This takes a significant load off outpatient providers by:

• Keeping patients engaged and supported between therapy sessions
• Frequent touchpoints help patients stay grounded, structured, and connected to their goals, reducing the “catch‑up” time clinicians often spend re‑establishing routines.

• Reducing the amount of session time spent on logistics
• When patients arrive with their schedules organized, tasks broken down, and routines already in motion, therapy sessions can focus on clinical work ~ not on planning, reminders, or troubleshooting daily functioning.

• Helping prevent avoidable setbacks
• Many crises stem from overwhelm, missed appointments, or difficulty managing daily demands. Coaching provides scaffolding that helps patients stay stable and consistent, which supports the clinician’s treatment plan.

• Reinforcing treatment recommendations in real time
• We help patients implement what they’re learning in therapy including medication routines, coping strategies, and behavioral goals, without interpreting or modifying clinical guidance.

• Offering accountability without adding to the clinician’s workload
• Patients often need more frequent support than weekly therapy can provide. Coaching fills that gap in a non‑clinical, structured way that complements the clinician’s role.

Executive function coaching can be incredibly helpful during the post‑inpatient period because it provides structure and steady support during a time that often feels overwhelming. Coaching doesn’t replace therapy or medical care, it really complements them by helping people manage the practical, day‑to‑day skills needed to rebuild stability.

Coaching can support someone after an inpatient stay by:

• Creating predictable routines that make daily life feel safer and more manageable
• Breaking tasks into small, doable steps to reduce overwhelm
• Helping organize appointments, follow‑up care, and responsibilities
• Building emotional regulation strategies for moments of stress or uncertainty
• Supporting medication routines with reminders and structure (without managing medication itself)
• Developing time‑management systems that match the person’s current capacity
  
• Helping identify triggers and create supportive plans for navigating them
• Providing consistent, non‑judgmental accountability during a vulnerable transition

The patients who tend to benefit most include:

• Patients who struggle with organization, planning, or follow‑through

These individuals often understand what they need to do but have difficulty turning intentions into action once they’re outside the structured inpatient environment.

• Patients transitioning back into school, work, or caregiving roles

Re‑entry into daily responsibilities can feel overwhelming. Coaching helps them break tasks down, rebuild routines, and regain a sense of control.

• Patients with ADHD, anxiety, depression, or trauma‑related executive function challenges

These conditions often affect motivation, time management, emotional regulation, and task initiation ~ all areas where coaching provides concrete, non‑clinical support.

• Patients who benefit from accountability without pressure

Many individuals thrive when they have a consistent, non‑judgmental partner helping them stay on track with goals, appointments, and self‑care routines.

• Patients who understand their treatment plan but struggle to implement it

Coaching helps bridge the gap between insight and action. We support clients with their individual needs including medication routines, follow‑up appointments, coping strategies, and lifestyle changes.

• Patients with strong insight who want to maintain momentum

These are individuals who are motivated to continue growing but need scaffolding to keep their progress steady during the vulnerable post‑discharge period.

Coaching provides a stabilizing layer of support that helps patients:

• Follow through on treatment recommendations
• Including medication routines, coping strategies, and follow‑up appointments.
• Stay organized and grounded
• Especially as they return to school, work, or family responsibilities.
• Reduce overwhelm and prevent avoidable crises
• Many setbacks after discharge stem from disorganization, missed deadlines, or difficulty managing daily demands — not from clinical deterioration.
• Maintain momentum between clinical appointments
• Coaching fills the gap between therapy sessions by helping patients practice skills in real time.
• Build confidence and independence
• Patients often feel more capable and less alone when they have structured support during this transition.

Providers frequently tell us that patients who receive coaching after discharge:

• Miss fewer appointments
• Engage more consistently in outpatient care
• Experience fewer crises related to executive function challenges
• Transition more smoothly into their daily lives

Coaching doesn’t replace therapy but reinforces it by helping patients apply what they’ve learned in the moments that matter most.

Therapy focuses on emotional healing, mental health symptoms, and understanding patterns from past or present experiences.

Executive function coaching focuses on building the day‑to‑day skills that help clients stay organized, follow through, manage time, and regulate emotions in real‑world situations.

