You finished the Coach Approach Foundations in Healthcare Certificate with MedBridge. You can describe the framework. In the next pressured session, your hands still reach for the Expert Trap.
Second Nature is the part of Dive Into a Coach Approach® (DICA) built for the moment after you have learned the framework and before you have rewired it through practice. Twelve hours of live supervised practice with Hélène Theriault. Eight hours of peer coaching with a Diving Partner. A small cohort doing the same work.
Can physical therapists and speech-language pathologists earn professional development credits?
Our courses are approved by the American Occupational Therapy Association (AOTA Approved Provider #2409), so occupational therapists and occupational therapy assistants earn CEUs directly.
For physical therapists, physical therapist assistants, and speech-language pathologists, most US states require continuing education for license renewal. The specific number of hours and approval process varies by state, but most states allow practitioners to submit individual courses for approval. Our detailed certificate of completion and course outline provide the documentation your state board typically requires.
We recommend checking with your state licensing board for their specific continuing education requirements and individual course approval process.
Three things three of your peers said on April 29, 2026
"I would love to not feel rushed during my sessions."
MedBridge Session 2 — practitioner verbatim
"It doesn't feel natural yet."
MedBridge Session 2 — practitioner verbatim
"I keep going back to my many years of habits."
MedBridge Session 2 — practitioner verbatim
MedBridge Session 2 survey, n = 155, April 29, 2026.
02The integration gap
The integration gap is real. You are not the only practitioner who lives in it.
Knowing a technique and using it under caseload pressure are two different skills. Habits wired over years of practice fire before awareness can interrupt them. Not a character problem. Pathways.
Hélène calls the default the Expert Trap: the moment you start carrying the full cognitive load for a client/patient's outcome instead of letting the client/patient carry their share. Under pressure, the body reaches for it before the mind chooses. What follows is what changes when you train the new pathway under supervision, in real cases.
03What changes inside you
Four things change inside you. Over months of practice. In this order.
The four outcomes Second Nature delivers, with the mechanism that earns each one.
One
Peace of mind.
The mental load lightens. You stop being the only one in the room carrying the client/patient's outcome. You ask one more question instead of solving. You sit a beat longer with silence.
How it's trainedPart 1, Relationship Mastery, opens with your personalized Strength Deployment Inventory (SDI 2.0) Relationship Intelligence Report. You see why you reach for the Expert Trap, and stop fighting your own wiring.
Two
Less voice chatter.
The running commentary in your head ("I should be asking a better question") quiets. Not because you suppress it. Because you have a name and a tool for it.
How it's trainedThe Drift and Shift Model, which you first encountered in Level 1, is deepened here through live supervised practice. You know the concept. Now you learn to catch the drift in real time and execute the shift before the session loses its thread.
Three
Easier connection through practice.
You stop thinking about the technique while you're using it. Frameworks become recognition rather than recall. You hear a keyword and you don't have to consciously decide to use it.
How it's trainedPart 2, Technical Mastery. Peer coaching with your Diving Partner. Five new tools and three new techniques beyond Level 1, with growth feedback aligned to International Coaching Federation (ICF) Core Competencies.
Four
The start of procedural memory.
Noel Burch named the destination in 1970: a learned skill becomes procedural memory and requires less conscious effort. That destination takes 100+ hours of deliberate practice to begin reaching. Second Nature puts you on the path — with supervised repetitions, structured feedback, and the Diving Partner relationship that research shows transfers learning into practice.
How it's builtEight peer-coaching sessions with your Diving Partner plus twelve hours of supervised practice with Hélène. Repetition with feedback is what begins to close the knowing-to-doing gap.
"I am not the same because of those core coaching principles. It just changes who you are, how you show up. It is not just learning a technique and doing it. It is inside."
From the 2017–2021 baseline cohort (n = 29): 82% of graduates rated the shift in therapeutic alliance with their clients/patients as significant or very significant. MedBridge 2026 Q3 research provides current normalized averages across a more diverse cohort.
04Capability gains
What you'll be able to do in a real session.
Capability is what changes between knowing a framework and using it under pressure.
Move from Define to Dive of the framework in under five minutes, without breaking rapport.
Find the Keyword: a single word from the client/patient's story you hold onto, feed back, and sit with in silence. For the long story, the redirect, "If you could sum that up in one or two sentences, what would it sound like?", said with respect, then quiet.
Open a session with someone who didn't want to be there.
Insurance-referred, family-pressured, supervisor-mandated. Hélène's verbatim opener (Self, then Problem, then Other) hands someone who didn't choose to be in the room a moment of partnership in the first sixty seconds.
"I know you've been asked to see me. I know that's not your choice, but here we are. What's important to you? Here's how I can support."Hélène Theriault — the verbatim opening
Make an acknowledgement that lands instead of praise that floats off.
Praise is for behavior. Compliment is for surface. Acknowledgement names the strength under the behavior, tied to what the client/patient is working toward. In peer coaching, you watch what it does to the next sixty seconds.
Turn a vague action plan into one your client/patient actually executes.
Get a Detailed Picture is the probe-for-clarity technique that takes a plan from "I'll try to walk more" to one the client/patient can describe down to body sensation: frequency, duration, intensity, location. The more specific the plan, the higher the follow-through.
The first times you'll feel it.
