Published On: July 28, 2025Categories: All Articles

Written by: Marcel Lemieux

As strength and conditioning professionals and clinicians, we often view ourselves as managers of physical stress, responsible for applying, monitoring, and adjusting load to optimize adaptation and performance. We are trained to identify physical inefficiencies, movement patterns and create specific programs to manage the physical tolls our clients face.

So, what happens when some of the challenges and barriers our clients are facing are related to psycho-social factors and not just physical ones? Sometimes, our clients aren’t reaching their goals due to issues such as missed sessions, inconsistent efforts or emotional reactivity pre-post and intra-session. These issues often reflect deeper concerns with emotional stress, self-doubt, anxiety, motivational conflicts or environmental factors.

This article aims to help strength and conditioning professionals understand and utilize social-emotional techniques in their practices. Not only will it draw from research practices but also from real-world implementations from coaching to counselling in order to help identify and address these often hidden struggles. Whether you are working with high-level athletes, adolescents, post-rehab or general population clientele, this article aims to provide you with the tools to foster psychological safety, build trust, and support behavioral change in order to help your clients excel in life and not just the weight room.

Understanding Psychosocial Stressors

Lazarus and Folkman (1984) define psychosocial stressors as emotional, cognitive, social, and environmental factors that influence behaviour, motivation, and consistency. These include but are not limited to life stress, fear of failure, self-doubt, shame, perfectionism, environment factors such as housing, living conditions, family dynamics, as well as past experiences. These psycho-social barriers can manifest differently for each individual, especially depending on the population you are working with. For high-level athletes, it may look like self-doubt and negative self-talk, fear of failure, or perfectionism. For general population clients, it may look more like missed and inconsistent sessions, lack of program adherence and inconsistent effort. In all populations, these stressors can lead to chronic stress and emotional dysregulation which can be difficult to identify.

From a physiological perspective, chronic stress or emotional dysregulation can impair autonomic nervous system (ANS) balance, disrupting recovery, sleep quality, and readiness to train. The biopsychosocial model, which is widely used in pain science and injury rehabilitation, reminds us that biological outcomes are always influenced by psychological and social inputs. Originally developed in the context of pain and chronic illness, the biopsychosocial model highlights how physical health cannot be fully understood without also considering psychological and social factors. In strength and conditioning, this lens helps explain why emotional or cognitive stress can affect performance and recovery.

Behaviourally, the Self-Determination Theory teaches us that people are more likely to sustain behaviours when they feel autonomous, competent, and connected to others. According to Deci and Ryan (1985), when core psychological needs are not met, motivation tends to decline, whether in training adherence, sleep, or nutritional habits. In practice, psychosocial challenges don’t always announce themselves directly. A general population client struggling with work stress may present as a “difficult client” or an athlete dealing with perfectionism may resist program changes out of fear. This is why integrating social-emotional strategies can enhance not only performance outcomes, but also trust, adherence, and long-term behaviour change.

There are several different social-emotional strategies we can use to support the psychosocial challenges that our clients face, but in this article, we will focus on four: Motivational Interviewing, Cognitive Behavioural Coaching, Mindfulness Tools and Visualization/Mental Rehearsal. Most of these strategies are done by strength and conditioning professionals naturally. However, it is important to learn how to do them with intent and purpose.

Motivational Interviewing: Eliciting the “Why”

Motivational Interviewing (MI) is a collaborative communication approach designed to strengthen an individual’s motivation and commitment to change (Miller & Rollnick, 2013). Rather than telling clients what to do, MI helps clients explore their own reasons for change by evoking “change talk” which is the language people use when they talk about desire, ability, reasons, and need.

In practice, this might sound like asking open-ended questions such as, “What matters most to you about training right now?” or “When you’ve felt successful in the past, what was different?”. When looking at client barriers or challenges, these questions may look more like “where did you feel yourself being challenged” or “are there any barriers you feel are worse than others” Rather than confronting resistance, MI helps diffuse it by validating ambivalence and encouraging autonomy.

This approach is especially useful when clients present with inconsistent motivation or missed sessions. By fostering a sense of ownership, MI supports autonomy and competence, the two pillars of Self-Determination Theory (Deci & Ryan, 1985).

Cognitive Behavioural Strategies: Reframing the Narrative

Cognitive Behavioural Coaching (CBC), is an adaptation of Cognitive Behavioural Therapy, which focuses on identifying and modifying unhelpful thought patterns that drive behaviour (Neenan, 2009). In the training context, CBC can be particularly useful for clients who internalize failure, catastrophize minor setbacks, or engage in all-or-nothing thinking (e.g., “If I miss one workout, I’ve ruined everything”), which a lot of our athletes do. This approach can help clients identify unhelpful patterns by asking reflective questions such as, “What would you say to a friend who felt the same way?” or “What’s the evidence that missing one session derails your entire progress?”

