When Coaching Isn't Enough: Recognising the Need for Mental Health Support
- Paul Pennington
- Aug 11
- 2 min read
Updated: Sep 2
In my work as a coach, I often meet individuals striving to optimize performance, enhance leadership, or define their career path. Yet sometimes, what presents as a hurdle in performance is actually an underlying mental health concern-something coaching isn’t equipped to handle.
Knowing whether to work with a coach or a mental health professional can make a huge difference in aligning support with your needs. Here’s a breakdown to help you decide:
Focus: Future Goals vs. Healing the Past
Executive coaching is forward-looking, goal-oriented, and designed for individuals who are emotionally stable. It aims to foster growth, accountability, or clarity in their careers or personal lives.
Therapy focuses on healing emotional wounds, resolving trauma, and addressing mental health conditions like anxiety, depression, or stress. It often involves exploring past experiences to improve present well-being.
Qualifications & Regulation
Coaches may have vast amounts of experience and hold certifications, but the field is largely unregulated. There are no universal licensing standards, and many coaches come from varied backgrounds.
Mental health professionals-including psychologists, psychiatrists, therapists, and counsellors—are typically licensed and regulated. They are trained in research-backed methods to treat mental health issues.
Signs You Need Therapy
Consider therapy if:
You're experiencing symptoms like prolonged low mood, anxiety, emotional numbness, or suicidal thoughts.
You’re dealing with unresolved trauma, grief, major life crises, or behaviours that interfere with daily functioning.
Your challenges feel overwhelming-even before starting a request like coaching or growth.
Red Flags That It's Not (Just) a Coaching Need
Coaching may not help if you're truly in crisis or stuck in emotional turmoil. These situations require therapy first.
Practical Comparison
Many Benefit from Both
It’s absolutely valid to engage in both-a therapist for healing and a coach to act from a place of strength and personal clarity once emotional foundations are restored.
The Importance of Self-Awareness
Understanding the differences between coaching and therapy is crucial. Self-awareness plays a key role in this process. When we recognise our own needs, we can better determine the type of support that will be most beneficial.
Exploring Your Needs
Take time to reflect on your current situation. Are you facing challenges that feel insurmountable? If so, therapy might be the right choice. On the other hand, if you are looking to enhance your skills or achieve specific goals, coaching could be more appropriate.
Seeking Guidance
If you're unsure which path fits your current journey, consider connecting with both and exploring what aligns best with your needs, goals, and emotional well-being.
Final Thoughts
Executive coaching is powerful when you're functioning but seeking next-level growth. Therapy is essential when emotional pain or mental health struggles hinder even basic functioning. Recognising the difference isn’t a failure-it’s a mindful step toward the support that best supports you.
If you find yourself at a crossroads, remember that seeking help is a sign of strength. Embrace the journey toward clarity and growth.




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