Confidence is a count of specific times you have done a hard thing under supervision. The first time you name an emotion and the silence does the work. The first time you open a difficult arrival and the client/patient's shoulders drop in the first sixty seconds. The first time you catch yourself drifting and shift back without losing the session. The first time an acknowledgement changes the next minute. The first time you write a chart note that protects your client/patient. These are the moments the program is built to produce.
"I got to see the turning after 15 minutes. Their shoulders are down, their body language changes from 'are you going to help me fix this or not?' to 'oh, you're here for me.' That is the aha moment validation."
2017–2021 baseline cohort: 90% of graduates reported increased clinical confidence (n = 29). MedBridge 2026 Q3 research provides current normalized averages across a more diverse cohort.
Doing things to clients/patients becomes working with them. The client/patient picks up the share that was never yours to begin with. A MedBridge graduate used co-captain in the April 29 survey without being prompted; DICA has used it for years.
"At that moment I get shifted, drifted, then shift. I want to bring myself here, to shift myself from this area to here, to be present."
"My to-do list went down and their to-do list went up."Hélène Theriault
06Mastery destination
What it looks like when the Coach Approach is yours.
Three things that show up in your week.
You walk into a session with someone whose chart you barely had time to skim. You pick the right move without consulting your notes. You read the room. You move.
You stop working harder than your client/patient. The change is not in your willpower. It is in your role. Burnout starts to fade.
"I needed to hear this part about burnout. Just before leaving work yesterday, I was looking up many articles on burnout prevention."
You write chart notes that coach in three sentences. Your charts protect clients/patients. Your colleagues notice.
07About time
About the time question.
Forty percent of the April 29 MedBridge Session 2 survey named time as the wall.
40%
of April 29 MedBridge Session 2 respondents named time as the wall.
Second Nature does not add minutes to your day. It compresses the cognitive load inside each session. As the framework becomes more familiar through practice, the same fifteen or thirty minutes carry more depth, because you spend less of the session deciding what to do next.
The change is not instant. A durable shift in clinical posture takes six months at the earliest, often eighteen months or more. You will notice small entry points within weeks: one different question, a three-second pause, a chart note that reads differently to you. Those are the door. The destination takes longer.
08What graduates say
In their own words.
Real graduates of Dive Into a Coach Approach®, in their own words.
09Enroll, or come to the Q&A first
Ready? Two ways in.
June 2026 Cohort
Start
June 4, 2026
Live time
12 hours with Hélène Thursdays 08:00–09:30 Pacific
Peer coaching
8 hours with your Diving Partner
Cohort cap
24 practitioners
Recordings
Access through December 15, 2026
MedBridge held
Roughly half of seats
Fall 2026 Cohort
Start
September 15, 2026
Live time
12 hours with Hélène Tuesdays 08:00–09:30 Pacific
Peer coaching
8 hours with your Diving Partner
Cohort cap
24 practitioners
Recordings
Access through December 15, 2026
Ends
October 29, 2026
Next Cohort: June 4, 2026
$1,892USD
or 4 monthly payments of $473
Includes Strength Deployment Inventory (SDI 2.0) Relationship Intelligence (RQ) Report — in tuition.
Do I need to be an Occupational Therapist (OT) to take this?
No. The program is built for allied healthcare practitioners broadly: PTs, RNs, SLPs, RDs, MDs, Athletic Trainers, Kinesiologists, Social Workers, and licensed therapists who use a Coach Approach in clinical work. The framework is built on inter-human skill, not on profession-specific technique.
Do I need Level 1 first?
Yes. Dive Into a Coach Approach®, Level 1 / Core Fundamentals is the prerequisite. Hélène's MedBridge series satisfies it. If you completed MedBridge, you are ready for Second Nature.
Is there a payment plan?
Yes — 4 monthly payments of $473, set up at checkout via Podia. Total is $1,892, same as the one-time price.
How much time per week?
Roughly one hour per week. Twelve hours live with Hélène across twenty weeks (a 90-minute Thursday-morning session) plus eight hours of peer coaching with your Diving Partner, scheduled directly with them.
What if I miss a live session?
All sessions are recorded. You have access through December 15, 2026. After watching the recording, you must complete a Miss Class form. This is required to meet credentialing requirements.
What credentials does this advance?
20 ICF Continuing Coach Education (CCE) credits toward the ICF Associate Certified Coach (ACC) credential. Two American Occupational Therapy Association (AOTA) Continuing Education Units (CEUs). Second Nature is not NBHWC-approved; only DICA Level 1 carries NBHWC accreditation (19 CE).
Can Physical Therapists and Speech-Language Pathologists earn professional development credits?
Neither, exactly. It is supervised practice. Skill is built through repetition with feedback in real cases, not lecture or self-paced video. The often-cited Showers and Joyce (1996) training-transfer finding (roughly 95% transfer when peer coaching is added on top of workshop content) is the architectural reason the program is built around a Diving Partner: a peer assigned to you for the cohort, for structured practice between live sessions.
I don't have enough time. Is this for me?
The program does not add minutes to your day. It compresses the cognitive load inside the minutes you already have, and the fifteen-minute laser-focused coaching module is built for clinical reality. If forty minutes a week is not workable right now, the next cohort runs September 15 to October 29.
The framework is yours. The integration is what comes next.