Finding your “why”

In continuing to explore the various stages of the health coaching process model, today I will review the second stage: identifying and prioritizing the elements of the client’s vision that are most important to them and reflect significant values in their life.

The purpose of exploring client values is twofold:
1. it sets the stage for determining specific areas the client would like to address, and
2. it helps establish their real motivation for behavior change

As most of us know, behavior change can be very difficult. It takes time, effort and discipline to establish new habits or break old habits. Therefore, connecting the behavior change to those things that are most important to the client will help them embrace the change and work through the obstacles and barriers they may encounter along their journey. I like to call this stage “finding your ‘why’” as it gets at the true reason(s) the client wants to change.

The values associated with a client’s health and wellbeing may include things like spending time with family, serving their community, or being a role model to their children. Their values may also tie into their faith and spiritual beliefs. The desire to change may be tied to short-term plans or longer-term goals. For example, a mother may desire to lose weight now in order to look and feel good at her child’s upcoming wedding, but she may also want to do so to have the energy to run around with her future grandchildren.

To help a client articulate their values, I typically ask one or more of the following questions:

  • What is important to you about your health and wellbeing?

 

  • What really matters to you in your life?

 

  • What brings you joy and happiness?

 

  • What values are you honoring as you move toward your vision of optimal health and wellbeing?

Some clients may initially find it difficult to answer these questions. Many times, they may seek coaching because they feel they “have to” or “should” change a particular behavior (e.g., lose weight, start exercising, stop smoking). By exploring values and what is most important to them about their health, they may identify a different area or behavior they want to change. Clients are more likely to be successful if they choose an area they want to change versus one they feel like they need to change for external reasons.

As mentioned earlier, one of the most important reasons to help a client identify their “why” is to help them work through the challenges and obstacles that are likely to arise on their way to better health. When a client is knee deep in the action phase, perhaps waking up at the crack of dawn to fit in their daily exercise, there are bound to be days when they don’t want to do it. It is on those days and at those times of lagging motivation when the client can pause and ask themselves, “Why am I doing this again?” – and they will have their answer.

 

what is your why

It all starts with a vision

Happy New Year! I hope that you all had a wonderful holiday season and are optimistic about the new adventures that 2019 will bring. I thought it would be helpful to kick off the new year by reviewing the stages of the health coaching process model, beginning today with the first stage: creating an optimal health vision.

Laying the foundation

As a health and wellness coach, my primary purpose is to help individuals learn how to optimize their health and wellbeing, with an emphasis on the latter. Miriam-Webster defines wellbeing as “the state of being happy, healthy, or prosperous.” Obviously, there is some subjectivity in that definition as health, happiness and prosperity may look different for everyone…which is one reason why the initial stage in the coaching process is for the client to identify their vision of optimal health and wellbeing.

The visioning stage provides an opportunity for the client to take a broad look at their current state of health and wellbeing in preparation for developing a personalized health plan, with goals and action steps. Visioning allows clients to think about the “big picture” of health and wellbeing in their life and helps serve as part of the motivation for change.

There are a number of different strategies that coaches can use to help clients identify their optimal health vision, such as:

  1. Sending written questions regarding vision to the client to complete ahead of time and then discuss during the next session. This approach may be helpful for clients that like to take time to think things through and process questions before sharing with the coach.

 

  1. Asking open-ended questions regarding vision during the coaching session. This method may be better suited for clients who do not like “homework” and/or enjoy processing by talking things through as they go. Some example questions include:

 

  • What is your vision of yourself in your greatest health?
  • What do you look like? How do you feel?
  • What inspires you about this vision of optimal health and wellbeing?
  • What does achieving your vision of optimal health make possible in your life?

 

  1. Offering a short, guided imagery exercise to assist the client in developing their health vision. I often use the “future self” exercise, in which clients are asked to imagine themselves sometime in the future when they have achieved their vision of optimal health. Clients then paint a picture of what that looks like by describing how they look and feel, the activities they are enjoying, who they are with and what health behaviors they are engaged in (e.g., exercise, eating healthy). If the client tends to be a visual person, I invite them to capture their vision on paper with words and/or images.

