Therapist training is rigorous, ethical, and grounded in service. But it also shapes how you think, act, and even see yourself.
From day one, therapists are taught to:
Prioritise neutrality over self-expression
Listen deeply but rarely challenge directly
Stay behind the scenes, letting the client lead
Minimise personal needs in the name of client care
These habits are vital in the therapy room but outside of it in business, coaching, or personal growth, they can create inner conflict, paralysis, or underperformance.
Psychologist and leadership expert Dr Valerie Rein calls this "patriarchal conditioning" in healing professions. Therapists are praised for being responsible, self-sacrificing, and quiet rather than visible, confident, and boldly stepping forward.
It is no surprise many therapists feel guilt or fear when they want more.
Therapists often carry a professional identity centred around being:
The empath
The safe space
The container
The one who never makes it about themselves
This identity can become so fused that stepping into a new role such as coaching feels like a betrayal. You might catch yourself thinking:
"Who am I to step into coaching?"
"It is not about me."
"If I share my voice, is that ethical?"
These thoughts are not just mindset blocks. They are symptoms of occupational identity. This psychological concept describes over-identifying with one version of yourself even though you may be ready to evolve.
Photo by Diva Plavalaguna: https://www.pexels.com/photo/group-of-people-joining-hands-6147373/B
In therapy, you are trained to hold space. In coaching, you are required to take up space. That shift can feel jarring.
Leadership expert Tanya Geisler describes this transition as moving from "echoing the client’s voice" to "amplifying your own." This does not mean abandoning your clinical ethics. It means stepping into a new kind of service where guidance, visibility, and strong boundaries are part of your impact.
Here are four common clinical patterns that limit growth, alongside ways to reframe them for coaching and personal growth:
Clinical Habit
Why It Holds You Back
Next-Level Reframe
Overidentifying with the helper role
Hard to prioritise your own goals or step into a coaching role
Leading from a place of fullness allows you to help more deeply
Avoiding visibility or sharing your story
Limits connection with future clients or coaching audiences
Sharing your story builds trust and impact
Struggling to separate clinical work from coaching
Keeps you stuck in old clinical frameworks
Coaching offers new frameworks with different boundaries
Overthinking or waiting for perfect clarity
Creates paralysis and delays progress
Clarity emerges through action and learning
This is about evolving with intention. As psychologist and business coach Dr Julie Hanks says, "You are not abandoning the work. You are expanding its reach."
Therapists who become coaches or consultants are often more ethical. They are building new channels for service and gaining more personal alignment.
You can be clinically grounded and creatively free. You can honour your training and step into coaching in ways that feel authentic. You can still serve, but it’s not from a place of silence, sacrifice, or invisibility.
Ready to Unlearn, Rewire, and Rise? Go Next Level
If you feel tension between who you were trained to be and who you would like to become, that is not confusion. It is growth. And you do not have to navigate it alone.
My 1:1 Go Next Level Therapist Coaching Program is designed to help you:
Unpack and reframe limiting clinical conditioning
Clarify your next chapter as a coach and business owner
Build confidence to show up powerfully and authentically
Design a growth path that honours your ethics and ambition
This is where the therapist expands, not escapes, her identity. Because the truth is, you are not blocked. You are evolving.
Have a chat with Dr Nat!
If this resonates with you, message me to join the waitlist for the 1:1 Go Next Level Therapist Coaching Program. You already have the depth. Now let’s build the direction together!
References:
Bridges, W. (2004). Transitions: Making sense of life’s changes. Da Capo Press. Retrieved from https://www.hachettebookgroup.com/titles/william-bridges/transitions-25th-anniversary-edition/9780738209043/
Geisler, T. (2021). The Impostor Complex and Other Confessions of Confidence. Retrieved from https://tanyageisler.com/impostor-complex/
Hanks, J. (2020). The assertiveness guide for women: How to communicate your needs, set healthy boundaries, and transform your relationships. New Harbinger Publications. Retrieved from https://www.newharbinger.com/9781626253377/the-assertiveness-guide-for-women/
Kroger, J. (2007). Identity development: Adolescence through adulthood (2nd ed.). SAGE Publications. Retrieved from https://us.sagepub.com/en-us/nam/identity-development/book228140
Litvin, R., & McHugh, S. (2013). The prosperous coach: Increase income and impact for you and your clients. Lulu Press. Retrieved from https://www.lulu.com/shop/steve-chandler-and-rich-litvin/the-prosperous-coach/paperback/product-1vq2w6dp.html
Rein, V. (2021). Patriarchy stress disorder: The invisible inner barrier to women’s happiness and fulfillment. Reveal Press. Retrieved from https://drvalerie.com/book/
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