Latest / Rising Above The Mud / S1:E5 | From Root to Regulation: The Future NBHWC with Mary Alice Keator
Transcript
- 0:09Welcome back to Rising Above the Mud, the space where we honor
- 0:13the struggle, normalize that messy middle, and remind you
- 0:17that the most beautiful parts of who we are often bloom from the
- 0:21darkest soil. Every single Lotus flower starts
- 0:25trapped under thick, heavy mud. And if you've ever felt buried
- 0:30by burnout, exhausted by a broken healthcare system, or
- 0:35overwhelmed trying to rebuild your health from scratch, you
- 0:38are exactly where you need to be today.
- 0:41Because today, we are pulling back the curtain on the very
- 0:46architecture of healing. Our guest is a guardian of trust
- 0:51and excellence in the health coaching world.
- 0:54As the program Approval and Continuing Education Manager for
- 0:58the National Board for Health and Wellness Coaching, she is
- 1:02the powerhouse ensuring that Board certified coaches meet the
- 1:06highest standards of safety, ethics and credibility.
- 1:11By collaborating with healthcare leaders, academic institutions
- 1:16and training programs, she works tirelessly to integrate National
- 1:21Board Certified Health and Wellness coaches into the
- 1:24broader healthcare system. Her mission is to build the
- 1:29pathways that prove health coaching is a vital evidence
- 1:33informed profession. Please join me in welcoming our
- 1:37very first podcast guest, the incredible Mary Alice Cater.
- 1:43Mary Alice, welcome to Rising Above the Mud.
- 1:46We're so grateful to have you here.
- 1:48I'm so glad to be here as well and thank you for that
- 1:51beautiful, beautiful introduction.
- 1:54Yes, absolutely. So I wanted to start where this
- 1:59show always starts, in the mud. Long before stepping into
- 2:05national leadership at the National Board for Health and
- 2:08Wellness Coaching, what was the initial spark that drew you into
- 2:13the healing arts? Yeah, such an important question
- 2:16to remember why we get into this, right?
- 2:19And with everything going on in the world, remembering where we
- 2:23started and our why is so important.
- 2:25So for me, I grew up in a very rural environment.
- 2:30My next oldest sister has a chronic illness, cystic
- 2:34fibrosis. And so growing up in an
- 2:36environment where healthcare wasn't particularly accessible,
- 2:41where we had to travel long distances to get that
- 2:45healthcare, and where we were often treated like maybe we
- 2:51didn't know what it needed to be done to take care of ourselves,
- 2:56shaped my vision of how to take care of myself and and others
- 3:02around me from a very early age. I would say that the through
- 3:06line has always been wanting to help people have a better
- 3:14understanding of what's good and right for them, and most of us
- 3:19already know that. But in a world that likes to
- 3:22take away our agency, I find that it's so important for folks
- 3:27to remember that they know themselves best and they can use
- 3:32that knowledge to help find the support they need and what's
- 3:37truly going to work for them. So a long and winding journey
- 3:41for me. I started off in a neurological
- 3:44psychology, sort of the chemistry of behavior.
- 3:48Turns out I'm not so great at chemistry, but I got really
- 3:52interested in returning back to sort of the person centered
- 3:58healthcare and helping folks find that agency.
- 4:03And so I eventually transitioned into traditional East Asian
- 4:09medicine. I received my doctorate there
- 4:12and had a business for several years an integrative health
- 4:15clinic. And throughout that experience,
- 4:19again, it was really a learning experience to see that most
- 4:24people do know how to take good care of themselves, but knowing
- 4:29and doing are two very different things.
- 4:33And then I had my practice and was doing health coaching and
- 4:37acupuncture and massage and herbs and supplements and all
- 4:41sorts of things like that. And eventually said, hey, I want
- 4:44to just make a paycheck. I don't think I want to be the
- 4:47boss right now. And then transitioned into some
- 4:51laboratory work for food allergens and then over time
- 4:56said I really miss the human aspect of it.
- 4:59And that's when I got involved very actively in the health
- 5:02coaching community as a program developer for a national board
- 5:08approved coach training program. Now I'm with the National Board
- 5:12of Health and Wellness coaches, as you said, and really helping
- 5:15programs to train great coaches, and then as we'll talk about
- 5:20advocating for the future of health coaching as well.
