5 Key Distinctions Between Coaching and Psychotherapy
Discover the essential differences between psychotherapists and coaches, including their services, credentials, and payment methods.
If you're looking to improve your life, consulting with a professional who offers unbiased, objective support can be incredibly valuable. Both psychotherapy and coaching have empowered many individuals to reach their full potential, yet they are often misunderstood as the same. Although these fields share some similarities, they differ significantly in several important aspects.
Continue reading to explore the main distinctions between psychotherapy and coaching.
Coaches vs. Psychotherapists
Here are five fundamental differences between coaching and psychotherapy to help you determine which professional might best support your personal growth.
Psychotherapists Address Mental Health Disorders, Coaches Do Not
A critical difference is that psychotherapists are trained to treat individuals with mental health conditions, whereas coaches do not provide treatment for mental illnesses.
Despite ongoing stigma, mental health challenges affect about 25% of Americans at some point in their lives, making professional support vital.
Psychotherapists possess specialized education and expertise in various therapeutic methods designed to alleviate symptoms of mental health disorders. Coaches typically lack this clinical training.
If you are dealing with issues like depression, anxiety, or PTSD, psychotherapy is the recommended path for effective treatment.
Focus on Past vs. Future
Generally, coaching emphasizes helping you set and achieve future goals, while psychotherapy often concentrates on understanding how past and present experiences influence your current emotions, thoughts, and behaviors.
However, many coaches incorporate insights about past influences, and psychotherapists can support goal-setting for the future.
The primary aim of psychotherapy is healing from past wounds, whereas coaching focuses on guiding you toward your next steps in life.
Payment and Insurance Coverage
Since psychotherapy involves treating mental health conditions, it is often covered by health insurance if you meet specific diagnostic criteria and the treatment is deemed medically necessary. This usually requires an official mental health diagnosis.
Coaching services are generally not covered by insurance because they do not address medical illnesses.
Credentials and Licensing
Psychotherapists must hold advanced degrees (such as a master’s, PhD, or PsyD) and obtain state licensure, which involves passing exams and completing supervised clinical hours.
Coaching certifications exist but lack standardized regulatory boards. Many coaches provide excellent guidance, and some have backgrounds in psychotherapy. However, without proper licensing, coaches cannot legally offer psychotherapy services.
Service Delivery and Accessibility
Psychotherapists face stricter regulations about where and how they can practice, typically requiring licensure in the state they serve. Coaches often have more flexibility, working nationally and internationally.
Traditionally, psychotherapy happens in-person, but teletherapy is growing. Coaching frequently occurs over phone or online, though some coaches meet clients face-to-face, even in public settings—a practice uncommon among psychotherapists.
Keep in mind these differences are general trends; individual practitioners may vary widely in their approaches and methods.
Insights From Verywell
If you're uncertain about choosing between a psychotherapist or a coach, consider interviewing professionals from both fields to understand their methods. Verify their credentials and select the one who resonates best with your needs.
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Johns Hopkins Medicine. Mental Health Disorder Statistics.
National Alliance on Mental Illness (NAMI).

By Jenev Caddell, PsyD
Jenev Caddell, PsyD, is a licensed psychologist, relationship coach, and author.
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