12/11/2025
🩺 Why Advice Isn’t Coaching and Coaching Isn’t Therapy.
In healthcare, we spend a lot of time giving advice.
It’s well-intentioned, we want to help, to fix, to make things better.
But coaching isn’t advice, and coaching isn’t therapy either.
When we coach someone, we’re not telling them what to do — we’re helping them think differently about what they could do. We’re creating space for reflection, not reaction.
In the same way, therapy often helps people understand and heal from the past so they can function in the present. Coaching helps people focus on the future, moving from functioning to flourishing.
The real power of coaching lies in the psychology behind it. When someone finds their own solution, their brain creates and reinforces new neural connections, a process known as self-directed neuroplasticity. We literally wire in the insights we work out for ourselves.
That’s why the best leaders in healthcare don’t just give answers — they ask better questions. So next time you’re tempted to offer advice to a colleague, trainee or team member, try pausing first. Ask a question that invites them to think.
Because in that space, growth happens.
I help NHS leaders, educators and clinicians develop the coaching skills that build insight, confidence and better conversations. If you’d like to bring coaching psychology into your team or training programme, get in touch.