Coaching vs. Therapy: Understanding the Differences

Tammy Adcock
Nov 28, 2025By Tammy Adcock

To start, it’s important to clarify the difference between coaching and therapy, as many people may be unsure of how these two services differ or overlap.

Coaching is focused on performance, growth, and achieving specific goals. Coaches help clients develop skills, gain confidence, and work through obstacles that are preventing progress in areas such as career, relationships, and personal development. It’s future-focused and tends to be less about deep emotional processing and more about actionable strategies.
Therapy, on the other hand, is often concerned with emotional and mental health. It’s typically led by licensed professionals (such as psychologists or therapists) and involves addressing psychological issues, past trauma, mental health disorders, and more. Therapy dives into deeper, more complex issues like depression, anxiety, and unresolved childhood experiences that may require clinical intervention.
While coaching is primarily goal-oriented and action-based, therapy often focuses on emotional healing and mental health. As a result, there are situations where coaching alone may not be enough to support a client’s needs, which is why coaches may refer clients to therapy or other services.

2. When to Refer to Therapy or Other Support Services
Coaches, especially those with extensive training and experience, are skilled at recognizing when a client’s needs go beyond what coaching can effectively address. Here are a few common scenarios where a referral might be appropriate:

A. Mental Health Concerns
If a client is experiencing significant mental health challenges such as depression, anxiety, PTSD, or other clinical conditions, a coach may refer them to a therapist who can provide specialized care. Coaches are not trained to diagnose or treat mental health disorders, and when these issues interfere with a client’s ability to progress in coaching, therapy becomes a critical part of the solution.

B. Trauma or Deep Emotional Issues
Coaches are trained to help clients work through challenges, but when a client is dealing with unresolved trauma, past abuse, or complex emotional issues, therapy is often necessary to help process these experiences. Therapy can provide the space for deeper healing, while coaching can help build strategies for forward momentum.

C. Behavioral Patterns or Addictions
When a client is struggling with addictive behaviors or harmful patterns that are sabotaging their success, therapy can provide the support needed to work through these issues. Whether it’s substance abuse, workaholism, or emotional dependency, therapy provides the tools to break free from destructive behaviors and create healthier habits.

D. Severe Stress or Burnout
While coaches are great at helping clients manage stress and optimize performance, if someone is suffering from severe burnout, chronic stress, or mental exhaustion, therapy may be necessary to address the root causes and develop effective coping strategies. Sometimes, the body’s physiological response to chronic stress needs professional intervention to reset.

3. The Benefits of a Holistic Approach
When a coach refers a client to therapy or other support services, it isn’t an indication that the coach has failed; rather, it’s a demonstration of the coach’s commitment to the client’s holistic well-being. A collaborative approach that involves multiple professionals can lead to more comprehensive and lasting results.

A. Improved Mental Health and Emotional Resilience
By combining therapy with coaching, clients are able to address emotional blocks, mental health challenges, and unresolved trauma while still working toward future goals. Therapy can help clients build emotional resilience, so they feel stronger and more capable of tackling challenges in their coaching journey.

B. A Safe Space for Vulnerability
Coaching is focused on action, and while it’s empowering, it can sometimes feel like there’s little room to address deeper personal issues. Therapy offers a safe, confidential space for clients to express vulnerabilities and work through difficult emotions without feeling pressured to move forward before they’re ready. This healing process supports their coaching progress in the long run.

C. Complementary Expertise
Coaches and therapists bring complementary expertise to the table. Coaches help clients strategize and set goals, while therapists can provide deep emotional and psychological support. Together, they can offer a well-rounded approach to personal growth. Many successful individuals benefit from both services at different stages of their journey.

D. Fostering Long-Term Success
When clients are mentally healthy and emotionally balanced, they are more likely to experience long-term success in both personal and professional areas. Therapy addresses the foundational issues that coaching alone cannot solve, creating a solid platform for the client to build upon with their coach.

4. The Coach’s Ethical Responsibility
Coaches have an ethical responsibility to provide the best possible support to their clients. This means knowing when to refer a client to another professional. Coaches should always act in the client’s best interest, and if that means recommending therapy or other specialized services, it’s a responsible and caring decision.

A good coach will build relationships with mental health professionals and have a network of trusted experts to whom they can refer clients. In this way, the coach becomes an integral part of the client’s support team, ensuring that the client has access to all the resources they need to thrive.

5. Creating a Supportive, Multi-Dimensional Experience
Ultimately, coaching and therapy are not mutually exclusive; rather, they can be powerful partners in the journey of self-improvement. Clients who are mentally and emotionally supported are in a stronger position to achieve their coaching goals and make sustainable changes in their lives.

At Adcock Coaching, we take a holistic approach to personal development, recognizing that every individual is unique and may need different kinds of support along the way. We are committed to partnering with our clients and ensuring they have access to the right resources, whether that means therapy, life coaching, career counseling, or other specialized services.

Conclusion
Coaches are not just cheerleaders or taskmasters; they are guides who understand the complex, multifaceted nature of human growth. By recognizing when a client’s needs extend beyond coaching and recommending therapy or other support services, coaches help clients create a strong foundation for lasting success. At Adcock Coaching, we believe in a collaborative, supportive approach to personal development that empowers clients to thrive in all aspects of their lives.