Therapy vs. Coaching: What is the difference?

coaching and therapy

There are all sorts of coaches out there, such as life coaches, ADHD coaches, executive coaches, and many more. There are also various types of therapists available, including DBT, CBT, EMDR, trauma-informed therapists, and so forth. The terms "therapy" and "coaching" are frequently used, but do you know the difference? There are some significant distinctions you should be aware of before engaging with either a therapist or coach. Let’s dive in!

The Main Difference

The primary differences between a coach and a therapist are that a therapist is formally trained, holds a license, is regulated by a licensing board, and treats mental health disorders. A coach does not require licensing, specific education, or regulation and is not allowed to treat mental health disorders.

Therapists assist individuals in addressing symptoms related to mental health issues. For instance, if someone experiences panic attacks due to Generalized Anxiety Disorder, a therapist can help, whereas a coach should not.

Coaches, on the other hand, help people achieve goals unrelated to mental health issues. For example, if someone wishes to improve their public speaking skills (not related to an anxiety issue), they may seek out a coach for assistance.

It Can Be Confusing

In real-world scenarios, there are often no clear-cut distinction between diagnosable mental health issues and the ordinary stress people experience. How does one determine if they are experiencing anxiety as a result of a disorder or as part of ordinary life stress? This can make it challenging to determine which type of service is most appropriate for you. When faced with such uncertainty, it is helpful to inquire about a therapist or coach's scope of practice. Their scope of practice encompasses all the areas and issues they are permitted to address. If they cannot provide a clear answer, you may want to consult an attorney who can advise you on who should be treating specific issues.

Can a therapist be a coach?

A person with credentials as a therapist can also work as a coach; however, one should not serve as both a coach and a therapist for the same client. This constitutes a conflict of interest and, for many licensing boards, is considered unethical. For example, if I am a therapist for Jane Doe, I should not also serve as a coach for Jane Doe.

On the other hand, a coach can not be a therapist unless they have the proper education and licensing.

People often seek out coaching for…

  • Public speaking

  • Time management

  • Relationships

  • Leadership

  • Business

  • Organization

  • Executive functioning

  • And more

People often seek out therapy for…

  • Anxiety

  • Depression

  • ADHD

  • Substance use

  • Bipolar Disorder

  • And more

Interested in therapy or coaching?

At PRGRS Therapy, we offer both therapy and coaching services. If you are interested in connecting with a coach or therapist, schedule your free 15-minute consultation today.

*I am not an attorney. This article does not constitute legal advice.

Matthew Ryan, LCSW

I am a therapist, group practice owner, private practice consultant, and content creator. I am passionate about helping people make progress towards their goals.

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