Here’s how they work together:

Therapy supports the “why.”

It helps clients understand their emotions, experiences, and patterns. It reduces symptoms like anxiety, depression, trauma responses, or overwhelm. It creates space to process what’s happening internally.

Coaching supports the “how.”

It helps clients turn insight into action. It builds routines, structure, and systems that make daily life more manageable. It supports follow‑through, planning, and emotional regulation in the moment.

When combined, therapy and coaching create a full circle of support:

• Therapy helps clients understand themselves and their symptoms.
• Coaching helps them apply that understanding in their daily life.
• Therapy helps clients heal.
• Coaching helps them build skills that keep them moving forward.
• Therapy supports emotional well‑being.
• Coaching supports practical stability and consistency.

Many clients tell us that using both feels like having a team ~ one person helping them process what’s happening inside, and another helping them navigate what’s happening outside.

Here’s how the roles differ in a way that’s easy for providers to recognize:

Coaching focuses on daily functioning, routines, and follow‑through

Coaches help patients build structure, plan tasks, manage time, stay organized, and follow through on treatment recommendations. The work is future‑focused, action‑oriented, and grounded in real‑world problem‑solving.

Therapy focuses on emotional healing and clinical symptoms

Therapists address mood, trauma, anxiety, thought patterns, and emotional regulation using evidence‑based clinical interventions. Coaching does not process trauma, diagnose, or treat mental health conditions.

Case management focuses on resources and coordination

Case managers help patients access services, navigate systems, secure housing or benefits, and coordinate care. Coaching steps in once resources are in place to help patients use them consistently.

Coaching fills the “implementation gap”

Many patients understand their treatment plan but struggle to carry it out once they’re home. Coaches help them translate insight into action — building routines, breaking tasks down, and staying accountable in a supportive, non‑clinical way.

Coaching is structured, collaborative, and non‑judgmental

Sessions focus on what the patient needs to accomplish that week and what support will help them follow through. It’s practical scaffolding, not clinical intervention.

Option 1: Submit a referral form

If you prefer a quick, structured handoff, you can complete our referral form. It takes about two minutes and allows you to share any relevant context about the patient’s goals, routines, or transition needs.

Refer a Client

Option 2: Share our contact information with your client

Some providers prefer to give patients our information directly so they can reach out when they’re ready. We’re happy to connect with them, answer questions, and schedule an intake.

Request a Digital, Client Brochure

What happens after a referral:

• We reach out to the patient within one business day.
• We schedule a brief consultation to ensure coaching is a good fit.
• With the patient’s consent, we can notify you once they’ve enrolled.

What we need from you:

A referral typically includes:

The patient’s name and preferred contact method
Any practical goals or transition challenges you’d like us to be aware of
Whether you’d like updates (with patient consent)

We handle the rest!

Clients can move between programs at any time as their needs change. If you’re unsure which level of support is the best fit, we’re happy to consult with you directly or help the client determine the right starting point during their intake. Our goal is to match each individual with the level of structure and frequency that supports their stability, independence, and treatment goals.

Best for:

Clients recently discharged or actively in therapy who need consistent structure, accountability, and help applying therapeutic tools in daily life.

What it provides:

• Two weekly 1:1 sessions
• Unlimited messaging for in‑the‑moment decision making and emotional regulation
• Real‑time support with planning, organization, and follow‑through
• Help generalizing coping skills and treatment recommendations
• Scaffolding during transitions, stressors, or post‑treatment adjustment

Why providers choose it:

It offers enough frequency to maintain momentum without overwhelming the client and is ideal for those rebuilding routines and stability.

Intensive (4× weekly) - Highest Support

Best for:

Patients in early recovery or those who need high‑frequency, real‑time support with short, concise action plans to stay regulated, organized, and engaged in treatment goals.

What it provides:

• Four weekly 1:1 sessions
• Unlimited messaging for in‑the‑moment decision making and emotional regulation
• Frequent accountability check‑ins
• Customized skill building (time management, emotional regulation, communication)
• Support navigating triggers and daily challenges as they arise

Why providers choose it:

It offers the closest level of day‑to‑day scaffolding, reducing overwhelm and helping clients build momentum quickly.

