What Techniques Do Health Coaches Use for Client Mental Blocks? A Guide to Breakthrough Coaching
Jul 18, 2025
Hey there! I'm about to share something that completely changed how I work with my health coaching clients - and honestly, it's probably the most important skill they don't teach you in most certification programs.
Let's go with this example: You're sitting across from a client who knows exactly what they need to do. They've got the meal plan, they understand why movement matters, they're nodding along to everything you're saying. But week after week, they show up with the same excuses, the same self-sabotaging behaviors, and the same frustrated look on their face. Sound familiar?
I used to think this meant I was failing as a coach. I'd pile on more information, create more detailed plans, and honestly? I was just making things worse. Because here's what I learned the hard way - about 80% of health coaching isn't about nutrition or exercise. It's about helping people get out of their own way.
The mental blocks your clients face - that inner voice telling them they're not worth it, the perfectionist thinking that keeps them stuck, the fear of actually succeeding - these are the real barriers standing between them and their health goals. And if you don't know how to address these blocks, you're going to watch client after client struggle and eventually give up.
In this complete guide, I'm going to walk you through the exact techniques I use to help my clients push past their mental blocks and create lasting transformation. You'll learn how to spot these blocks before they derail progress, powerful tools you can use in your very next session, and how to become the kind of coach who creates real, lasting change in people's lives.
The Hidden Reality: Why Mental Blocks Are Your Client's Biggest Enemy
Let me tell you something that might shock you - I've worked with hundreds of clients over the years, and I can count on one hand how many of them actually had a knowledge problem. The rest? They were fighting battles in their own minds that they didn't even know how to name.
Sarah came to me after trying every diet under the sun. She knew vegetables were good for her, she understood portion control, she could recite the benefits of drinking water like she was reading from a textbook. But every Sunday night, she'd meal prep with the best intentions, and by Wednesday, she'd be elbow-deep in a bag of chips wondering what was wrong with her.
Here's the thing - nothing was wrong with Sarah. She was just stuck in what I call the "knowledge trap." She thought more information would fix her problem, but information wasn't her problem. Her problem was the voice in her head that said "you always mess things up anyway, so why even try?"
Mental blocks show up differently for everyone, but they all have one thing in common: they're protective mechanisms that have outlived their usefulness. Your client's brain is literally trying to keep them safe from failure, disappointment, or judgment - but in doing so, it's keeping them stuck.
The most common mental blocks I see are:
- All-or-nothing thinking: "If I can't eat perfectly, I might as well not try at all"
- Imposter syndrome: "Who am I kidding? I'm not the type of person who takes care of themselves"
- Fear of success: "What if I actually reach my goals and then can't maintain them?"
- Perfectionist paralysis: "I need to have the perfect plan before I can start"
- Past failure programming: "I've tried before and failed, so I'll probably fail again"
Once you start recognizing these patterns, you'll see them everywhere. And here's the beautiful thing - once your clients understand what's happening in their minds, they can start to change it.
The Coach's Toolkit: 5 Powerful Techniques to Break Through Mental Blocks
Alright, let's get into the good stuff. These are the techniques I use almost daily with my clients, and I promise you - they work. But here's the catch: you can't just throw these at people like you're following a script. Each technique needs to be adapted to your client's specific situation and personality.
1. The Reality Check Method
This is my go-to when clients are stuck in catastrophic thinking. You know the type - they're convinced that eating one cookie means they've ruined everything and might as well give up for the week.
Here's how it works: When your client starts spiraling, ask them three simple questions:
- "What's the worst thing that could realistically happen here?"
- "What's the best thing that could happen?"
- "What's most likely to actually happen?"
I remember working with Mark, who was convinced that if he didn't lose 20 pounds in two months, his wife would leave him. We walked through the reality check, and he realized his wife had never said anything about his weight - that was all his own fear talking. Once he saw that, he could focus on sustainable changes instead of crash dieting.
2. The Identity Shift Technique
This one's a game-changer. Instead of focusing on what your client wants to do, focus on who they want to become. People will do crazy things to stay consistent with their identity.
Instead of saying "I want to exercise more," help them say "I'm becoming someone who moves their body every day." Instead of "I should eat healthier," try "I'm someone who nourishes their body with whole foods."
The language shift sounds small, but it's huge. When someone sees themselves as "a person who exercises," skipping workouts feels uncomfortable because it doesn't match their identity.
