Client Under the Influence in a Coaching Session

If you have a client under the influence in a coaching session, stop coaching. Check first that they are physically safe, then pause or end the session kindly, without arguing about what they took, and offer to rebook when they are sober. Do not try to coach through it, do not lecture, and if they are about to drive, say you are worried and offer to call a taxi or someone to collect them. If you see signs of a medical emergency or they talk about harming themselves, call emergency services. The conversation about what happened belongs in a follow-up call a day or two later, and if it keeps happening, that is a sign to refer. Rules on emergencies, confidentiality and any duty to act differ by state and country, and by whether you also hold a clinical license, so treat this as practical guidance, not legal or medical advice.
Most of what follows is about words and judgment, which no software supplies. Where Coachful (we make Coachful) helps is the paperwork around the moment: a coaching agreement with a clear session-readiness clause that clients e-sign before the first call, notes on the client record so the facts are written down the same day, and a simple way to rebook or send a calm follow-up. That is covered in one section near the end; everything else applies whatever tools you use.
Which situation are you in, and what should you do?
Start by placing what you see into one of the situations below. They are ordered roughly from mild to urgent. The right response depends on the client's safety and on whether they can actually use a coaching session right now, not on whether you are certain what they took.

| Situation | What you notice | What to do now | Later |
|---|---|---|---|
| You only suspect it | A smell on arrival, a glass in view, unusual giggling or flatness, slower answers than usual | Ask one gentle, neutral question; if they can engage, keep the session light; if not, pause it | A short note of what you observed, not what you assume |
| Clearly impaired but safe | Slurred or repeated words, losing the thread, says they have been drinking or used | End the session kindly, offer to rebook, confirm they are somewhere safe | Follow-up call when sober; apply your agreement |
| Possible medical emergency | Confusion, cannot stay awake, vomiting, seizure, trouble breathing, bluish or pale skin | Call emergency services (911 in the US, 999 in the UK) or get someone who is with them to do it | Check in once they are safe; note facts |
| Talk of self-harm or suicide | Hopelessness, statements about not wanting to be here, a plan | Stay with them, take it seriously, connect them to crisis support (988 in the US, Samaritans on 116 123 in the UK) or emergency services | Referral to a licensed professional before coaching resumes |
| About to drive | In-person session, car keys out, or on a video call from a parked car | Say clearly you are worried about them driving; offer to call a taxi, a friend or family member | Make transport part of your in-person policy |
| Group session | One participant is clearly impaired on a group call or in a workshop | Protect the group: move them to a private room or message, invite them to step out, carry on with the others | Private follow-up; a group agreement line |
| Cannabis where legal, or prescribed medication | The client says it is legal, or that a medication makes them drowsy | Legal does not mean session-ready; ask whether they can focus today; do not comment on prescriptions | Clarify your readiness clause; suggest they talk to their prescriber |
| A repeating pattern | Second or third impaired session, cancellations, missed actions, talk of drinking to cope | Do not coach around it any more; name the pattern in a sober conversation | Referral, pause, or ending the engagement |
Two principles sit behind every row. First, you are not diagnosing anything. You do not need to know whether it was wine, cannabis or a sleeping pill to decide that today is not a coaching day. Second, you act on what you observe, and you describe it in those terms: "you seem very tired and you have lost your thread a few times" is accurate and hard to argue with; "you are drunk" invites a debate you cannot win.
What if you only suspect your client has been drinking or using?
Ask once, gently, and let their answer and their ability to engage guide you. Suspicion alone is not a reason to end a session, but it is a reason to check, because people sometimes look impaired for other reasons: illness, exhaustion, a new medication, grief, a migraine, a bad night with a newborn.
A neutral opener that works on video and in person:
"Before we get into it, how are you doing today? You seem a bit different from usual, a little slower, and I want to make sure this is a good time for a session."
If they say they had a glass of wine at lunch and they are fully present, believe them and carry on, but keep the session in safer territory: review, reflection, planning the week. Avoid deep work on painful material or big decisions. If the answer is vague and their focus keeps slipping, move to a pause:
"I'm noticing it's hard to hold onto the thread today, and I don't think you'd get much from the hour we planned. How about we stop here and pick it up when you're feeling sharper? I'd rather you get a full session."
Write down what you saw, in plain descriptive language, the same day. "Client arrived 10 minutes late, speech slower than usual, lost thread several times, said they had a few drinks at a work lunch. Session ended at 15 minutes, rebooked for Thursday." Not "client was drunk again." Notes like this are useful if a pattern develops, and they are fair to the client if one does not. If you keep session notes at all, the same care applies to every entry; our coaching session notes template and record-handling guide covers what belongs in a record and what does not.
How do you end the session when the client is clearly drunk or high?
Short, warm, and firm. The client is not in a state to negotiate, so do not give them a debate. Say what you see, say what happens next, and say that the door is open. You are ending the session, not the relationship.