For many clients, identifying their vision of optimal health may be linked with a personal mission or life purpose. It may stimulate a sense of who they are meant to be or how they want to contribute to their community and beyond. Visioning allows clients to see how their specific focus of change serves their larger intention for themselves. And perhaps most importantly, it sets the stage for identifying specific goals and action steps that will help the client achieve their vision.

Although coaches help elicit a vision at the beginning of the coaching process, we return to visioning throughout the change process, especially after a client has initiated action. Behavior change is rarely a linear process and a client’s motivation to change will ebb and flow. It can be helpful to revisit the client’s vision after they have experienced positive changes, to reinforce how their action is serving their overall vision. Or revisiting the vision may help reignite their desire to change when they are feeling stagnant or stuck. Visioning is a key thread woven throughout the entire coaching process.

Stay tuned for the next part of the coaching process which is helping clients identify what they value most about their optimal health and wellbeing, which is key to establishing the real motivation for change.

vision quote

 

 

National Board Certification for Health & Wellness Coaches

I’m taking a brief detour from my journey around the Wheel of Health to share some exciting news! I found out yesterday that I passed the new national certification exam for health and wellness coaches. I am now officially a National Board Certified Health & Wellness Coach (or NBC-HWC, for short). I am very proud to be one of the inaugural coaches to hold this distinction – and I want to share a few thoughts on why this national certification is so important.

Until now, anyone could essentially hang a shingle and call themselves a health coach regardless of whether they have had any education, training or experience as a coach. There are many individuals who are passionate about health and wellness, and long to share that passion with others based on their own experience and self-study. I think that passion is wonderful and that’s where I started back as a young adult in high school and college, taking ownership of my health and wellbeing for the first time.  However, I quickly realized that there was a lot that I did not know when it came to health and the science of behavior change, so I chose to pursue formal education and training in that profession.

I earned undergraduate and graduate degrees in Public Health, with a concentration in Health Behavior and Health Education, and I have held the Certified Health Education Specialist (CHES®) credential since 1998. I have always identified as a health educator even when my official title may not have reflected that role. A few years ago, I decided to pursue additional training as a health coach. I have to admit that before I completed my coach training at Duke Integrative Medicine, I thought a health coach was essentially the same thing as a health educator. I would advise people about how to improve their health. I would share resources and essentially tell them what changes they needed to make around their diet, exercise, sleep and so on to be healthy. Boy, was I wrong.

My health coach training was eye-opening, even for someone who has been in the healthcare field for 20 years. I learned that coaching is a client-centered process – that the client is the expert on his or her own health, not me. As a coach, I am the expert in the process of health behavior change, but I am here as a partner and a guide for my clients. I help them define their personal vision of optimal health, create goals and action steps to achieve that vision, and provide support and encouragement as they incorporate new health behaviors into their lives. I don’t tell them what to do to be healthy, I empower them to find the answers within themselves. And I do this mostly by listening carefully and asking key questions to help reveal those answers. Simple, yet so powerful.

I share all this to help you understand that there is still great variability among health coaches right now, as these new national certification standards are just starting to be implemented. For this reason, I encourage you to do your homework and review the credentials of any coach with whom you may consider working. Although this is not medical care, where you could be harmed if treated by a professional that does not meet minimum professional standards, it is in your best interest to work with a coach who has had adequate training. After all, you want to achieve the best outcome possible – to be in your best health – especially if you are paying out of pocket for your coaching experience.

The International Consortium for Health & Wellness Coaching (ICHWC) has been working since 2010 to create these national standards for health and wellness coaches. In 2016, they partnered with the National Board of Medical Examiners (NBME) to establish a national certification for individual health and wellness coaches. The NBME  has been credentialing medical professionals for 100 years, and they applied the same rigor to the health and wellness coach exam as they have for other medical professional credentialing exams. Therefore, this national certification will allow proficient coaches to stand apart from coaches who have not received adequate coach training or assessment of their coaching skills and knowledge.

You can learn more about the Consortium and the National Board Certification of Health & Wellness Coaches here. The Consortium will soon be creating an online registry to include all health and wellness coaches who are National Board Certified, making it easier to find a qualified coach to assist you on your journey to optimal health. After all, if you are going to invest in your health, why not choose a partner who can best help you succeed?