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In the fall of 2019, my hospital said it was looking for doctors who wanted to undergo intensive training to become certified and fitness coaches. After working with patients who used coaching, I jumped at the chance. Their experiences were almost universally positive: many of them had achieved goals that were otherwise modest, such as weight loss, which they set annually – and futilely – as a New Year’s resolution. Some doctors I knew who were also coaches seemed to be able to fuse different skill sets in a way that expanded their ability to connect with patients and address their needs on a deeper level. .

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Just as a sports coach can help an athlete develop and excel in a sport, a fitness coach can help anyone excel in living their life, whether – or especially – If they have chronic medical conditions. The coaching process is similar to talk therapy in that two people discuss ideas and issues, but differs in that the person being coached is in the driver’s seat, setting goals as well as strategies. How to reach These goals.

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A wide variety of issues such as weight loss, stress reduction, managing chronic conditions, improving diet and exercise, quitting tobacco, quitting drugs, and adjusting to a life-changing event are among the issues people face. hires coaches to help heart attack. There is overlap between what a coach does and what a life coach does, but the domain of a life coach is much broader, and includes career issues, executive coaching, and professional influence.

A key technique used by coaches is motivational interviewing, in which a coach asks open-ended questions aimed at helping a client discover their reasons for change. Instead of a doctor saying, “You need to lose weight,” a coach might ask, “How would your life be different if you lost the weight you’re trying to lose?” The concept, which has been proven effective in many research studies, is that people who are changing for their own reasons, on their own terms, are much more likely to succeed when someone tells them what to do. – which is less motivating and more likely to create resistance to change.

Motivational interviewing is also circulating with great success in the medical profession. With the deep focus on this that I gained in my coaching training, I now put it at the forefront of my interactions with patients, really trying to listen to what they are saying and try to differentiate them. To include as many issues as possible in coming up with solutions. Patients seem to really appreciate it, and while I haven’t done any studies, this approach certainly seems to be successful in terms of my relationships with patients and the results I’m seeing.

While traditional psychology has focused on what is “wrong” with people and what needs to be “fixed,” the coaching philosophy focuses on what is for you, can, and will work. This means that instead of rooting around to solve problems, a coach will work with you to tap into your strengths, so that you can improve the behaviors you want to address.

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Coaching is effective for people managing different situations. According to a recent study, coaching “reduces many biomarkers of risk factors (including systolic and diastolic blood pressure, total cholesterol, LDL cholesterol, HDL cholesterol, triglycerides, fasting glucose, body weight, body mass index, waist circumference) resulting in clinically relevant improvements in and cardiorespiratory fitness in diverse populations). Coaching has also helped improve quality of life and reduce hospital admissions in patients with COPD. Not surprisingly, some physicians offices are offering it, some insurance companies are paying for it, and private companies are even starting to offer coaching to their employees to reduce their care costs.

Coaching is a relatively new field, and it’s an unregulated industry, so you don’t need a certification to practice as a coach. There is also no strict definition of what a coach is, which adds to the confusion. In other words, anyone can hang out a shingle and call themselves a “coach.” However, there are many programs that train and certify coaches, both in-person and online. The most popular and respected are: National Society of Coaches, The American Council on Exercise, Dr. Sears Wellness Institute, Duke Integrative Medicine, and the Wellcoach School of Coaching (where I trained). It is highly recommended that you choose a certified coach, to ensure that they have a certain level of training and experience.

The time commitment and cost of coaching is highly variable. Some people do very brief coaching — even one session — for a single problem, such as whether to accept a job offer, while others do it for months or years, such as managing weight, diabetes, depression, or hypertension. can participate in coaching for . Costs vary with the skill and experience of the coach. As mentioned earlier, some employers and medical plans may cover it, as there is ample evidence that, for example, coaching on issues such as weight loss can significantly reduce the costs of care. It’s important to note that Coaches takes privacy very seriously, and they have a professional code of ethics, but there aren’t the same HIPAA-level privacy protections as when you visit a medical office.

Coaching appears to be just as effective when administered remotely via phone or Internet when compared to face-to-face coaching. This provides great flexibility, as coaching can be done in person, over the phone, or via video conferencing.

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Coaches’ resumes are often available for you to review, so see if their interests and experience overlap with the issues you want to address. Coaches enter the field from a wide variety of different backgrounds, and it can be an advantage to choose a coach who has a background in or fitness-related field, although many talented coaches come from careers in a variety of fields. Word of mouth is always a good way to find a coach, or you can call your insurance company and, if it’s an offer benefit, chances are they have coaches they can recommend.

Unlike fads that come and go, coaching has strong evidence behind it that supports its effectiveness for improvement and well-being. Being a coach has been very rewarding for me, because it’s so rare in life that you can promote happiness, build resilience, save people money, and help people live longer and more fulfilling lives all at the same time. help in

Dr. Peter Grinspoon is a primary care physician, educator, and cannabis expert at Massachusetts General Hospital; an instructor at Harvard Medical School; and a certified and fitness coach. He is the author of the forthcoming book Seeing… See full bio

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Positive emotions have been linked to better, longer life, and greater well-being in numerous scientific studies. On the other hand, chronic anger, anxiety and hostility increase the risk of developing heart disease, as people react to these emotions with increased blood pressure and stiffening of the blood vessels. But maintaining an y, positive emotional state is not easy.


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