Here is wording you can adapt:
"I'm going to be straight with you because I care how this goes for you. It sounds like you've been drinking [or: you've had something] before our call, and coaching works best when we're both fully here. So I'm going to stop our session for today. That's not a punishment, and I'm not upset with you. Let's find another time this week, and when we talk, I'd like to hear how today happened."
Then check safety before you hang up, especially on video:
- Where are you right now? Home, office, car, somewhere public. If they are in a parked car, ask them not to drive and to call someone.
- Is anyone with you? A partner, roommate or friend is reassuring if anything else is going on.
- Are you feeling physically OK? A short yes is enough. Confusion, vomiting or drowsiness that is getting worse moves you to the emergency section below.
- Agree the next step. "I'll send you two times for later this week. No need to reply tonight."
What not to do in that moment: do not ask how much they had, do not ask whether they have a problem, do not threaten to drop them, do not mention money, and do not stay on the call for an hour trying to fix the feelings underneath. Every one of those conversations goes better sober.
If they push back ("I'm fine, let's just do it"), hold the line without escalating:
"You might be right, and I could be reading it wrong. Either way I'd rather give you a full session on a clear day than a half one now. Let's rebook."
On the question of charging, decide before it happens and put it in your agreement. Some coaches treat an impaired session like a late cancellation, some rebook at no charge the first time and apply the cancellation rule after that, some always rebook free because they want honesty more than the fee. There is no single right answer; the wrong answer is improvising it afterwards, by email, when the client is embarrassed. The options are compared in the agreement section below, and our guide to handling coaching session cancellations covers the wider policy.
When is it a medical emergency rather than a coaching problem?
When the person's body is in trouble, coaching rules stop applying and ordinary first-aid sense takes over. The US National Institute on Alcohol Abuse and Alcoholism, in its alcohol overdose fact sheet as listed in November 2026, names the critical signs as mental confusion, difficulty remaining conscious or being unable to wake up, vomiting, seizures, slow breathing (fewer than 8 breaths a minute) or irregular breathing, slow heart rate, clammy skin, dulled responses such as no gag reflex, and extremely low body temperature, bluish skin or paleness. It also warns that mixing alcohol with opioids or sleep and anti-anxiety medications raises the risk of overdose, which matters if a client has mentioned either. NIAAA says that if you suspect an overdose you should call 911 immediately, not wait for all the symptoms, and remember that a person who has passed out can die.
The NHS gives the same picture for the UK: call 999 if you think someone has alcohol poisoning, has had a seizure, has lost consciousness or has stopped breathing. Its advice for helping someone who has drunk too much is to stay with them, sit them up if they are awake or put them in the recovery position if they have passed out, give sips of water only if they are conscious and not vomiting, keep them warm, and not give them coffee, food, more alcohol or a cold shower. NIAAA adds that cold showers, hot coffee and walking do not reverse an overdose and can make things worse, and that you should not leave an intoxicated person alone because of the risk of falling or choking.
On a video call you cannot do first aid, so your job is to get help to them:
- Keep the call open. Do not hang up while you arrange help.
- Get their location. Ask for the address directly. If they cannot give it, check whether you have it on file from intake or billing.
- Ask if anyone is nearby and ask them to get that person to the screen.
- Call emergency services for their location from your own phone. If you are in a different country from your client, tell the dispatcher that; emergency numbers are local, so the call may need to go through someone near the client, such as a family member whose number you have.
- Share what you know: what they said they took, how long ago, any health information they have told you. NIAAA notes responders benefit from knowing the type and amount of alcohol, other drugs and existing conditions or medications.
That fourth point is a good reason to collect an emergency contact and a location at intake. Many coaches skip it because coaching is "not that kind of service." It costs one form field, and on the rare day you need it, nothing else will do.
What if a client talks about self-harm while intoxicated?
Take it seriously every time, whether or not they are sober. Alcohol and drugs lower inhibition, so a client who would never say it at 10 am may say it at 7 pm after a few drinks, and it may be the truest thing they have told you. You are not there to assess risk like a clinician. You are there to stay with them, ask directly, and connect them to people who are trained.
Suicide-prevention services and researchers agree that asking directly does not put the idea in someone's head. Simple wording:
"I want to check I heard you right. When you say you don't see the point, are you thinking about hurting yourself or ending your life?"
If the answer is yes, or unclear, stay on the call and connect them to crisis support. In the US, the 988 Suicide & Crisis Lifeline is free, confidential and open 24/7 by call, text or chat, and it also takes calls about mental health and substance use crises, not only suicidal thoughts. In the UK and Ireland, Samaritans answer 116 123 free, day or night. You can offer to stay on while they call or text. If they have a plan and the means at hand, or they cannot keep themselves safe, call emergency services. For clients anywhere else, look up their country's crisis line before you ever need it and keep it in your session notes template.
Afterwards, coaching does not simply resume next week. A client who has spoken about suicide needs support from a licensed mental health professional, and your follow-up conversation should be about making sure that is in place. The same reasoning applies to a client who cries through every session for a different reason; our guide to a client crying in a coaching session walks through where coaching ends and therapy begins.
What should you do about driving, group calls and in-person sessions?
In person, transport is the safety issue. Online, it is the group. Both are easier with a line in your agreement and a plan you have rehearsed once in your head.