- 5:24Yes. And I am so excited to hear
- 5:26about that advocacy portion of it.
- 5:29But what an interesting winding road, right, that you've taken
- 5:34to get to where you are today. And, you know, being able to
- 5:39kind of relate that back to our clients that we work with, that
- 5:43nobody's road tends to be like straight and narrow, right?
- 5:47There are twists and turns and things you didn't expect and how
- 5:52wonderful to kind of have that to bring up and in sessions as
- 5:57well. Yeah, that reminds me that all
- 6:01of our experiences lead us to be a stronger version of ourselves.
- 6:06And we can focus on the mud, or we could focus on the bloom that
- 6:10comes from. I love that and thank you for
- 6:13bringing it back to the Lotus. That's so wonderful.
- 6:16Okay, let's do a little bit of a pivot here and talk more
- 6:21specifically about coaching. So in clinical practice, you can
- 6:25give someone the perfect treatment plan, right?
- 6:29But they still have to go home and live their life.
- 6:32When did you realize that the missing link between modern
- 6:36healthcare wasn't more clinical advice, but an empathic partner
- 6:42to help clients navigate the daily grind of the actual
- 6:46behavior change? Yeah, I think the the anecdotal
- 6:50evidence was there throughout my whole life.
- 6:53My parents, their efforts, my sister, but I think what really
- 6:59cemented that for me was being in practice with clients and
- 7:04seeing, you know, they knew exactly what to do for
- 7:07themselves. And yeah, some suggestions here
- 7:09or there, referrals and things like this, but really seeing
- 7:14from my clients and experiencing myself that that feeling of I
- 7:19know what to do, but why am I not doing it right?
- 7:24Know the right thing. I know what's going to help me.
- 7:27I know it's not going to be fast, easy or fun, sure, but why
- 7:33can't I just do it? And I saw that so often with my
- 7:38own patients and clients, and I really started to experience it
- 7:43in my own life as well. You know, running a business is
- 7:46very challenging and I had my own health concerns and just the
- 7:50real life of trying to balance all of that is so challenging.
- 7:55And I was studying for a master's in public health as
- 7:59well. And that was a huge part of we
- 8:02have all of this amazing health education that we can give to
- 8:06folks and even, you know, grappling with the term health
- 8:09illiteracy that makes it sound like you either know it or you
- 8:12don't. And it's like most people do
- 8:14know, but maybe we don't have the resources or that intrinsic
- 8:20motivation. Something else is pulling us
- 8:23away from it. And for me, learning more about
- 8:26health coaching psychology, the psychology of behavior change
- 8:30really is when that started to crystallize like, oh, that's why
- 8:34you can know all the right things to do, get a very stern
- 8:38lecture from your doctor and still go home and not.
- 8:42Follow through. Well, thank you for really
- 8:46elaborating on that and helping us understand that it's not just
- 8:49about having the information. There's more to it than that,
- 8:52right? And that's, that's where a lot
- 8:56of times life gets in the way. And how do we dissect that and
- 9:00break it down so that life is helping us in that change
- 9:05process instead of hindering us? Exactly how to make the the good
- 9:09and healthy choice also the easy choice.
- 9:11Managing national standards and program approval is a massive
- 9:17and I imagine often invisible undertaking.
- 9:21What is the core fashion that keeps you energized everyday to
- 9:25build the infrastructure for this entire profession?
- 9:29Yeah, really it's it's the outcomes that keep me going.
- 9:35And the whole reason that I was really interested in taking my
- 9:39role with the national board when it came up is because I
- 9:42know we're training exceptional coaches and qualified coaches
- 9:48and caring professionals. And I really wanted to be able
- 9:55to show that these are folks who can make a difference in
- 10:02healthcare as well. So having the standards in
- 10:09place, raising those standards, making sure that all of our
- 10:13programs are meeting and exceeding those standards, I
- 10:17know we're creating phenomenal coaches now let's also give them
- 10:21a trajectory that's perhaps a bit more straightforward than
- 10:26many of us took at the beginning of health coaching.
- 10:30It's really beautiful to hear how your holistic roots really
- 10:35planted the seeds for where you are today.
