Life Coaching Psychiatrists in Lexington, MA

Photo of Malini Prabhu, Psychiatrist in Lexington, MA
Malini Prabhu
Psychiatrist, MD
Verified Verified
1 Endorsed
Lexington, MA 02420
Dr. Prabhu is a Board Certified Adult Psychiatrist with 20+ years of experience. She provides comprehensive assessments & offer evidence-based medication management for a broad range of psychiatric and psychological disorders. She provides a warm and collaborative care for adults coping with personal or professional challenges, life transitions, or stressors. Accepting adults ages 18-65 for medication management. She focuses on applying an integrative approach to treatment, combining different psychotherapy modalities and pharmacology.
Dr. Prabhu is a Board Certified Adult Psychiatrist with 20+ years of experience. She provides comprehensive assessments & offer evidence-based medication management for a broad range of psychiatric and psychological disorders. She provides a warm and collaborative care for adults coping with personal or professional challenges, life transitions, or stressors. Accepting adults ages 18-65 for medication management. She focuses on applying an integrative approach to treatment, combining different psychotherapy modalities and pharmacology.
(339) 215-1970 View (339) 215-1970
Photo of Menekse Alpay, Psychiatrist in Lexington, MA
Menekse Alpay
Psychiatrist, MD
Verified Verified
1 Endorsed
Lexington, MA 02421
I work with individuals who have anxiety, depression, mood disorders, insomnia, relationship problems, trauma history, medical illness, neurological illness, and/or individuals who are helping family members with these problems. My experience over the last 25 years in psychiatry has shown that medications are helpful but do not take care of all problems in life. I offer combined psychiatric treatment. I received my psychiatric residency training from Georgetown University Hospital and fellowship in Psychosomatic Medicine from Massachusetts General Hospital, Harvard Medical School.
I work with individuals who have anxiety, depression, mood disorders, insomnia, relationship problems, trauma history, medical illness, neurological illness, and/or individuals who are helping family members with these problems. My experience over the last 25 years in psychiatry has shown that medications are helpful but do not take care of all problems in life. I offer combined psychiatric treatment. I received my psychiatric residency training from Georgetown University Hospital and fellowship in Psychosomatic Medicine from Massachusetts General Hospital, Harvard Medical School.
(617) 231-9618 View (617) 231-9618
Photo of Katherine Kosman, Psychiatrist in Lexington, MA
Katherine Kosman
Psychiatrist, MD, MBA
Verified Verified
Lexington, MA 02173  (Online Only)
Waitlist for new clients
With real-life experience, I have worked in an array of professional realms and careers, bridging fields with a richness of background experiences that inform my perspectives on life transitions, high-achieving environments, and authentic fulfillment.
Streamline your well-being with a Harvard-trained psychiatrist MD with psychotherapy as a focus and cornerstone of care. Individuals describe themselves as educated, aspiring, accomplished. But the journey of through life can scramble priorities and fulfillment. Invest in yourself to break free of patterns, to become the best you, and to chart the life legacy you desire. Connect conveniently from the privacy of your own home, right from where you are. It's Time to Prioritize Your Mental Health and Well-Being. It's Time to Feel Like Your Best Self.
With real-life experience, I have worked in an array of professional realms and careers, bridging fields with a richness of background experiences that inform my perspectives on life transitions, high-achieving environments, and authentic fulfillment.
Streamline your well-being with a Harvard-trained psychiatrist MD with psychotherapy as a focus and cornerstone of care. Individuals describe themselves as educated, aspiring, accomplished. But the journey of through life can scramble priorities and fulfillment. Invest in yourself to break free of patterns, to become the best you, and to chart the life legacy you desire. Connect conveniently from the privacy of your own home, right from where you are. It's Time to Prioritize Your Mental Health and Well-Being. It's Time to Feel Like Your Best Self.
(508) 475-5915 View (508) 475-5915
Photo of Dr. Allen Masry, Psychiatrist in Lexington, MA
Dr. Allen Masry
Psychiatrist, MD
Verified Verified
Lexington, MA 02420
I am Board Certified in Adult Psychiatry and have been practicing since 2005. I completed my residency from Tufts University in Boston, Massachusetts and my Fellowship in Addictions from the Robert Johnson Wood Foundation. In 2014, I was featured in SJ Magazine as one of New Jersey’s top psychiatrists. I have experience working with adults as well as adolescents suffering from both psychiatric diagnosis and substance use disorders and have extensive experience working in both out-patient and in-patient settings.
I am Board Certified in Adult Psychiatry and have been practicing since 2005. I completed my residency from Tufts University in Boston, Massachusetts and my Fellowship in Addictions from the Robert Johnson Wood Foundation. In 2014, I was featured in SJ Magazine as one of New Jersey’s top psychiatrists. I have experience working with adults as well as adolescents suffering from both psychiatric diagnosis and substance use disorders and have extensive experience working in both out-patient and in-patient settings.
(339) 900-8497 View (339) 900-8497
Photo of Vishal Biala, Psychiatrist in Lexington, MA
Vishal Biala
Psychiatrist, MD
Verified Verified
1 Endorsed
Lexington, MA 02420
“Accepting new patients” - I am a board certified psychiatrist with extensive experience in wide range of psychiatric disorders. I work with both adolescents and adults struggling with depression, bipolar disorder, anxiety disorders, psychotic disorders, PTSD, ADHD, substance use disorders and other psychiatric disorders.
“Accepting new patients” - I am a board certified psychiatrist with extensive experience in wide range of psychiatric disorders. I work with both adolescents and adults struggling with depression, bipolar disorder, anxiety disorders, psychotic disorders, PTSD, ADHD, substance use disorders and other psychiatric disorders.
(339) 220-0088 View (339) 220-0088
Photo of Gloria Fallon APRN-BC, Psychiatric Nurse in Lexington, MA
Gloria Fallon APRN-BC
Psychiatric Nurse, MSN, PMHCNS, BC
Verified Verified
1 Endorsed
Lexington, MA 02420  (Online Only)
Waitlist for new clients
Gloria Fallon, PMHCNS-BC is a board certified psychiatric Clinical Nurse Specialist in the field of Child and Adolescent psychiatry and therapy. Gloria is compassionate, seasoned and knowledgeable about the safe use of psychiatric medications children and adults. She received her Masters in Nursing from the Yale University School of Nursing with an emphasis on women, families, and children in 2001. Her extensive work experience includes a Harvard Fellowship at HVMA (now Atrius), McLean Psychiatric Hospital and Cambridge Health Alliance. She currently works in private practice via telehealth as well as the company Lifestance Inc.
Gloria Fallon, PMHCNS-BC is a board certified psychiatric Clinical Nurse Specialist in the field of Child and Adolescent psychiatry and therapy. Gloria is compassionate, seasoned and knowledgeable about the safe use of psychiatric medications children and adults. She received her Masters in Nursing from the Yale University School of Nursing with an emphasis on women, families, and children in 2001. Her extensive work experience includes a Harvard Fellowship at HVMA (now Atrius), McLean Psychiatric Hospital and Cambridge Health Alliance. She currently works in private practice via telehealth as well as the company Lifestance Inc.
(781) 561-1595 View (781) 561-1595