Maintenance (1× weekly) - Lower Intensity

Best for:

Clients who have a solid foundation and want ongoing structure to stay aligned with goals as they reintegrate into school, work, or independent life.

What it provides:

• One weekly 1:1 session
• Continued reinforcement of executive functioning skills
• Support navigating new stressors or transitions
• Accountability and decision‑making support to prevent regression with unlimited messaging

Why providers choose it:

It keeps clients grounded and consistent while giving them space to practice independence.

At its heart, Cognitive Coaching fosters self-agency - the belief and ability to take control of one’s life by intentionally navigating challenges, making decisions, and achieving goals. Self-agency is essential for independent living because it enables clients to apply the skills they’ve learned in a structured, supportive, and practical way.

Key Principles of Cognitive Coaching:

Nonjudgmental Support: By providing a safe and collaborative environment, Cognitive Coaching encourages individuals to reflect honestly on their behaviors, choices, and outcomes without fear of judgment.

Guided Self-Discovery: Coaches ask thought-provoking, open-ended questions, helping individuals uncover their own solutions and strategies rather than relying on external advice.

Focus on Metacognition: Reflecting on their own thinking processes, individuals develop a deeper understanding of how their thoughts influence their behaviors and outcomes.

Empowerment Through Ownership: By encouraging clients to take responsibility for their progress, Cognitive Coaching strengthens their sense of control and autonomy.

How Cognitive Coaching Builds Self-Agency:

Cognitive Coaching develops self-agency by fostering:

Confidence: Clients learn to trust their ability to make sound decisions and solve problems independently.

Intentionality: They become more aware of their actions and the choices that drive them, leading to purposeful behavior.

Resilience: By addressing challenges through reflection and strategy, clients learn to adapt and overcome setbacks.

Accountability: Coaches help clients set goals, track their progress, and stay accountable, reinforcing their ability to self-manage and stay on track.

Here’s how we typically collaborate:

• We reinforce the treatment plan, not reinterpret it
• Coaches help patients organize appointments, remember recommendations, build routines, and use therapeutic gains in real world scenarios to support what their clinicians are already doing. We never modify clinical guidance or provide therapeutic interventions.

• We communicate with providers when it’s helpful and appropriate
• With patient consent, we can share updates about engagement, progress and growth, or practical barriers the patient is encountering. We avoid clinical language and focus on daily functioning.

• We flag concerns early, without stepping outside our role
• If a patient appears to be struggling with safety, stability, or symptoms outside the scope of coaching, we encourage them to reach out to their clinician and notify the provider when appropriate. We do not assess risk or provide crisis intervention.

• We support consistency between sessions
• Coaching helps patients practice skills in real time, things like organizing tasks, managing overwhelm, and following through on commitments which often makes outpatient therapy more effective.

• We respect boundaries and roles
• We do not diagnose, treat, or process clinical material. Our collaboration is focused on helping patients implement the work they’re doing in therapy and maintain momentum between appointments.

Patients who are not a good fit for coaching include:

• Individuals who are actively in crisis or unsafe
• Patients experiencing acute suicidality, self‑harm behaviors, psychosis, or significant impairment in judgment require immediate clinical care, not coaching.

• Patients who cannot reliably engage in sessions
• Coaching requires basic stability, the ability to communicate consistently, and the capacity to participate in collaborative planning. Patients who are too dysregulated, disorganized, or medically unstable to engage meaningfully are better served by clinical care first.

• Patients whose primary needs are medical or psychiatric monitoring
• Medication adjustments, symptom tracking, and clinical decision‑making fall outside the scope of coaching and should remain with licensed providers.

• Patients mandated to services or not personally invested
• Coaching is most effective when the patient is willing to participate. Individuals who are resistant, externally pressured, or not ready for change typically do not benefit.

How we think about fit:

Coaching is designed for patients who are clinically safe but still need help with the practical side of recovery including routines, structure, follow‑through, and daily functioning. When a patient needs clinical stabilization or therapeutic processing, we refer back to the appropriate provider and stay within our scope.

If you are unsure if your patient will benefit from coaching, please feel free to reach out to consult with us.