In
addition to being a Coach, I am also a licensed psychologist in
Missouri and Arizona, with training and experience in diagnosing
and treating emotional and psychological problems. Although there
are some similarities between Coaching and psychotherapy, I will
not conduct psychotherapy with my coaching clients. These are different
activities, and it is important that you understand the differences
between them. Although both Coaching and psychotherapy use knowledge
of human behavior, motivation, behavioral change, and interactive
counseling techniques, there are major differences in the goals,
focus, and level of professional responsibility.
Psychotherapy
is a health care service. Its primary focus is to identify, diagnose,
and treat nervous and mental disorders. The goals include alleviating
symptoms, understanding the underlying personality dynamics that
create symptoms, changing the dysfunctional behaviors, which are
the result of these disorders, and helping patients to cope with
their psychological problems. It is usually reimbursable through
health insurance policies (while coaching is not, at present).
Psychotherapy
patients are often emotionally vulnerable. This vulnerability is
increased by the expectation that they will discuss very intimate
personal information and will expose feelings about themselves that
they are understandably sensitive about. The past life experiences
of psychotherapy patients have often made trust difficult to achieve.
These factors give psychotherapists greatly disproportionate power
that creates a fiduciary responsibility to protect the safety of
their clients. The coaching relationship is designed to avoid this
power differential.
Because
of these differences, the roles of Coach and psychotherapist are
often in potential conflict, so I believe that it is ethically inappropriate,
under most circumstances, for me to play both roles with a client.
If I am your Coach, I cannot be your therapist.
It
is also important to understand that Coaching is still a professional
relationship. While it may feel at times like a close personal relationship,
it is not one that can extend beyond professional boundaries, either
during or after our work together. Considerable experience shows
that when boundaries blur, the hard-won benefits gained from the
coaching relationship are endangered.