Before you consider a total career change, are you really passionate about counselling still? Sometimes it's a case of doing it in a different way e.g. group counselling. Before you think about career paths it's important to think about what you want from work e.g. the hours, location, colleagues, boss etc. But also, what is the experience you're looking for. This is the foundation for any career decision. It's all about why you do what you do. That's what I say to all my career coaching clients. I hope you manage to work it out. If not, seek help. Isolation is a dreamkiller!