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NLP, coaching and psychotherapy: what is the difference?

What distinguishes NLP, coaching and psychotherapy, who may do what by law, and when to turn to whom. These questions matter because they concern people's wellbeing. For what research says about NLP, see Does NLP work?.

What is the difference between NLP, coaching and psychotherapy?

They are three different things that are often confused. NLP is not a philosophy: it is a structure, a model that describes how we build our experience, that is, how we perceive, communicate, decide and repeat the same patterns, and it offers tools to recognise and change them. Coaching is a method of accompaniment: a person who is well works with a coach on goals, decisions and behaviours in the present, with a plan and checks over time. It starts from a presupposition: the resources needed to change are already within the person, and the coach's job is not to put them in from outside but to make them accessible. Psychotherapy is a healthcare profession: it treats psychological and psychiatric disorders and is reserved by law to licensed professionals. NLP can be part of both contexts, but it does not make them the same: in coaching it serves to reach goals; in a clinical setting only those qualified to treat may use it. I use it in coaching.

Who can practise psychotherapy in Italy?

In Italy psychotherapy may be practised only by psychologists and doctors who, after their degree, have completed a specialisation of at least four years and are registered with their professional body. This is laid down by Law 56 of 1989. Practising it without these qualifications is unauthorised practice, with possible criminal consequences. Coaching, on the other hand, is one of the professions not organised into professional orders, governed by Law 4 of 2013: there is no official register of coaches, and that is precisely why it matters to know who you are working with, what training they have had and what boundaries they declare. In my book I put it bluntly: a coach is not a psychotherapist or a psychiatrist, and without those qualifications cannot remove fears, nor even claim to be able to.

Is NLP coaching a therapy?

No. Therapy starts from a disorder and aims to treat it; coaching starts from a goal and works to reach it. In NLP coaching there is no search for a diagnosis and no digging into the past to explain it: we observe how the person builds their experience today, which patterns repeat and which resources they cannot use. The coach does not read minds and does not interpret: they observe, ask questions and check. Often they do not know, and do not even ask, the content of the experience the person is recalling: they observe the physiology and whether the state the person is able to access is congruent, because change does not lie in the memory. That is why coaching is for people who are well and want to be better, not for those who need treatment.

When should you see a coach and when a psychotherapist?

It helps to look at where you are starting from. If there is suffering that lasts over time and affects daily life, such as an anxiety or mood disorder, trauma or an addiction, the first step is a doctor, a psychologist or a psychotherapist. If instead you are well but feel stuck, coaching is the right tool: a decision you keep putting off, a pattern that repeats in relationships or at work, a goal you cannot reach, communication that is not working. When in doubt, start with the healthcare professional: a serious coach will not take offence, and coaching can always come later. In the introductory video call I say it openly: if I think another kind of support is needed, I say so straight away, because carrying on would make no sense for either of us.

How do I work in a coaching programme?

It starts with a free video call: the person describes their situation in their own words and together we bring out the structure that keeps repeating. If we decide to continue, we build a programme with clear goals and checks over time. We do not decide from one session to the next what is needed: we follow a plan that shows from the start where it leads. In the sessions I work with NLP tools and with The Invisible Blade Method™: precise questions, calibration, work on states, beliefs and patterns. I do not defend the technique, I defend the result: if a tool does not work for that person, we change tool. And I am not the protagonist. In the book I use an image dear to me: the coach is the guide who rejoices from the audience, out of the spotlight, watching the person conduct the orchestra of their own life. I am a Licensed NLP Coach™, certified by Ekis, an authorised centre of the Society of NLP™ / Richard Bandler.

What happens if a clinical issue emerges during coaching?

The coaching work stops. If during a programme there are signs that point to a clinical condition, such as suffering that goes beyond the goal we are working on, symptoms that persist over time or a traumatic experience, I tell the person clearly and invite them to see a doctor, a psychologist or a psychotherapist. I do not try to deal with it using NLP techniques: that would mean stepping outside my field, and in the book I describe this as an ethical matter even before a legal one. The programme can resume later, if and when the professional considers it useful, and always on goals that remain within the field of coaching. Recognising a limit is not a failure of the programme: it is part of doing the work seriously.

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