Self-Help, Wellness/Lifestyle Coaching and Counseling from a licensed mental health professional all have an appropriate role to play for optimum mental health and living well.


It used to be considered a rite-of-passage many years ago for boys to learn how to fix their own car and girls to become a wiz in the kitchen. Times change! Cars are now so complicated that very few people have the skill, or time, to fix their own car; many women are so busy at work that they have to struggle to keep up with family obligations, let alone the latest elaborate cooking gadgets.

But while these skills can be learned, today it takes a greater level of talent and focus. Today we rely much more on specialists for many of the services we require.

So it is with mental/emotional self-help. It is noble and uplifting to help yourself, or a friend, through a rough patch, or to have simple curiosity as to your own potential for growth.

Perhaps you know that “something isn’t quite right” with yourself, but you are not ready to accept professional counseling; you just want to browse and explore some self-help options and get some ideas. Or, you know something is definitely wrong and you need to seek some type of relief. You may look for some specific help, or ask friends or family for recommendations. Or, you may have had, or are in, some form of coaching or counseling and you want to augment what you learned in the sessions.

Perhaps you are fed-up with the way your life is going. Or, you may want some useful exercises to combat negative emotions or bad habits or patterns. You may want to feel lovable or less lonely, build life skills, make better choices, manage your moods better, find passion or purpose or motivation, be your ideal weight, master rejection or stress or self-empowerment, and so forth.

While self-help can bring excellent results, we also have to recognize when we are no longer able to make progress by ourselves, when we are not getting good help from our friends and family, or when we may have serious problems that need a trained professional to help.

In short: we need to know what types of assistance are appropriate for our particular circumstances: self-help, coaching and/or counseling.

What is Coaching?

The human potential movement and positive psychology brought coaching into the limelight in the 80s. Corporations used coaching to manage change stemming from downsizing, mergers and acquisitions. In the last decade we've seen coaching take off and provide people with tools to reach not only their professional but personal potential and goals.
The International Coaching Federation (ICF) defines coaching as the relationship between the Coach and their clients which assists people in fulfilling (usually stated and specific) goals and improving their quality of living. A Coach is basically a (trained and experienced) personal cheerleader who encourages, endorses, acknowledges and supports you until you feel comfortable enough to maintain your goals fully on your own. Lifestyle or Wellness Coaches are like Sports Coaches or Personal Trainers, in some respects, but differ in many other ways. For example, they focus on helping you become a winner, not (usually) on your physical performance, but on lifestyle and work-related goals.

Coaching offers clients versatility. Coaches need to be excellent, active listeners in order to help their clients develop insight into their resistances and take the necessary steps toward positive change.

Most Coaches have some formal training but few carry the ICF Certification at this time. Coaching is a relativity young field and, as it grows, more Coaches will be asked to comply with ICF by-laws, re-certification standards and other requirements.
Coaching works best before and after psychological treatment (if such treatment is needed). It helps the client acknowledge their resistance to change and then, what they can do to reach their stated goals.

What is Psychological Counseling?

A Psychological Counselor, aka Psychologist, is a trained (at an accredited school) and licensed (by the State) mental health professional that may use one or more approaches to helping their clients achieve some level of self-understanding and, thus, behavior modification. There are many different “schools” of mental health counseling thought, and many different mental health professions that can offer effective therapy.
Today, most Psychiatrists (a Medical Doctor specializing in mental health) focus on symptom relief through medication management and usually do not do much talk-based therapy beyond ongoing medical and symptom assessment. The combination of medication management plus Psychological Counseling has been shown to be very effective for many of the more difficult cases.

Counseling is a healing process, usually talk-based, that occurs in a confidential, safe and trusting environment. The Counselor assists the client in problem solving by listening, reflecting back, exploring deep feelings and asking provocative questions. Counseling offers clients a unique opportunity to reflect on, understand, and challenge their irrational thinking. The client learns to accept themselves are as they are through understanding and then to make fundamental behavioral changes for the better. The thrust of psychological treatment is to help the client find the strength to make these fundamental changes in order to cope with their unique challenges.