These thought reframing strategies can help increase cognitive flexibility and reduce emotional reactivity, improving program adherence and resilience over time. (Beck, 2011). This strategy is also great to use when a client seems “stuck” in the plateau loop. For example, a client may feel they’ve hit a ceiling with strength gains, leading to frustration and avoidance. They may express thoughts such as their program not working or they aren’t putting enough effort in. Rather than challenging those negative thoughts, you come at them with inquisitiveness which makes them feel less defensive and more open to identifying the barriers.

Mindfulness-Based Tools: Training to be in the Present Moment

Mindfulness, defined as nonjudgmental awareness of the present moment, can significantly improve focus, emotional regulation, and stress resilience (Kabat-Zinn, 2003). In training, this may look like teaching clients to use breath awareness during warm-ups, cueing bodily sensations between sets, or encouraging mindful transitions between movements. Most of us already do this in order to support mind-body connections or learning to brace properly, but in this context, it’s to break the thought cycle that can hinder performance.

For clients struggling with anxiety, rumination, or disconnection from their body, mindfulness can provide a grounding anchor (Keng, Smoski, & Robins, 2011). Mindfulness-based performance enhancement strategies, such as the MAC approach (Mindfulness-Acceptance-Commitment), have shown strong outcomes in both sport and health settings (Gardner & Moore, 2007). These strategies will look different for each individual, but in general they involve identifying the negative emotions (worry, frustration, shame), accepting that they feel this way and committing to a path around them, all while intentionally focusing on the present self (the 5 senses are a great start).

Mindfulness doesn’t require lengthy meditation, just 30 seconds of intentional breathing or a quick body scan can help recalibrate the nervous system and support emotional regulation during training. Grounding is another way to engage in being present and the quickest grounding exercises can take place in less than 30 seconds. The one suggested the most is a 5/4/3/2/1 technique in which you tap into their senses. It looks like this: 5 things you can see, 4 things you can hear, 3 things you can feel, 2 things you can smell and finally 1 thing you can taste. It may sound simple, but it can really support breaking the cycle of negative self-talk (Rothschild, 2000). This technique helps regulate the nervous system and can break the cycle of anxiety, it is used frequently in somatic trauma therapy.

Visualization and Mental Rehearsal

Mental imagery and visualization are well-established tools in sport psychology. They are often used for enhancing confidence, motor learning, and behavioural follow-through and are used by a lot of strength and conditioning professionals already. Visualization involves mentally rehearsing either the process (e.g., executing a clean lift with control) or the outcome (e.g., completing a training cycle, stepping onto the field) (Guillot & Collet, 2008). This technique is particularly powerful for clients with performance anxiety or those returning from injury. Visualization activates many of the same neural pathways as physical practice, offering a safe way to rehearse success and build psychological readiness (Vealey & Greenleaf, 2010).

In general population clients, visualization may help solidify habits and anchor routines. For example, visualizing getting to the gym on a busy day, or completing their at-home workouts with confidence. Try using prompts such as “what would it look like to get to the gym on a busy day, take me through it step by step” or more performance based “Can you walk me through what a technically perfect clean looks like, step by step?”. Doing these mental visualizations repeatedly can really be helpful when a client has been struggling to hit a specific performance metric, or in the general population, if a client has had a hard time with a specific health habit.

The Power of the Relationship: Attunement and Empathy

Perhaps the most overlooked but most important and critical component of behavioural change is the relationship between a coach and a client. Norcross and Lambert (2019) note that in both coaching and psychotherapy, the quality of the relationship often predicts outcomes more strongly than the intervention itself.

In a strength and conditioning setting, this means cultivating safety, being attuned to non-verbal cues, validating emotional experiences, and responding with curiosity rather than judgment (Norcross & Lambert, 2019). A strength and conditioning professional who notices a client disengaged mid-session might gently ask, “Is something on your mind today?” rather than redirecting focus to the lift and saying something such as “you hit this before, let’s get it going”. This attunement, being in sync and understanding a client’s emotional state will build trust, which is essential for psychological safety. Remember, psychological safety is one of the most important aspects of performance, especially for those who carry past experiences of shame, trauma, or failure in physical spaces.

Many of these strategies can be integrated into your existing practices with minimal disruption. A strategy that is helpful for strength and conditioning professions is called ISRA (intake, in-session, resistance concerns, adaption).

