The Department of Addictions and Rehabilitation Studies (formerly the Department of Rehabilitation Studies) at East Carolina University began in 1967 with a degree in Rehabilitation Counseling. The first students graduated in 1969. Currently, the department has the following degree programs: B.S. in Rehabilitation Services, M.S. in Clinical Counseling with an emphasis in addictions, M.S. in Rehabilitation and Career Counseling, and Ph.D. in Rehabilitation Counseling and Administration. The department also has the following graduate certificate programs: Military and Trauma Counseling (MTC), Rehabilitation Counseling (RC), Substance Abuse Counseling (SAC), and Vocational Evaluation (VE).

The M.S. in Vocational Evaluation program within the Department of Addictions and Rehabilitation Studies was in operation from fall 1980 to spring 2012, and is now a certificate program. The M.S. in Clinical Counseling program (formerly Substance Abuse and Clinical Counseling) began in fall 1989 and graduated its first students in 1990. The B.S. in Rehabilitation Services began in fall 1994 and graduated its first students in 1998. In the fall of 2005, the Department of Rehabilitation Studies began a Ph.D. program in Rehabilitation Counseling and Administration and graduated its first student in 2009.