More Psychiatrists Nearby

Photo of Arthi Kumaravel, Psychiatrist in Lexington, MA
Arthi Kumaravel
Psychiatrist
Verified Verified
4 Endorsed
Brookline, MA 02446  (Online Only)
Reaching out for help is one of the hardest yet crucial steps in improving your psychological well-being, and one which I commend you for doing. It can be difficult to find a psychiatrist that feels right for you. But once a strong connection is formed, that relationship can be a life changing experience for you. You deserve a safe space to explore the psychological, social, cultural, relationship and biological contributors to your mental health. I aim to provide you with this safe space using both therapy and medications tailored to address your specific mental health needs.
Reaching out for help is one of the hardest yet crucial steps in improving your psychological well-being, and one which I commend you for doing. It can be difficult to find a psychiatrist that feels right for you. But once a strong connection is formed, that relationship can be a life changing experience for you. You deserve a safe space to explore the psychological, social, cultural, relationship and biological contributors to your mental health. I aim to provide you with this safe space using both therapy and medications tailored to address your specific mental health needs.
(617) 812-7464 View (617) 812-7464
Photo of Nina Sreshta, Psychiatrist in Lexington, MA
Nina Sreshta
Psychiatrist, MD
Verified Verified
1 Endorsed
Cambridge, MA 02138  (Online Only)
Accepting patients in Massachusetts, Maryland and California. I believe that everyone is capable of living a life that feels purposeful. Sometimes because of losses, traumas, predispositions to depression or anxiety, or the ways we were taught to think about ourselves, that purposeful life can seem like a distant possibility. I see patients primarily for talk therapy, and if needed, I prescribe medication. To request an intake, message me through Psychology Today or visit my website, www.ninasreshtamd.com. Currently, I am only seeing patients online.
Accepting patients in Massachusetts, Maryland and California. I believe that everyone is capable of living a life that feels purposeful. Sometimes because of losses, traumas, predispositions to depression or anxiety, or the ways we were taught to think about ourselves, that purposeful life can seem like a distant possibility. I see patients primarily for talk therapy, and if needed, I prescribe medication. To request an intake, message me through Psychology Today or visit my website, www.ninasreshtamd.com. Currently, I am only seeing patients online.
(857) 320-3128 View (857) 320-3128
Photo of Psychiatric Holistic Health, Psychiatric Nurse Practitioner in Lexington, MA
Psychiatric Holistic Health
Psychiatric Nurse Practitioner, MSN, PMHNP, PMH-NP, APRN-NP, BC
Verified Verified
1 Endorsed
Concord, MA 01742
Do you feel tired in trying to find help for yourself and others? Do you feel fed up with a lot of negative things happening in your life? Does it seem like you are no longer in control of what’s happening to you? Are your thoughts always racing trying to solve anything? With a strong focus on holistic wellness, career coaching, personal coaching, we are committed to addressing the needs of our patients both psychologically, physically, emotionally and mentally. We can’t go through life alone.
Do you feel tired in trying to find help for yourself and others? Do you feel fed up with a lot of negative things happening in your life? Does it seem like you are no longer in control of what’s happening to you? Are your thoughts always racing trying to solve anything? With a strong focus on holistic wellness, career coaching, personal coaching, we are committed to addressing the needs of our patients both psychologically, physically, emotionally and mentally. We can’t go through life alone.
(978) 440-2025 View (978) 440-2025
Photo of Saleema John, Physician Assistant in Lexington, MA
Saleema John
Physician Assistant, MMS, PA-C
Verified Verified
4 Endorsed
Boston, MA 02199  (Online Only)
Insurance-Covered. Personalized. Compassionate. Medication Management. Trained by Harvard Medical School Faculty Member. I am a dedicated clinician with a passion for providing high-quality psychiatric care tailored to your unique needs to enhance your mental health. I understand that medication can play a crucial role in achieving balance and stability in life. Whether you are navigating depression, anxiety, bipolar disorder, PTSD, OCD, etc., my focus is on delivering empathetic and individualized care. I embrace a holistic approach to mental health, recognizing the importance of lifestyle, self-care, and therapeutic support.