3. The Minimum Viable Progress Approach
Perfectionist clients love this one because it gives them permission to start small. When someone's paralyzed by the idea of overhauling their entire life, we shrink the goal down to something so small it feels almost silly not to do it.
Want to drink more water? Start with one extra glass. Want to move more? Start with walking to the mailbox. Want to eat more vegetables? Start with adding one piece of lettuce to your sandwich.
I know it sounds too simple, but here's why it works: Success builds momentum. When your client proves to themselves that they can follow through on small things, they start believing they can follow through on bigger things too.
4. The Future Self Visualization
This technique helps clients connect with their deeper motivation when they're feeling stuck. Ask them to close their eyes and imagine themselves one year from now, having made all the changes they want to make.
But here's the key - don't just focus on how they'll look. Ask them:
- How will you feel when you wake up in the morning?
- What will your energy be like throughout the day?
- How will you show up for the people you love?
- What activities will you be able to do that you can't do now?
I had a client who was struggling with motivation until we did this exercise. She realized that her real goal wasn't to lose weight - it was to have the energy to play with her grandkids without getting winded. That became her North Star.
5. The Pattern Interrupt Strategy
Sometimes clients get stuck in automatic negative thought patterns. This technique helps them catch these thoughts and consciously choose a different response.
When your client notices a negative thought pattern starting, have them:
- Stop what they're doing
- Name the thought pattern ("Oh, there's my all-or-nothing thinking again")
- Choose a different response ("What would someone who loves themselves do right now?")
The goal isn't to never have negative thoughts - that's impossible. The goal is to notice them faster and choose how to respond instead of just reacting automatically.
Reading the Signs: How to Spot Mental Blocks Before They Derail Progress
You know what separates good coaches from great coaches? Great coaches can smell a mental block from a mile away. They don't wait until their client is already stuck - they see the warning signs and address them before they become bigger problems.
Learning to read these signs is like developing a sixth sense. At first, you might miss them, but the more you practice, the more obvious they become. And trust me, your clients will think you're a mind reader when you call out their blocks before they even realize they're having them.
The Language Red Flags
Pay attention to how your clients talk about themselves and their goals. Their words will tell you everything you need to know about what's going on in their heads.
All-or-nothing language: "I'm terrible at this," "I always mess up," "I never follow through." When you hear absolutes like always, never, terrible, perfect - that's your cue that black-and-white thinking is taking over.
Victim language: "I can't help it," "It's just too hard," "I don't have time." This usually means they're feeling overwhelmed and powerless. They've convinced themselves they don't have choices.
Future-focused excuses: "I'll start Monday," "After the holidays," "When things slow down." This is perfectionist paralysis disguised as planning. They're waiting for perfect conditions that will never come.
Comparison language: "Everyone else makes it look so easy," "Other people don't struggle like I do." This is imposter syndrome talking - they think they're the only one who finds it hard.
The Behavioral Red Flags
Sometimes clients won't tell you directly what's going on, but their actions will. Here's what to watch for:
The information seeker: They keep asking for more meal plans, more research, more details. They think if they just have enough information, they'll finally be able to follow through. This is usually fear of failure disguised as preparation.
The excuse factory: Every week there's a new reason why they couldn't stick to the plan. Their kid got sick, work was crazy, they had a headache. While these might be legitimate obstacles, when it happens repeatedly, it's usually a sign they're scared of success.
The people pleaser: They agree to everything you suggest but then don't follow through. They're more concerned with making you happy than actually changing their life. This usually stems from fear of disappointing others.
The perfectionist: They either do everything exactly as planned or they don't do anything at all. They'll skip workouts rather than do a "bad" workout. They'll eat fast food instead of a home-cooked meal that isn't perfectly healthy.
The Emotional Red Flags
This is where your coaching intuition really comes in handy. Sometimes you'll just feel that something's off, even when your client is saying all the right things.
Low energy or enthusiasm: If someone was excited about their goals last week and now they seem deflated, something shifted. Maybe they had a setback, or maybe they're starting to doubt themselves.
Overwhelm disguised as excitement: "I'm going to meal prep every Sunday, work out six days a week, meditate every morning, and..." Hold up. This is usually someone trying to outrun their fear of failure by doing everything perfectly.