- 10:37I think that's a really important part of your picture
- 10:41because when we look at the reality of people trying to
- 10:44heal, they need that empathic partner to help them do that
- 10:49daily work, right? But as you know and we've talked
- 10:52about, the Wellness industry can sometimes feel a bit like the
- 10:57Wild West, like anyone can throw up a website and call themselves
- 11:01a coach. Let's talk about building a safe
- 11:05space for this work for a client who's already feeling vulnerable
- 11:11and overwhelmed. Why is working with a National
- 11:14Board Certified Health and Wellness coach the ultimate
- 11:17safety net? Yeah, I see it as a really
- 11:21important marker of quality and accountability, right?
- 11:25When we talk about the Wild West and that anyone can hang a
- 11:29shingle and say I'm a coach and we see it all over social media,
- 11:33right? There's some wonderful coaches
- 11:35there. There's some really unsafe
- 11:37information that gets shared as well.
- 11:40And so working with a national board certified health and
- 11:46Wellness coach means that this person has been trained to work
- 11:51under nationally defined standards rather than simply
- 11:55saying, I'm a coach and here's what you need to do.
- 11:58In fact, a nationally board certified coach is much more
- 12:02likely to ask you what you'd like to do, what your
- 12:05motivations are, and how you can do that safely.
- 12:10So a national board certified coach has to go through
- 12:16completion of a nationally board certified health and Wellness
- 12:19coach training program with practical coaching requirements
- 12:24and successful completion of a national board exam.
- 12:28What really sets us apart also is that we have these defined
- 12:32competencies, we have ethical expectations.
- 12:36And just like any allied health practice, a scope of practice,
- 12:42that's our guiding principles that really helps us recognize
- 12:48the boundary between coaching and clinical care or coaching
- 12:54and giving information or all importantly in today's day and
- 13:00age, coaching versus making recommendations, diagnosis or
- 13:06prescriptions, those are things that we don't do in coaching.
- 13:10A strong coach helps the client maintain their autonomy rather
- 13:15than creating dependency. So, you know, to be very clear,
- 13:22board certification doesn't necessarily mean that every
- 13:25coach is going to be the perfect fit for every client, but it
- 13:30does add the certainty that this coach has met and maintained A
- 13:39meaningful baseline. The person has demonstrated
- 13:43education, competency, practical experience and knowledge that
- 13:49meets the national standard. And one of the most important
- 13:53safety skills in coaching is knowing what we're not qualified
- 13:57to do. And I think one of the most
- 14:00beautiful things that folks outside of board certified
- 14:04coaching might not realize is that we all come to coaching
- 14:10with an understanding that our clients are not broken.
- 14:14Our clients are whole, our clients are resourceful, our
- 14:19clients are capable and we aim to build that, not take it away
- 14:25by saying, oh, you don't know what you're doing, you've got to
- 14:27do XY and Z. Of course we can help with
- 14:30guidance, we can help with referrals, but the core of our
- 14:35approach to the individual is that they are whole and they are
- 14:38capable. So I have been following you and
- 14:43I know that you have spoken passionately about keeping
- 14:47coaching accessible without requiring massive degree
- 14:51inflation, meaning that we don't want to force heart centered
- 14:57healers into this expensive four year or master's degrees just to
- 15:03practice. How does the National Board for
- 15:06Health and Wellness Coaching balance keeping the financial
- 15:10barrier to entry realistic while keeping the exam and education
- 15:17standards incredibly rigorous? Yeah, great question.
- 15:21And you really hit at the heart of it, right.
- 15:24I'm someone who is what we like to call an alphabet suit, right?
- 15:29Lots of letters after my name because I love going to school,
- 15:33I love learning things. But again, that's not something
- 15:37that we want to have to require of every coach.
- 15:42There are many, many skilled, phenomenal coaches who have work
- 15:48experience or who have an associate's degree.
- 15:51And it's again, more of the behavioral aspects that really
- 15:56matter in effective coaching. And so while we do want coaches
- 16:02to know very well what their scope is, what their boundary
- 16:05is, we don't necessarily find that for every coaching role.
- 16:10We need a masters or a doctoral level, right?
- 16:12Because again, we're not trying to change our clients.
- 16:16We have, we live in the information age, right?
- 16:19We know information is out there for us.