Intake: Include open-ended questions about stress, life context, and past experiences with training. Be non-judgmental and use empathy and validation rather than confrontation to understand the challenges and barriers a client has faced. This may include things such as “I could see where you would feel that way” or “For sure, that would be really hard to hit your goals with those … in the way” or even the classic psychotherapist sentence “what I am hearing you say is…”. This reflection back to them helps create that therapeutic relationship, which is a power tool in helping them move towards their goals.

In-Session: Use reflective listening and mindful cueing instead of constant correction. This can be done by track tone, body language, and effort over just numbers. You can continue to use empathy and validation sentences while suggesting the techniques mentioned above.

Resistance Concerns: Normalize it. Resistance and negative thoughts will happen, even with the most well trained athletes. Say things such as, “It’s totally okay to have off weeks, let’s explore what’s going on rather than forcing the plan.” Sometimes, if a good therapeutic relationship has been formed, and a client is resistant to different techniques or the behaviour change itself, the use of empathy and validation can be combined with “a supportive challenge”. This may look something like “You told me you are having a hard time hitting your squat goals, and I can imagine that is frustrating. The thing is, if we don’t figure out a way together to get them up, you may not perform in the way you told me you want to” This can put some emphasis and responsibility while also making them feel heard and validated.

Adaption of the Program: Remember, a plan isn’t a plan unless it’s been changed multiple times. Clients are not robots and as much as people like to think stressors don’t affect them, ultimately, they do. So as a strength and conditioning professional, be open to change, and continue to use the techniques to help a client also be open to change.

By applying tools like motivational interviewing, cognitive behavioural strategies, and mindfulness techniques in a flexible and client-centred way, coaches can move beyond sets and reps to address the whole person. This can be tricky, especially with the all-or-nothing clients, but with the right relationship and support, it can be done.

Coaching the Whole Human

Training is not just a physical process, it is an emotional, cognitive, and social one. As coaches and professionals in the strength and conditioning world, integrating social-emotional techniques doesn’t mean becoming a therapist. It means becoming a better communicator, listener, and facilitator of behaviour change.

By learning to spot the psychosocial signals, respond with evidence-informed strategies, and prioritize the coach-client relationship, we can help our clients succeed not just in performance but in developing resilience, autonomy, and emotional strength beyond the weight room.

References

  • Beck, J. S. (2011). Cognitive behavior therapy: Basics and beyond (2nd ed.). Guilford Press.
  • Deci, E. L., & Ryan, R. M. (1985). Intrinsic motivation and self-determination in human behavior. Plenum.
  • Gardner, F. L., & Moore, Z. E. (2007). The psychology of enhancing human performance: The mindfulness-acceptance-commitment (MAC) approach. Springer.
  • Guillot, A., & Collet, C. (2008). Construction of the motor imagery integrative model in sport: A review and theoretical investigation. International Review of Sport and Exercise Psychology, 1(1), 31–44. https://doi.org/10.1080/17509840701823197
  • Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144–156. https://doi.org/10.1093/clipsy.bpg016
  • Keng, S. L., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: A review of empirical studies. Clinical Psychology Review, 31(6), 1041–1056. https://doi.org/10.1016/j.cpr.2011.04.006
  • Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. Springer Publishing Company.
  • Miller, W. R., & Rollnick, S. (2013). Motivational interviewing: Helping people change (3rd ed.). Guilford Press.
  • Neenan, M. (2009). Cognitive behavioural coaching: Distinctive features. Routledge.
  • Norcross, J. C., & Lambert, M. J. (2019). Psychotherapy relationships that work III. Psychotherapy, 56(4), 421–426. https://doi.org/10.1037/pst0000262
  • Rothschild, B. (2000). The body remembers: The psychophysiology of trauma and trauma treatment. W. W. Norton & Company.
  • Vealey, R. S., & Greenleaf, C. A. (2010). Seeing is believing: Understanding and using imagery in sport. In J. M. Williams (Ed.), Applied sport psychology (6th ed., pp. 267–299). McGraw-Hill.

Marcel Lemieux is a Registered Health and Exercise Practitioner with a background in counseling, crisis intervention and physical health. He specializes in supporting veterans, first responders, and healthcare workers through trauma-informed strength and conditioning. As Program Lead for the Veterans BrainChamp Group at Apollo Physical Therapy Centres, he integrates tools like NeuroTracker, ProBalance 360, and mindfulness to support resilience and recovery. Marcel is also the founder of Elite Mind+Body Inc., an organization that supports the mental and physical wellbeing of first responders and healthcare workers. He teaches part-time at Algonquin College and is a father of two amazing daughters.

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