymous employee
Recommend
CEO approval
Business Outlook

Pros

Great coworkers, meaningful job, clients can make the job rewarding, ability to be creative, ability to move up the ladder

Cons

Unrealistic documentation expectations due to constantly changing insurance demands, always short staffed, pay is not great, while promotions are available the pay doesn’t compensate the additional workload, for-profit companies tend to prioritize profit over client care, always having to make excuses for why client care is lacking and ridiculous client rules are enforced, they have great ideas but lack follow-through

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