- 16:22It's more about helping the client find what works for them
- 16:25and the why for them. So back to the question at
- 16:28heart, knowing at the National Board that we can have rigorous
- 16:34standards, we can continue to evolve and adapt our standards,
- 16:39but we want to do so in a responsive and responsible way.
- 16:44We have different types of programs for different education
- 16:48levels or for folks who are seeking different education
- 16:51levels. If you're struggling with the
- 16:53finances of it, reach out. We can't always say, Oh yeah, do
- 16:59exactly this. But we don't want cost to be a
- 17:03barrier if your heart is in this mission.
- 17:06And so, yeah, let's work together to help folks find a
- 17:10way to make the investment worth it.
- 17:13Whether it's a certificate level program or, you know, a graduate
- 17:18level program, there's a program out there for everyone who has
- 17:22the heart and the drive for this work.
- 17:24I love the diversity of that, right?
- 17:26Like it's kind of like meeting our clients where they are,
- 17:30We're meeting our coaches where they are, people interested in
- 17:34coaching where they are. As the continuing education
- 17:37manager, you see the ongoing evolution of our field, which
- 17:42has to be fascinating. How do the the National Board
- 17:49for Health and Wellness Coaching continuing education
- 17:53requirements ensure that board certified coaches remain trauma
- 17:58informed, culturally competent and grounded in the latest
- 18:02behavioral science? Yes.
- 18:03So we have a very stringent review process for every CE
- 18:08course that comes our way. So we look at what is this
- 18:13course offering and who's the intended audience.
- 18:16Oftentimes we'll have some someone apply to be ACE provider
- 18:21and they provide education to other professions.
- 18:24And so we want to be very careful in those cases to say,
- 18:29OK, is this in scope for our coaches also?
- 18:35Yeah, ensuring that any information shared within
- 18:40continuing education is evidence based that it's presented by
- 18:46subject matter experts. And of course as I mentioned
- 18:50again, I'm, I'll, I'll keep mentioning it because it is one
- 18:52of our most important things that it stays within scope of
- 18:56practice and really adheres to our ethical guidelines as well.
- 19:01That it's not about promoting a certain theory or certain
- 19:06supplement or a certain one-size-fits-all program,
- 19:09because that's just not an alignment with National Board
- 19:12health coaching standards. Thank you so much for explaining
- 19:17that for us. So let's transition a little bit
- 19:22to CPT codes, insurance, the clinical side of things.
- 19:27Creating that level that you were just talking about of
- 19:31rigorous credibility, I feel like is exactly how we get a
- 19:35seat at that table, right. And Speaking of that table,
- 19:39there is a massive historic shift happening right now that
- 19:43our community is watching very closely.
- 19:46We're moving from talking about the value of coaching to seeing
- 19:50that integrated in our actual financial infrastructure of
- 19:54healthcare. So exciting.
- 19:57The Centers for Medicare and Medicaid Services, also known as
- 20:01CMS, has been rolling out major updates regarding reimbursement
- 20:06pathways. Can you pull back the curtain
- 20:09for us on the National Board for Health and Wellness Coaching's
- 20:14active advocacy work and what all of this means for the
- 20:19everyday coach? Yeah.
- 20:21So, you know, on its surface someone might think, OK, CMSCPT
- 20:27codes, this is just about how do coaches get paid.
- 20:31But as you mentioned, it's so much more than because in our
- 20:36U.S. healthcare system where CMS goes, so goes everything else.
- 20:42So it really is stands to add a lot of legitimacy to what we do.
- 20:48We know we have the research, we have anecdotal evidence and, and
- 20:52all of this, but having access to the greater healthcare world
- 20:58is a really big thing. So what the national board looks
- 21:02at is how can we make sure that our appropriately trained and
- 21:08credentialed health and Wellness coaches become a recognized part
- 21:12of high quality healthcare workforce.
- 21:15You mentioned earlier on in our broken healthcare system and I
- 21:20think we've all experienced that in some ways.
- 21:22And so, you know, one of one of the many considerations I know
- 21:27so many of us have is how can we integrate more with this
- 21:30healthcare system without taking on some of the things that we
- 21:34know are not so great. And having a background in
- 21:39acupuncture, you know, is having seen how CMS approach that, even
- 21:46having been around way back when, when nurse practitioners
- 21:50were becoming a recognized field, we've seen how this can
- 21:55be done successfully and where some of the stumbling blocks
- 21:59are. So we want, of course,
- 22:01recognition and reimbursement that will significantly expand
- 22:06access to coaching. Again, getting coaching to
- 22:10people who otherwise wouldn't have had a way to pay for that.