Insurance-Covered. Personalized. Compassionate. Medication Management. Trained by Harvard Medical School Faculty Member. I am a dedicated clinician with a passion for providing high-quality psychiatric care tailored to your unique needs to enhance your mental health. I understand that medication can play a crucial role in achieving balance and stability in life. Whether you are navigating depression, anxiety, bipolar disorder, PTSD, OCD, etc., my focus is on delivering empathetic and individualized care. I embrace a holistic approach to mental health, recognizing the importance of lifestyle, self-care, and therapeutic support.
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Photo of David H. Brendel, Psychiatrist in Lexington, MA
David H. Brendel
Psychiatrist, MD, PhD
Verified Verified
Belmont, MA 02478
As a psychiatrist, executive coach, and philosophical counselor, I help clients confronting the stress that accompanies life transitions. As a psychiatrist, I diagnose and treat people with anxiety, mood instability, insomnia, and attention deficits. As an executive coach, I help clients manage work stress, overcome burnout, make career transitions, develop leaderships skills, and improve their overall functioning. As a philosophical counselor, I help clients attain deeper insight and fulfillment by engaging in self-reflection. In each role, I help clients handle stress, develop their core strengths, gain self-awareness, and achieve peak performance. This empowers clients to lead more fulfilled, joyful, compassionate, and productive lives.
As a psychiatrist, executive coach, and philosophical counselor, I help clients confronting the stress that accompanies life transitions. As a psychiatrist, I diagnose and treat people with anxiety, mood instability, insomnia, and attention deficits. As an executive coach, I help clients manage work stress, overcome burnout, make career transitions, develop leaderships skills, and improve their overall functioning. As a philosophical counselor, I help clients attain deeper insight and fulfillment by engaging in self-reflection. In each role, I help clients handle stress, develop their core strengths, gain self-awareness, and achieve peak performance. This empowers clients to lead more fulfilled, joyful, compassionate, and productive lives.
(617) 379-1452 View (617) 379-1452
Photo of Whitney McFadden, Psychiatrist in Lexington, MA
Whitney McFadden
Psychiatrist, MD, MPhil
Verified Verified
Cambridge, MA 02138
I am an adult psychiatrist seeing patients in CA, MA, & NY, trained in neuroscience, psychiatric genetics, and nutritional psychiatry with a vested interest in women’s and perinatal psychiatry. I am dedicated to helping women through difficult transitions like pregnancy, the impact of stressful work environments on health, developing healthy relationships, and managing mental health balance when life requires a different way of operating. I work with women looking to get through unforeseen roadblocks and get them on the path to operating well in their bodies and nervous systems so they can thrive.
I am an adult psychiatrist seeing patients in CA, MA, & NY, trained in neuroscience, psychiatric genetics, and nutritional psychiatry with a vested interest in women’s and perinatal psychiatry. I am dedicated to helping women through difficult transitions like pregnancy, the impact of stressful work environments on health, developing healthy relationships, and managing mental health balance when life requires a different way of operating. I work with women looking to get through unforeseen roadblocks and get them on the path to operating well in their bodies and nervous systems so they can thrive.
(310) 683-5604 View (310) 683-5604
Photo of Eleftheria Tsavoussis, Psychiatric Nurse Practitioner in Lexington, MA
Eleftheria Tsavoussis
Psychiatric Nurse Practitioner, PCNS
Verified Verified
Boston, MA 02108
Making the decision to seek or continue treatment is a positive step toward improving your quality of life.
Eleftheria Tsavoussis is a seasoned Psychiatric Clinical Nurse Specialist, Adult Nurse Practitioner with over 25 years of experience across multiple healthcare settings. She is the founder and CEO of Waltham Behavioral Health, LLC, a thriving private practice employing experienced, compassionate mental-health providers with diverse areas of expertise. Ms. Tsavoussis is a member of the Massachusetts Coalition of Nurse Practitioners and serves on the Massachusetts Action Coalition working to remove restrictions that limit patients' access to high-quality, cost-effective healthcare across a variety of specialties.
Making the decision to seek or continue treatment is a positive step toward improving your quality of life.
Eleftheria Tsavoussis is a seasoned Psychiatric Clinical Nurse Specialist, Adult Nurse Practitioner with over 25 years of experience across multiple healthcare settings. She is the founder and CEO of Waltham Behavioral Health, LLC, a thriving private practice employing experienced, compassionate mental-health providers with diverse areas of expertise. Ms. Tsavoussis is a member of the Massachusetts Coalition of Nurse Practitioners and serves on the Massachusetts Action Coalition working to remove restrictions that limit patients' access to high-quality, cost-effective healthcare across a variety of specialties.