Defensiveness: When you give feedback or suggestions and they immediately explain why it won't work or why their situation is different, that's usually a protective mechanism kicking in.
The key is to approach these red flags with curiosity, not judgment. Instead of saying "You're making excuses," try "I'm noticing some hesitation. What's really going on for you right now?"
Creating Safe Spaces: The Foundation of Breakthrough Coaching
Here's something most coaches get wrong: they think their job is to motivate their clients. But motivation is fleeting - it comes and goes like the weather. What your clients really need is something much more powerful: psychological safety.
When someone feels truly safe with you, they'll tell you things they've never told anyone else. They'll admit their real fears, their secret shame, their deepest doubts. And that's when the real transformation happens - not in the meal plans or workout schedules, but in those vulnerable moments when they finally feel seen and understood.
The Power of Non-Judgmental Listening
I learned this lesson the hard way early in my coaching career. I had a client named Lisa who kept "forgetting" to do her meal prep. Week after week, she'd show up with apologetic excuses, and I'd respond with more strategies, more reminders, more solutions.
Finally, I stopped trying to fix her and just asked, "Lisa, what's really going on here?" And she broke down crying. She told me that she felt like she didn't deserve to take care of herself, that spending time on meal prep felt selfish when her family needed her attention.
That wasn't a meal prep problem - that was a self-worth problem. And until I created space for her to feel safe sharing that, all my meal prep strategies were useless.
How to Create Psychological Safety
Start with your own energy: Your clients can feel your judgment even when you think you're hiding it. Before each session, take a moment to check in with yourself. Are you frustrated with their lack of progress? Are you taking their struggles personally? If so, you need to shift your energy before you can help them.
Use reflecting language: Instead of jumping to solutions, reflect back what you're hearing. "It sounds like you're feeling overwhelmed by all the changes," or "I'm hearing that you're scared of failing again." This shows them you're really listening and helps them feel understood.
Normalize their struggles: Let them know they're not broken or weird for struggling. "You know, most of my clients have told me something similar," or "That's such a human thing to experience." This helps them feel less alone and more normal.
Ask permission before giving advice: "I have an idea that might help - would you like to hear it?" This gives them control and shows respect for their autonomy.
The Art of Powerful Questions
The right question at the right moment can unlock years of stuck energy. But here's the thing - powerful questions aren't about finding the right answer. They're about helping your client find their own answers.
Instead of "What did you eat yesterday?" try "What was going through your mind when you made that food choice?"
Instead of "Why didn't you exercise?" try "What would need to be different for movement to feel good to you?"
Instead of "What's your goal?" try "What would be possible in your life if this wasn't a struggle anymore?"
See the difference? The first set of questions puts you in the expert role and them in the student role. The second set treats them as the expert on their own life and helps them access their own wisdom.
Dealing with Resistance
When clients push back against your suggestions or seem defensive, that's not a sign you're doing something wrong - it's a sign you're getting close to something important. Resistance is usually protecting something vulnerable.
Instead of pushing harder, get curious about the resistance. "I'm noticing some hesitation about this suggestion. What concerns you about it?" or "What would be the worst thing about actually following through on this?"
Sometimes the resistance is practical - they really don't have time for hour-long workouts. But often it's emotional - they're scared of failing, scared of succeeding, or scared of being disappointed again.
When you can help them explore what's underneath the resistance, that's when breakthrough happens.
Real Client Stories: Mental Block Breakthroughs in Action
Let me share some stories from my practice that show you exactly how these techniques work in real life. These aren't perfect fairy tale endings - they're messy, real, and sometimes took longer than anyone wanted. But they're proof that when you address the mental blocks, everything else becomes possible.
Case Study 1: Jessica and the Perfectionist Prison
Jessica came to me after gaining 40 pounds during a stressful divorce. She was a high-achieving lawyer who approached health the same way she approached everything else - with detailed plans and impossible standards.
Her first week, she created a meal plan that looked like it came from a fitness magazine. She scheduled workouts at 5 AM every day. She bought $200 worth of supplements. And by day four, she'd already "failed" and was ready to quit.
The breakthrough came when I asked her, "Jessica, what would it look like if you were successful at being imperfect?" She looked at me like I'd spoken a foreign language.
We worked on the Minimum Viable Progress approach. Instead of perfect workouts, she committed to putting on her workout clothes every day. That's it. Some days she'd actually exercise, some days she'd just wear the clothes to work. Both counted as success.
