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A significant and important element to our training as certified coaches is recognizing when it is time to refer a client to a mental health professional. Making this decision can be challenging especially when you are not sure how to interpret a pattern of behaviors you are noticing in your client. If you are concerned about a client and would like guidance on how best to help your client, you can schedule a call with Dr. Mirella De Civita. She is a Clinical Research Psychologist having earned a Ph.D. from l’Université de Montreal and a licensed Psychotherapist in the province of Quebec. She possesses a wealth of knowledge and experience as a Health Psychologist having worked in behavioral medicine as a Postdoctoral Fellow in the Faculty of Medicine, Department of Clinical Epidemiology at McGill University. She is a Professional Certified Coach (PCC) with the International Coach Federation (ICF), a Master Corporate Executive Coach with the MEECO Leadership Institute (USA), and a Certified Mentor Coach (InviteChange, USA). Her extensive training and experience span the range of bipolar and related disorders; personality disorders, depressive disorders, anxiety disorders, substance-related and addictive disorders, disruptive, impulse-control & conduct disorders, and obsessive-compulsive in children, adolescents, and adults. If you feel your client is in imminent danger of seriously harming himself/herself as well as another person, please contact your local police or emergency services immediately.

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NOTE: If you don’t find an available time that suits you please contact us and we will work with you to find a suitable date and time.


  • According to the Mental Health Commission of Canada, by 2020, mental health issues such as depression and anxiety disorders, along with other psychiatric disorders will rival physical diseases such as cardiovascular diseases.
  • According to the WHO, one in four people in the world will be affected by mental or neurological disorder at some point in their lives. At the present moment, 450 million people currently suffer from one such condition. Sadly, there is still so much stigma, discrimination, and neglect in prevention and treatment Two thirds of people suffering today do not seek help from a mental professional.
  • In a recent survey conducted by Papillon MDC on the prevalence of mental health issues in leaders who sought coaching in their lifetime, leaders were asked about their experience. Among 125 leaders who responded to the survey, 68% indicated having worked with a coach. Among this group 13% were also living with a mental health issue diagnosed by a mental health professional, while they were being coached. In 9% of these cases, coaching exacerbated the mental health issue. More specifically, these leaders described their symptoms worsening. Depressive or bipolar disorders (36.4%) was the leading diagnosis.

As coaches we have a duty and responsibility to work within our competencies and to hold with compassion conversations with clients that demonstrate signs of a mental health condition. You don’t need to be an expert. You simply need to know how to recognize them and make the referral.

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