(781) 679-5379 View (781) 679-5379
Photo of Dignity Brain Health, Psychiatrist in Lexington, MA
Dignity Brain Health
Psychiatrist, MD, PhD
Verified Verified
4 Endorsed
Boston, MA 02199  (Online Only)
TELE-HEALTH or In-Person: Insurance-Covered, Harvard-trained, Medication Management that is personalized, compassionate, and evidence-based at Dignity Brain Health. Our dedicated team of expert clinicians is committed to providing top-notch care for individuals struggling with mental health conditions. We prioritize finding the right medication and dosage to enhance your overall well-being and quality of life. With our comprehensive, patient-centered approach, we optimize your treatment plan for optimal results.
TELE-HEALTH or In-Person: Insurance-Covered, Harvard-trained, Medication Management that is personalized, compassionate, and evidence-based at Dignity Brain Health. Our dedicated team of expert clinicians is committed to providing top-notch care for individuals struggling with mental health conditions. We prioritize finding the right medication and dosage to enhance your overall well-being and quality of life. With our comprehensive, patient-centered approach, we optimize your treatment plan for optimal results.
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Photo of Ruxandra Carp, Psychiatrist in Lexington, MA
Ruxandra Carp
Psychiatrist, MD
Verified Verified
8 Endorsed
Winchester, MA 01890  (Online Only)
I focus on developing a collaborative relationship with my clients and I am deeply interested in getting to know their unique strengths, needs, and life experiences. I combine evidence based medicine with various therapeutic interventions, to empower my clients to balance their emotions, thoughts, and reactions. Subsequently, they develop healthier life patterns and pursue their personal, academic, and career goals. I completed my residency and fellowship at training programs affiliated with Harvard Medical School. Dual Board Certifications in Adult Psychiatry and in Child Psychiatry.
I focus on developing a collaborative relationship with my clients and I am deeply interested in getting to know their unique strengths, needs, and life experiences. I combine evidence based medicine with various therapeutic interventions, to empower my clients to balance their emotions, thoughts, and reactions. Subsequently, they develop healthier life patterns and pursue their personal, academic, and career goals. I completed my residency and fellowship at training programs affiliated with Harvard Medical School. Dual Board Certifications in Adult Psychiatry and in Child Psychiatry.
(781) 519-0442 View (781) 519-0442
Photo of Simon M. Selwyn, Psychiatric Nurse Practitioner in Lexington, MA
Simon M. Selwyn
Psychiatric Nurse Practitioner, MSN, CNP, PMHNP
Verified Verified
1 Endorsed
Waltham, MA 02452
I specialize in the assessment, diagnosis, and medication management of a wide range of mental health issues. Your unique goals and needs are at the forefront of my practice. Kindness, compassion, empathy, and a non-judgmental attitude are the cornerstones of who I am, both professionally and personally. I offer a safe space to work collaboratively and guide you to a more balanced place, towards your particular goals. I look forward to supporting you through difficult periods of your life and empowering you to take back your mental health. My web site: www.belmontpsychiatricservices.com.
I specialize in the assessment, diagnosis, and medication management of a wide range of mental health issues. Your unique goals and needs are at the forefront of my practice. Kindness, compassion, empathy, and a non-judgmental attitude are the cornerstones of who I am, both professionally and personally. I offer a safe space to work collaboratively and guide you to a more balanced place, towards your particular goals. I look forward to supporting you through difficult periods of your life and empowering you to take back your mental health. My web site: www.belmontpsychiatricservices.com.
(617) 356-0837 View (617) 356-0837
Photo of Executive Home Detox, Psychiatric Nurse in Lexington, MA
Executive Home Detox
Psychiatric Nurse, RN, MSN, CARN
Verified Verified
Reading, MA 01867
Executive Home Detox is a national Private Duty Registered Nurse prog for the client who wants private, competent & convenient tx. in the comfort of their home. Our focus is on safety & comfort. An RN, expert in medical detox, travels to the client & remains with the client in their home for the duration of the medical detox. The RN monitors the client's vital signs & hydration, manages physician prescribed medication, and assesses the medication efficacy. The RN also begins a process of recovery coaching & suggests ongoing continued care options to sustain recovery. This is a self-pay program geared to the high net worth client.