- 22:16But reimbursement has to be paired with credible workforce
- 22:19standards. So again, This is why we're
- 22:22really excited that CMS reports have specifically named the
- 22:30National Board for Health and Wellness coaching here, because
- 22:36when payers use a generic term like health coach, there can be
- 22:40enormous variation in training. And that can lead to even
- 22:45healthcare entities saying, OK, let's hire some coaches and
- 22:49seeing, wait, these people are all calling themselves coaches.
- 22:52These ones are really good and these ones maybe aren't meeting
- 22:55the mark. What's different?
- 22:57And often that education, training and the certification.
- 23:02So the National Board for Health and Wellness Coaching contribute
- 23:08something particularly valuable here, an established national
- 23:13credential. We've been credentialing since
- 23:162017, so we've been here for a while now.
- 23:20We're about to celebrate a decade of our board exam,
- 23:24approved education standards, competency, expectations,
- 23:28ethics, and of course, our examination.
- 23:31So access matters, reimbursement matters, and workforce quality
- 23:36matters. And honestly, we shouldn't have
- 23:39to choose between them. When a healthcare entity is
- 23:44hiring a national board certified coach, that's what
- 23:47they're going to get. And when an individual meets
- 23:50with a nationally board certified health and Wellness
- 23:53coach, they know they're meeting with someone who meets these
- 23:57standards. What a great explanation for
- 24:01that. Can you take a moment to briefly
- 24:04explain current procedural terminology or CPT codes to our
- 24:09audience? Yes, so CPT codes.
- 24:15This creates a common language for describing services, right?
- 24:20So I won't ramble off the the codes and embarrass myself right
- 24:24now. It's been a little while, but it
- 24:27essentially let's healthcare entities, billers, insurance
- 24:32companies, coders know exactly what happened in a visit.
- 24:38So again, it's a common language for describing services, but
- 24:42having a code is not synonymous with guaranteed payment.
- 24:47So those coverage decisions involve CMS, commercial
- 24:52insurers, benefit designs, provider eligibility, proper
- 24:57documentation, supervision requirements and other policy
- 25:01decisions. So one of the national board's
- 25:05highest priorities is making sure that policymakers really,
- 25:09truly understand what distinguishes a properly trained
- 25:13and credentialed code health and Wellness coach from someone just
- 25:17using the term coach. And again, I, I, I feel sort of
- 25:21bad saying that because we know that there's phenomenal coaches
- 25:24out there who also who are not board certified.
- 25:28But as we look into reimbursement, that's where we
- 25:33say, OK, this is the standard where the industry can know what
- 25:38they're getting. And I think that is a really
- 25:43important expectation of anyone going to a coach.
- 25:47National board certified health and Wellness coach offers that
- 25:51level, right? So I think that's super
- 25:55important. Yeah, in my particular lens and
- 25:58on the education side, right. So at the national board, we
- 26:02have the approved training program and and continuing
- 26:06education approval side, that's where I live.
- 26:09And on the other, other side, we have the credentialing side
- 26:13administering that exam and then helping certified coaches get
- 26:17their CES, stay credentialed and work in that world.
- 26:21So through my particular lens in on the education side, I see
- 26:26that if health coaching or as health coaching becomes more
- 26:30deeply integrated into healthcare reimbursement will be
- 26:34forced to answer the very important consumer protection
- 26:39question, who is qualified to provide that service.
- 26:43And it's our position at the National Board for Health and
- 26:46Wellness Coaching that our eligibility standards provide a
- 26:51defensible, nationally standardized way to answer just
- 26:55that question. Absolutely 100% agree with that.
- 27:00Yeah, and that's exactly what I'd like our coaches to know as
- 27:04well. Now for the profession as a
- 27:06whole, that recognition creates opportunity, right?
- 27:10We all want more opportunity for health coaching to get out there
- 27:14into the larger world, but with that becomes responsibility.
- 27:18And that's where our scope comes in.
