How does a coach fit alongside your client’s clinical care?

Meghan Michalski works with the people already supporting a client: psychiatrists, psychologists, parents and the client themselves. She is also connected to a network of mental and physical wellness coaches.

For a clinician, that means a coach who focuses on the day-to-day side of a client’s life: the planning, routines and follow-through of everyday life. Clinical care stays with the client’s clinicians. Meghan supports the client in putting skills into daily practice.

Her approach is relational and grounded in the client’s own strengths. The aim is long-term self-sufficiency: skills that the client can use independently.

Where does the coach’s role start and stop?

Meghan’s role is executive function coaching. She supports the skills that shape a client’s daily life:

  • Planning and prioritizing
  • Time management and thought organization
  • Communication
  • Cognitive flexibility
  • Staying steady under stress

What you can and cannot be told

Coaching is not therapy, and coaching conversations are not covered by therapist–client or physician–patient privilege. Meghan shares information with family or clinicians only with the client’s written permission, except where required by law.

Who does Meghan work with?

She works with young adults and adults (18+) who want practical help with planning, starting and following through, including people in life transitions and people in recovery. She involves parents and caregivers as part of the wider support team, with the client’s permission.

How does Meghan work with a client?

Every client is different, so Meghan starts by building trust and rapport while learning how the client thinks, plans, and takes in information. She then adapts concepts and organizational strategies to the way that person perceives and understands things.

Clients first use new strategies with Meghan’s support. She then works so that the client can carry them out independently. Along the way she aims to support confidence, skills and an understanding of why the strategies matter.

Her toolkit includes:

  • Evidence-informed attention-training techniques that aim to support awareness and concentration
  • Meditation and mindfulness practices, which aim to support self-awareness and concentration
  • A writing and creative-process method that aims to support confidence alongside executive function skills

Coaching is a one-to-one relationship that continues over the long term at a regular cadence, rather than a fixed-length program. Sessions are offered virtually or in person.

What is Meghan’s background?

Meghan has more than 10 years of experience across social science research, public health and education. She holds a master’s degree from Harvard University with a focus in clinical psychology, and, as a researcher, she has studied the effects of executive function strategies on emotion regulation. Read more about Meghan.

Is this also useful for educational consultants and school staff?

Yes. Educational consultants, school staff and clinicians who support a young adult are welcome to get in touch. Meghan’s coaching can be one more part of the support around a young adult, working alongside the people who already know them.

When coaching may not be the right fit

It is worth being plain about the limits, so you can judge a referral quickly:

  • Where a client needs assessment, diagnosis or treatment, that stays with their clinicians.
  • It works best alongside existing care, rather than as the only support a client has.
  • It asks for ongoing, regular engagement over time. It is not a short intervention or a one-off consultation.

If you are not sure whether a client sits inside or outside that, it is worth a conversation rather than a guess.

How to make a referral

Email Meghan at meg.e.michalski@gmail.com. She will arrange a conversation to talk through whether coaching suits that client, and how coordination with you would work. Meghan shares information with you only with the client’s written permission, except where required by law. You can also use the contact page.

There is a welcome and referral guide covering how Meghan works, what coaching includes and who she works with, written to be printed or saved as a PDF if you would like something to keep or pass on to a colleague or a family.

If you need urgent help

If you or someone you know is in crisis, call or text 988, or call 911 in an emergency.

Contact

Let’s start the ascent.

Email Meghan to ask about working together. She serves clients in New York and online.