Three months later, she was exercising consistently, had lost 15 pounds, and most importantly, had learned that "good enough" was actually pretty amazing. She told me, "I spent so many years waiting for the perfect moment to start taking care of myself. I was literally perfectioning myself into staying stuck."
Case Study 2: Marcus and the Identity Crisis
Marcus was a 45-year-old dad who'd been an athlete in college but hadn't been active in over a decade. He kept talking about wanting to "get back in shape," but every program he tried lasted about two weeks.
The problem wasn't his workout plan - it was his identity. He was still trying to be the college athlete he used to be, and when he couldn't keep up with that standard, he'd quit entirely.
We used the Identity Shift technique. Instead of trying to reclaim his old identity, we helped him create a new one: "I'm a dad who shows my kids what it looks like to take care of your body."
This changed everything. His workouts became less about performance and more about modeling. He started including his kids - taking family bike rides, going on hikes, playing basketball in the driveway. When he stopped trying to be who he used to be and started being who he wanted to be now, consistency became natural.
Six months later, he'd lost 30 pounds, but more importantly, his 12-year-old son started asking to work out with him. That's when Marcus knew he'd truly succeeded.
Case Study 3: Amanda and the Self-Worth Block
Amanda was stuck in a cycle that broke my heart. She'd do really well for a few weeks, lose some weight, start feeling confident, and then sabotage herself. Every single time.
During one session, she casually mentioned that she'd eaten an entire sleeve of cookies the night before her company's annual party. When I asked what was going through her mind, she said, "I just figured I'd look terrible in my dress anyway, so what's the point?"
That's when I realized what was happening. Every time Amanda started looking better, she'd unconsciously sabotage herself because deep down, she didn't believe she deserved to feel good about herself.
We used the Future Self Visualization technique, but with a twist. Instead of imagining how she'd look, we focused on how she'd feel about herself. We worked on the voice in her head that said she wasn't worth the effort.
The breakthrough came when she realized that taking care of herself wasn't selfish - it was necessary. She started seeing self-care as a responsibility, not a luxury. That shift in perspective changed everything.
Case Study 4: David and the Fear of Success
This one might surprise you. David was terrified of actually reaching his goals. He'd been overweight for most of his adult life, and on some level, being "the fat guy" had become part of his identity.
He was scared that if he lost weight, people would expect him to keep it off. He was scared his friends would treat him differently. He was scared he wouldn't know how to handle attention from women. Success felt more dangerous than staying stuck.
We used the Reality Check Method to examine these fears. What would really happen if he reached his goals? What was the worst-case scenario? What was most likely to happen?
We also worked on the idea that he could lose weight and still be the same person - just healthier. His sense of humor, his kindness, his intelligence - none of that would change.
It took time, but eventually David realized that his fears were bigger than his reality. He lost 50 pounds and discovered that success wasn't scary - it was liberating.
The Common Thread
What all these stories have in common is that the real breakthrough happened when we stopped focusing on the symptoms (the food, the exercise, the weight) and started addressing the root cause (the mental blocks, the limiting beliefs, the identity issues).
That's what separates good coaches from great ones. Good coaches help people change their behavior. Great coaches help people change their minds. And when you change someone's mind, the behavior change follows naturally.
When to Dig Deeper: Recognizing When Professional Help is Needed
Here's something I wish someone had told me when I first started coaching: you can't fix everyone, and that's not your job. Sometimes the mental blocks your clients are dealing with go deeper than what coaching can address, and recognizing when to refer out is one of the most important skills you can develop.
I learned this lesson with a client named Rachel. She was dealing with what seemed like perfectionist tendencies, but the more we worked together, the more I realized she was struggling with something much deeper - likely clinical depression and anxiety that had been going on for years.
Rachel would have good days where she'd follow through on everything, and then she'd disappear for weeks. She'd apologize profusely, promise to do better, and then the cycle would repeat. I kept thinking I wasn't coaching her well enough, but the truth was that she needed professional mental health support, not just coaching.
Red Flags That Signal Deeper Issues
Extreme mood swings: If your client's energy and motivation fluctuate dramatically from session to session, that might indicate underlying mood disorders.
Persistent negative self-talk: Everyone has an inner critic, but if your client consistently talks about themselves in ways that seem cruel or extreme, that's worth paying attention to.