- 27:20The scope is what are we responsible for and what do we
- 27:24need to allow other credentialed health partnerships to be
- 27:29responsible for. So as we move closer to
- 27:32healthcare integration, expectations around competence,
- 27:36documentation, ethics, outcomes and scope, again got to say it
- 27:41will become even more important. So for coaches who want to start
- 27:46positioning themselves for an insurance reimbursed future
- 27:51today, what practical foundational steps should they
- 27:55be taking right now? That's such a great question.
- 27:59So if you're not a board certified coach, reach out.
- 28:01Let's talk about what it might look like to get Word certified.
- 28:05If you are board certified, I would you would get honest with
- 28:10yourself about where you feel really strong in your practice
- 28:13and maybe where you don't feel as strong.
- 28:16Right. So how do you feel about
- 28:18biomedical information? Is it something where you feel
- 28:22like, oh, I don't know anything at all?
- 28:24Maybe that's where you want to focus your continuing education
- 28:27credits, right? Or it's been a while since I
- 28:29talked about blood pressure. What's abnormal, what's normal.
- 28:33Yeah, maybe it's, it's a it's ACE to brush up on that.
- 28:37Maybe you're working already in a healthcare world where even
- 28:43perhaps you have another licensure and you're often
- 28:47working outside of the the scope of a board certified coach,
- 28:52right. Helping yourself to get really
- 28:55clear on where that boundary is can be helpful.
- 28:59And then I would say if you're not sure where to get started or
- 29:04do I want to work in that world again, you're continuing
- 29:07education courses can be really helpful there to start dipping
- 29:11your toe in and see flex your network as well.
- 29:15So if you know other coaches who are working in healthcare or you
- 29:20know, even maybe reaching out to your own PCP or healthcare
- 29:24providers and seeing what they know about health coaching and
- 29:28maybe even posing that question if coaching were to become a
- 29:32reimbursable practice, is that something that would be helpful
- 29:36for your? Practice.
- 29:38I love that flexing your network.
- 29:41So it's it's really incredible for me to hear how much
- 29:46intentionality goes into protecting this profession
- 29:50behind the scenes. Mary Alice holding space for an
- 29:55entire national movement, navigating policy, managing
- 30:00continuing education is a massive mental load on this
- 30:05show. We talk a lot about nervous
- 30:07system regulation and avoiding burnout.
- 30:11I want to look behind that executive curtain for a moment.
- 30:17How do you personally recognize when your own nervous system is
- 30:21hitting a red line? And what are your non negotiable
- 30:26daily somatic tools to ground yourself?
- 30:29Yeah, such an important question.
- 30:31And I think something that we probably don't ask each other
- 30:36enough, right? We see someone's version of
- 30:41success and we say, oh, they must, you know, put in all the
- 30:45hours that they do all of this. And and, you know, we kind of
- 30:49the culture of our world, right, is work, work, work, and then
- 30:53you reward that. But what I've found and that I
- 30:56think many of us has found is that we can't reach that, that
- 31:01success either without sacrificing something or in the
- 31:07more healthy way, creating those boundaries that give us the
- 31:12ability to maintain our energy. So the first warning signs for
- 31:19me, and I guess this is if I can give it some advice to anybody,
- 31:23is get to know yourself really well.
- 31:27I know for me what my sort of red flags are that OK, I'm
- 31:33getting stressed. I try to head it off at the pass
- 31:37by, of course, practicing what I preach, right, getting enough
- 31:39sleep, trying to have a relaxing morning.
- 31:42I'm not a morning person. For me, my first warning signs
- 31:46are usually more cognitive. I'll have less patience.
- 31:51I'll have difficulty prioritizing.
- 31:54Everything starts feeling equally urgent.
- 31:56It's just as important for me to brush my teeth as to answer this
- 31:59e-mail as to, you know, do all of these things.
- 32:01And I'll notice I might be moving faster or touching more
- 32:06things, but less accomplished, right?
- 32:09Everything starts to suffer a bit.
- 32:12My instinct might be to keep pushing, but I've learned to
- 32:16recognize the those kind of pink flags before they become red
- 32:22flags. I know for me also, as someone
- 32:25who tends to think quite holistically about individuals,
- 32:30about myself, about the systems that we put into place, when I
- 32:35start getting very individualized or very isolating
- 32:42in my thought process, when I started saying things to myself
- 32:46like these people, Oh, right. And separating myself from the
- 32:52other or the outcome, that's a real sign that my nervous system
- 32:57is trying to protect me by isolating me.