Some people think Counselors have white coats, beards and make their clients lie on a couch. This is (largely) a myth along with the misperception that counseling is "just for crazy people", the self-absorbed, or those that think they need many years of analysis. On the contrary, people usually seek counseling when they feel that something is "wrong" in their life, they feel they need relief but they can no longer help themselves or go to friends or family. This could be for interpersonal, work, or other needs. They need to receive an impartial, objective, and professional, point of view at this point in their life.

Treatment usually occurs in-person and weekly, but for many clients with less serious problems, effective counseling can occur online or on the phone and need not take a very long time to achieve results. Most health insurance policies offer coverage for psychological counseling sessions.

Even more recently, some Psychologists are finding that coaching can be a very useful adjunct for their patients both before and after psychological counseling in order to identify or sustain better behaviors and thoughts.

How to Choose Professional Help?

There are a few basic areas where counseling and coaching differ. The subjects, goals, relationships, and treatments are not the same for these two helping modalities.

Traditional counseling mostly deals with discovering and understanding the client's emotional pain of the past, while coaching, for the most part, focuses on stimulating a person's positive emotions as it relates to their present and future vision for themselves.

Coaches are usually more focused on the client's stated, specific, performance or life goals such as positive functioning, achievement, focused action plans, and specific outcomes. In contrast, Counselors focus on not always obvious deep feelings and ideas and identifying the causes of dysfunctional behaviors (the understanding of which provides insight into positive behavioral change). They may work closely with a Psychiatrist, If warranted, for medication management which can be quite beneficial in some cases.

Counseling and coaching differ in the function of the client relationship: Counselors are experts and Coaches are co-creative team partners. The function of change in coaching is to make the process enjoyable and motivating for the client. In counseling, the process of change might be emotionally painful until the client reaches equilibrium at which time deep personal insight and, therefore, behavioral modification can be achieved.

There are several other distinctions between Coaches and Counselors: for instance, the amount of self-disclosure, who is responsible for the outcomes, and how payment is treated. With coaching, the Coach manages the process but the client is responsible for the outcomes. In counseling, the Counselor is responsible for focusing the client's outcomes so that the client achieves the required self-understanding.

Coaches can take classes and may be do an internship and continuing education, while Counselors must show years of coursework, a post-graduate degree, and pass state sanctioned licensing exams, plus take periodic, mandatory, continuing education. Many psychological counselors hold a number of additional certifications, e.g. Employee Assistance Programs, Substance Abuse, Eating Disorders, and so forth.
Both counseling and coaching can play a valuable role in helping you achieve your goals when self-help and friends are no longer enough. All methods have a useful role to play, and, in fact, work well together at appropriate times.

The full article is available at and contains a useful "Choice Matrix"

(c)2009 Arlene K Unger. All rights reserved.

Author's Bio: 

Dr Unger has a busy private clinical practice located at The Center for Empowerment, Dana Point, CA, USA and has been active in online therapy for several years and the mental health profession for several decades, having held licenses/certifications as a Speech Pathologist (SP), Marriage, Family and Child Counselor (MFCC), Dance Therapist (ADTR), and currently Clinical Psychologist (PSY licensure). She also has certifications in Wellness, Health and Executive Coaching, as well as Nutrition.

Dr. Unger uses both Acceptance and Commitment Therapy (ACT) and Cognitive-Behavior Therapy (CBT) approaches to treating children/adolescents, individual adults, couples and families. She provides both children and adults with solution focused psychological counseling for a wide spectrum of clinical disorders and/or behavioral concerns. She has extensive experience in conducting Fitness for Duty, Employee Assistance Manager Referrals, Return-To-Work, Substance Abuse evaluations, Adoption and Custody, and Gastric Bypass evaluations.

Dr. Unger enjoys blending her clinical expertise with her vast intuition and imagination. Her client feedback readily suggests improvement in physical energy, mental flexibility, emotional mobility, and serenity.

Dr. Unger, and her husband Stefan Unger, PhD, started Real Psych Solutions ( in February 2009 to provide practical Self-Help materials based on professional mental health counseling and wellness/lifestyle/executive coaching and to explain the appropriate roles for Self-Help, Coaching and Counseling.

CURRENT LICENSES/CERTIFICATIONS: PhD in Clinical Psychology (PSY); EAP (Employee Assistance Professional); CD (Chemical Dependency); SAP (Substance Abuse Professional); Domestic Violence; Neuropsychological Testing; Wellness and Health Coaching; Executive Coaching; Nutrition