Executive Home Detox is a national Private Duty Registered Nurse prog for the client who wants private, competent & convenient tx. in the comfort of their home. Our focus is on safety & comfort. An RN, expert in medical detox, travels to the client & remains with the client in their home for the duration of the medical detox. The RN monitors the client's vital signs & hydration, manages physician prescribed medication, and assesses the medication efficacy. The RN also begins a process of recovery coaching & suggests ongoing continued care options to sustain recovery. This is a self-pay program geared to the high net worth client.
(781) 205-1056 View (781) 205-1056
Photo of Renee Marie Garbitt, Psychiatric Nurse Practitioner in Lexington, MA
Renee Marie Garbitt
Psychiatric Nurse Practitioner, MSN, C-NP, PMHNP
Verified Verified
Weston, MA 02493  (Online Only)
Now accepting new referrals.- At Grounded Interventions Psychiatric Services we offer treatment grounded in empirically supported strategies to address a dynamic set of behavioral health needs. Our approach is compassionate, individually tailored and aimed at reducing distressing symptoms while improving overall quality of life.​
Now accepting new referrals.- At Grounded Interventions Psychiatric Services we offer treatment grounded in empirically supported strategies to address a dynamic set of behavioral health needs. Our approach is compassionate, individually tailored and aimed at reducing distressing symptoms while improving overall quality of life.​
(508) 886-3921 View (508) 886-3921
Photo of Susan Rako MD, Psychiatrist in Lexington, MA
Susan Rako MD
Psychiatrist, MD
Verified Verified
Newton, MA 02460
If you need help to gain or regain a good enough balance and a way to find happiness in your life, I have decades of valuable experience. I am known as a "psychiatrist's psychiatrist," a true healer, and one who is gifted at working with "challenging" situations" -- both individual and couples. Therapy is my specialty, and I evaluate and prescribe medication only for patients I treat in therapy when it is truly indicated. I particularly enjoy working with individuals who are more interested in developing their own capacities than in complaining about the inadequacy of what they find outside themselves in the world and in other people. I do not provide "medication management" if that is a primary reason for consultation. Author of : "That's How the Light Gets In: Memoir of a Psychiatrist" (published by Random House) and "Semrad: The Heart of a Therapist" (see www.susanrako.com) My blog, "More Light" can also be found on my website.
If you need help to gain or regain a good enough balance and a way to find happiness in your life, I have decades of valuable experience. I am known as a "psychiatrist's psychiatrist," a true healer, and one who is gifted at working with "challenging" situations" -- both individual and couples. Therapy is my specialty, and I evaluate and prescribe medication only for patients I treat in therapy when it is truly indicated. I particularly enjoy working with individuals who are more interested in developing their own capacities than in complaining about the inadequacy of what they find outside themselves in the world and in other people. I do not provide "medication management" if that is a primary reason for consultation. Author of : "That's How the Light Gets In: Memoir of a Psychiatrist" (published by Random House) and "Semrad: The Heart of a Therapist" (see www.susanrako.com) My blog, "More Light" can also be found on my website.
(617) 964-4241 View (617) 964-4241
Photo of Diana Deister, Psychiatrist in Lexington, MA
Diana Deister
Psychiatrist, MD, MS
Verified Verified
1 Endorsed
Boston, MA 02115  (Online Only)
My practice, Bountiful Mental Health, provides a boutique psychiatric experience for families, children, adolescents, and adults, with timely appointment availability and individualized care. Our two-hour evaluation session allows time to establish the initial correct diagnosis. Through our work together, I get a full picture of your life and how best to help you and your family achieve your goals. Non-medication approaches are emphasized as the most sustainable path to life-long health, though medications may be prescribed with careful attention to preventing or eliminating side effects while obtaining full benefits.
My practice, Bountiful Mental Health, provides a boutique psychiatric experience for families, children, adolescents, and adults, with timely appointment availability and individualized care. Our two-hour evaluation session allows time to establish the initial correct diagnosis. Through our work together, I get a full picture of your life and how best to help you and your family achieve your goals. Non-medication approaches are emphasized as the most sustainable path to life-long health, though medications may be prescribed with careful attention to preventing or eliminating side effects while obtaining full benefits.
(617) 544-0626 View (617) 544-0626