- 33:00But it's a sign that burnout is coming.
- 33:04So one thing that coaching has absolutely taught me is to
- 33:07notice without immediately judging, because if I start
- 33:11judging myself, oh, it just, you know, makes it even worse.
- 33:15Instead, I'll say, what is it about this situation that I wish
- 33:20I was handling better? Why is this coming up?
- 33:25What's my system telling me right now?
- 33:28What advice do you have for setting deep energy boundaries
- 33:33so we don't absorb the collective weight of everyone
- 33:36else's bud? Oh my goodness.
- 33:39That's hard one. I think this might be good life
- 33:47and advice in general. You don't have to be everything
- 33:50to everyone. You know, a lot of especially
- 33:56new coaches will ask about don't I have to have a niche?
- 33:59Don't I have to have a speciality?
- 34:02And I think when when we think about success in general, right,
- 34:07we, we might think about being really good at all of these
- 34:11things. I think about this with people
- 34:13who go for their doctorate, right?
- 34:15Many of them will will say, yes, going for that has made me
- 34:19better, but in one really tightly defined area.
- 34:24Now, that doesn't mean that everything else has to suffer
- 34:27for it, but I think being open to that process, keeping our
- 34:33growth mindset and having the confidence to say, hey, I don't
- 34:38have to be great at everything. I don't have to be everything to
- 34:42everybody. But what I do have to do is know
- 34:46myself well enough to know where those boundaries are, to know
- 34:51what helps me be my best or what takes away from that.
- 34:55And that can be a really great values based sort of navigation
- 35:00tool for what we're willing to put our energy energy into and
- 35:04what, you know, maybe we can leave for somebody else to put
- 35:07their energy towards. Earlier you mentioned practicing
- 35:12what we preach, right? And we know that's the ultimate
- 35:15foundation, especially when the work gets really heavy.
- 35:19And I know so many coaches listening right now are trying
- 35:23to find that exact balance. They've done the hard work,
- 35:27they've studied, they've passed the national board exam.
- 35:31But stepping out into the business or clinical world can
- 35:36feel like a whole new kind of mud.
- 35:39Sure. As we wrap up today, what is
- 35:42your best piece of advice for a newly national Board certified
- 35:46health and Wellness coach trying to build true confidence and
- 35:51client momentum in their first, let's say, 90 days?
- 35:54Yeah, great question. And being relatively new to my
- 35:59role at the national board, I've been there now for nine months
- 36:05or so, almost time for me to stop saying I'm new.
- 36:08But let me tell you, even as someone who's been in the
- 36:12coaching world for a long time, who knows the competencies
- 36:16inside and out, I haven't been in this role before.
- 36:19And it's been a learning curve and it's forced me to grapple
- 36:23with some of that, not imposter syndrome necessarily, because I
- 36:28know I'm capable of the role, but still that going back to
- 36:32basics, remembering how to be a learner.
- 36:35And so my message there is be kind to yourself.
- 36:41Be patient with yourself. You've mastered the coaching
- 36:45skills. You've passed your practical
- 36:47skills assessment. You've gotten that golden stamp
- 36:50that says you can go out and coach the world.
- 36:52You passed your board exam. That is so hard.
- 36:56And it shows us, you know, how to think like a coach.
- 36:59You know when a situation comes up that you'll be able to work
- 37:04with it with grace, with empathy.
- 37:06So offer that to yourself as well.
- 37:10Really practical advice. Don't spend the first three
- 37:13months perfecting your logo. Confidence comes from coaching
- 37:17people and getting those experiences.
- 37:20You'll learn something from every single person you coach.
- 37:26So yeah, coaching comes or confidence comes from doing the
- 37:30work, not from thinking about doing the work.
- 37:33So get those repetitions and reflect afterwards.
- 37:37It's OK to ease into it. It's OK.
- 37:39Get those repetitions. Build your strength, build your
- 37:42stamina, build your style. And over time you'll really
- 37:48start to see, OK, this is where I'm feeling strong.
- 37:52This is where maybe I could ask my network to help mentor me or
- 37:57to seek some feedback to keep growing those skills.