Substance use as coping: If they frequently mention using alcohol, food, or other substances to deal with stress or emotions, that's beyond the scope of coaching.
Trauma responses: If your client mentions past trauma or you notice they have strong emotional reactions to seemingly normal situations, they may need trauma-informed therapy.
Suicidal ideation: If a client ever mentions wanting to hurt themselves or not wanting to be alive, that's an immediate referral to a mental health professional.
How to Make Referrals Without Damaging the Relationship
The key is to frame it as expanding their support team, not replacing you. You might say something like, "I'm noticing that some of what you're dealing with might benefit from additional support. I'd love to help you find a therapist who specializes in this area to work alongside our coaching."
Remember, referring out doesn't mean you've failed as a coach. It means you're being responsible and putting your client's wellbeing first.
Building Your Mental Block Toolkit: Resources and Next Steps
Now that you understand the techniques, let me give you some practical tools to implement this in your practice right away.
Essential Questions for Every Coaching Session
Keep these questions in your back pocket. They'll help you quickly identify when mental blocks are at play:
- "What's really going on for you right now?"
- "What would need to be different for this to feel easier?"
- "What's the story you're telling yourself about this situation?"
- "What would you say to a friend who was in your exact situation?"
- "What's the worst thing that could happen if you succeeded?"
- "What would have to be true for you to believe you deserve this?"
The Mental Block Assessment Tool
Before diving into nutrition or exercise plans, I now do a quick mental block assessment with every new client. Here's what I ask:
- Past Experience: "Tell me about a time you tried to make health changes. What worked? What didn't?"
- Self-Talk: "How do you typically talk to yourself when you make a mistake?"
- Identity: "How do you see yourself? Are you someone who takes care of themselves?"
- Fear Factor: "What scares you most about reaching your health goals?"
- Support System: "Who in your life supports your health goals? Who might not?"
Their answers to these questions tell me more about their likelihood of success than any food diary ever could.
Creating Your Own Mental Block Intervention Plan
For each client, I create what I call a "Mental Block Intervention Plan." It's a simple document that outlines:
- Their primary mental block patterns
- Which techniques work best for them
- Warning signs to watch for
- Their preferred language for coaching conversations
- Emergency strategies for when they're struggling
This becomes a roadmap for your coaching relationship and helps you stay focused on what really matters.
The Ripple Effect: How Addressing Mental Blocks Transforms Everything
When you start helping clients work through their mental blocks, something magical happens. It's not just about health and wellness anymore - it's about them becoming the person they've always wanted to be.
I've had clients tell me that learning to overcome their perfectionism in health carried over into their relationships. Others have said that building confidence around their body image helped them speak up at work. Some have shared that learning to be compassionate with themselves during health setbacks taught them how to be more compassionate with their kids.
That's the ripple effect of this work. When you help someone change their relationship with themselves, you're not just changing their eating habits or exercise routine - you're changing their life.
Maria, one of my clients, put it perfectly: "I came to you because I wanted to lose weight. But what I really got was my life back. I learned that I'm not broken, I'm not lazy, and I'm not hopeless. I just needed someone to help me see what was really going on in my head."
Your Next Steps as a Coach
If you're feeling overwhelmed by all this, that's normal. Mental block work can feel intimidating when you're used to focusing on meal plans and workout schedules. But here's the thing - you don't have to master all of this overnight.
Start with one technique. Pick the one that resonates most with you and practice it with your next few clients. Pay attention to how they respond. Notice what works and what doesn't.
Remember, becoming great at this takes time. I've been doing this work for years, and I'm still learning new things about how the mind works and how to help people change their relationship with themselves.
The most important thing you can do is stay curious about your clients' inner worlds. When someone isn't following through on their commitments, instead of assuming they're lazy or unmotivated, get curious about what's really going on. That curiosity will lead you to the real work - the work that actually creates lasting change.
Your clients are counting on you to see beyond the surface-level symptoms and help them address what's really keeping them stuck. They need you to be more than just a meal plan creator or workout designer. They need you to be a guide who can help them break free from the mental prisons they've built for themselves.
Are you ready to be that kind of coach? Because the world needs more coaches who understand that real transformation happens from the inside out. Your clients are waiting for someone who gets it, someone who can help them not just change their bodies, but change their lives.
That someone is you