15 October 2026

Therapy vs coaching: which do I need?

Counselling and coaching are often seen as two distinct approaches to personal development. Very broadly speaking, counselling tends to be associated with a focus on our emotional experiences, relationships and the influences that have shaped us, while coaching or more solution focussed approaches like CBT tend to be associated with the desire to change, clarifying goals, exploring possibilities and taking action.

One without the other can sometimes feel somehow unfinished, even leaving one feeling as though something was missing from their support. Often still feeling stuck.

I’m often contacted by clients who have had their 6 GP prescribed CBT sessions, found them useful, but are unsure why they’ve so easily slipped back into old negative feelings and habits even though they’re aware that practical steps helped them. However, they feel deeper understanding of self is still missing. The piecing together and processing of the deeper underlying problems or feelings that can’t be changed merely through actions and goals. Or that 6 sessions wasn’t sufficient enough for a therapeutic relationship to develop enough for enduring change to happen.

Other clients have worked with life coaches desperately wanting to feel excited about the future and moving towards their future plans but unable get past debilitating, deeply sad, angry or anxious feelings.

Equally those in therapy may have done some deep therapeutic work to understand why they’re stuck in negative patterns, have unresolved trauma or have worked to process what brought you to therapy, but feel deeply stuck and unsure how to break free of your experience and begin to move forward in the way you’d like..

Dr Nash Popovic and Debra Jinks make this case in their book Personal Consultancy: A Model for Integrating Counselling and Coaching. They suggest that counselling and psychotherapy can sometimes lack a sufficiently proactive focus on constructive change, while coaching can risk overlooking the deeper psychological issues that make change difficult. Their Personal Consultancy model, which I am trained in, brings these perspectives together, allowing people to explore what lies beneath their difficulties while also working towards practical, meaningful changes in their lives.

This distinction matters because understanding ourselves doesn’t always mean we know how to change. Through counselling, we might recognise why we struggle to set boundaries, understand the origins of our self-doubt or see how past relationships have influenced us, yet still find ourselves responding in familiar ways unable to move forward and make the changes we’d like to make. Equally, setting goals and developing strategies can be difficult to sustain if we have not explored deep rooted emotional patterns, fears or conflicting feelings that stand in our way.

When we bring deeper self-understanding together with the opportunity to make practical changes, we create more possibilities for moving beyond familiar patterns and towards a life that feels more aligned with who we are and what matters to us.

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