- 38:02Passing the National board exam lets us know that you've met
- 38:05these foundational standards. But it's part of our role as
- 38:09coaches to continue growing and evolving.
- 38:13We're always learning and growing and again, that idea of
- 38:17you don't have to be everything to everybody.
- 38:19We want you to be able to coach any situation, any person, any
- 38:24mood that walks into your coaching practice.
- 38:28And yet your niche, what you're you may end up specializing in,
- 38:33tends to come with time and practice.
- 38:36You don't have to invent it before your first client.
- 38:40And your practice, just like you, will continue evolving over
- 38:43time as well. You already know the standards
- 38:47of the coaching practice, right? You've proven that you don't
- 38:51have to prove your value by having the smartest answer, or
- 38:55the loudest voice, or the swankiest website, the largest
- 39:00social media following. All of those things are really
- 39:03nice. But remember your basics.
- 39:07Show up with empathy. Be a human.
- 39:09We need that more than ever, right?
- 39:11AI can learn to coach, but it can't learn to be you.
- 39:15And it can't learn empathy. It can't learn true empathy.
- 39:19I should say yes. So ask good questions, listen,
- 39:24evoke, partner with your client. The rest will come.
- 39:30Words of wisdom to live by for coaches.
- 39:33Thank you so much for that. I always like to close the show
- 39:38with a sentence like, no matter how deep the mud feels right
- 39:44now. Can you complete your version of
- 39:47that sentence for us? No matter how deep the mud feels
- 39:50right now. No matter how deep the mud feels
- 39:54right now, I would say know that it is fortifying.
- 40:00You know that it is like compost, right?
- 40:05That breaking down of material, that breaking down of who am I
- 40:12and what am I going through is exactly what will be the fuel to
- 40:17keep you blossoming and flourishing and moving forward.
- 40:22Wonderful, thank you so much for sharing your wisdom, your heart,
- 40:27your incredible leadership with us today.
- 40:30What is a way for listeners to follow your work and stay
- 40:34connected with the NBHWC community?
- 40:38Yeah. So I would definitely check out
- 40:40nbhwc.org. We're constantly updating our
- 40:46website with new information and offerings.
- 40:50It's where you can find all of our CE library.
- 40:53And of course, you can always reach out via e-mail to
- 40:57info@nbhwc.org to get our kind of general line.
- 41:05And and then please also feel free to take down my
- 41:08information. My e-mail address is
- 41:11maryalice@nbhwc.org. Please feel free to reach out.
- 41:17I know sometimes people here the National Board for Health and
- 41:20Wellness Coaching, and it feels like I might not want to reach
- 41:23out there. They might be scary or
- 41:25something. I have a very open door policy
- 41:29and I'm a coach too, so I love talking with folks.
- 41:32No question too big or too small.
- 41:34And if I don't have the answer, I probably know someone who
- 41:37does. I also recommend following the
- 41:41National Board for Health and Wellness Coaching on social
- 41:44media. And feel free to reach out on
- 41:47LinkedIn as well. I'm there just under my name.
- 41:51The National Board has a page there as well.
- 41:55And those are not only great resources for you as
- 41:58individuals, but a great way to grow your network as well.
- 42:02Coaching can feel like, especially if you're doing it in
- 42:06private practice, it can feel like a very isolating
- 42:09environment, but it doesn't need to be.
- 42:11And so please know that if you're looking for mentorship or
- 42:16networking or even just to reach out and ask a question or say,
- 42:20am I doing this right? Or oh, I had this really tough
- 42:25visit and I'd like to talk to someone about it.
- 42:27We're here for you. We're here at Best Coaches for
- 42:31Coaches and honestly, the National Board for Health and
- 42:34Wellness Coaching works for you. We work for coaches.
- 42:37So please don't hesitate to reach out.
- 42:39We'd love to hear from you and support in whatever ways we can.
- 42:43I love that so much. Connect, connect, connect,
- 42:46right? Yes, don't be afraid to.
- 42:49Thank you for sharing yourself with us today and all of your
- 42:53expertise. And thank you all for listening
- 42:56to Rising Above the Mud. Remember, you aren't being
- 42:59buried, you're just planted. Keep rising and I'll see you
- 43:03next week. Remember to join me again next
- 43:08week for a new episode on the necessity of rest and sleep.