Life Coaching Psychiatrists

What can I expect from life coaching?

Clients and coaches will typically start by identifying the problem area(s) that the client hopes to address—then, the coach will help the client brainstorm potential solutions and explore concrete techniques to help the client attain their goals. Coaching is typically short-term and focused on finding solutions in the here and now, rather than exploring a client’s past. In addition to strategies aimed at the client’s specific concerns, coaches may encourage general stress management techniques such as meditation.

Can a life coach help treat anxiety?

Because the majority of life coaches are not licensed clinicians, they are not qualified to diagnose or treat anxiety. Anyone struggling with anxiety or another mental health condition should seek help from a licensed mental health practitioner. However, some coaching clients who struggle with subclinical anxiety report that working with their coach on other problems—such as career dissatisfaction or unhealthy habits—has a positive effect on their anxiety.

Can life coaching be done online?

Yes. While life coaching often happens in person, many coaches conduct sessions over the phone or via online platforms such as Zoom or Skype. Because life coaches are not subject to local licensing regulations in the same way that therapists are, they are able to see clients who live in other locations.

How long does life coaching last?

Life coaching tends to be a shorter-term process than therapy, though it does not always unfold over a specific period of time and is instead based on the coach’s or the client’s preferences. Coaching often takes place over three to 12 months but may be shorter or longer if necessary.