In-person sessions
If a client arrives impaired at your office, studio or a rented room, end the session the same way as above, then turn to how they are getting home. You cannot physically stop an adult from driving, and you should not try to take their keys by force, but you can say clearly what you are worried about and make the safe option easy:
"I'm not comfortable with you driving right now. Let me call you a taxi, or is there someone I can ring to pick you up? I'll wait with you."
If they insist on driving and you believe they are seriously impaired, whether to contact the police is a judgment that depends on your location and the situation. Many coaches decide in advance that they would rather lose the client than read about an accident. Whatever you decide, do not drive them home yourself; it blurs the relationship and puts you in a car with someone who may be unwell.
Group calls and workshops
The other participants did not sign up to manage someone else's state. Protect the group first, then the individual. On video, send a private message ("Hey, can we pause you for today? I'll call you tomorrow"), and if your video tool has breakout or waiting rooms, move them there before you speak to them. In a workshop, ask them quietly to step outside with you or your co-facilitator. Never discuss it in front of the group, and do not explain afterwards beyond "they had to step out today." Add a line to your group agreement that everyone attends sober and that the facilitator may ask anyone to step out, so it is a known rule rather than a personal judgment.
Video calls from a car
Some clients join calls from a parked car, especially around a workday. If a client is impaired and appears to be in the driver's seat, say so plainly: "Please don't drive after this. Can you get someone to collect you, or wait until you're clear?" Then end the session.
What about cannabis where it is legal, or prescribed medication?
Legal is not the same as session-ready. In places where recreational cannabis is legal, some clients see no difference between a joint and a glass of wine, and some see no problem with either before a call. Your standard is not legality but readiness: can this person think clearly, remember the session and follow through? That is a reasonable thing to ask of any paid hour, and it is easier to hold if your agreement says it in neutral terms.
Prescribed medication is different, and you should stay out of it. If a client tells you a new medication makes them drowsy or foggy, you are not in a position to comment on the prescription, the dose or whether they should take it. What you can say:
"Thanks for telling me. That's worth mentioning to whoever prescribed it. For our sessions, if there are times of day when you feel clearer, let's book those, and if a day isn't good, just tell me and we'll move it."
Microdosing and psychedelics can come up too, particularly in wellness-oriented coaching. The same principle applies: you are not the person to advise on substances, their legality where the client lives, or their safety. If a client is using them as part of a wider practice and wants to talk about the experience while sober, that is their life to bring to coaching. If they arrive in a session under the effects, it is a pause.
What should the follow-up conversation sound like?
Schedule it within a few days, keep it short, and lead with care rather than the incident. Clients often feel ashamed, and shame makes people defensive or makes them disappear. Your goal is a sober, honest conversation about what happened and what both of you want next.

A follow-up message the next day can be this simple:
"Hi [name], thanks for being honest with me yesterday. No need to apologise. I've held [day, time] for us if that still works. I'd like to start by checking in on how you're doing, and then we can decide together how to use the session."
In the conversation itself, a simple structure helps:
- Open with them, not the incident. "How have the last couple of days been?"
- Describe what you saw, briefly and without labels. "On Tuesday you'd been drinking before our call and it was hard for you to stay with the conversation, so I stopped the session."
- Ask, then listen. "What was going on for you that day?" Let them tell it. Do not fill silences.
- Restate your agreement once, neutrally. "As we agreed at the start, sessions need both of us clear-headed. That's not going to change."
- Ask what they want. "Is this something you want to work on, or something you want support with outside our coaching?"
- Agree a next step. Carry on as before, carry on with a referral alongside, pause, or end.
Coaches who are in recovery themselves sometimes ask whether to share that. You can, briefly, if it helps the client feel less alone, but it changes the dynamic, and it is easy for the session to become about you. A single sentence is usually enough.
Your availability between sessions also matters here. A client who is struggling may start messaging at night, and you need to have decided what you will and will not answer; our guide to between-session support boundaries covers how to set that out without sounding cold.
When does it signal a referral?
When substance use is the thing getting in the way of the coaching, rather than a one-off bad day. Coaching can help a client with goals, habits and decisions; it is not treatment for a substance use disorder, and a coach who drifts into acting like a treatment provider is working outside their scope. The ICF Code of Ethics, which ICF members and credential holders agree to follow, asks coaches to stay alert to signs that the client would be better served by another professional or resource, and to encourage that change.
| Sign | Still coaching territory | Time to refer |
|---|---|---|
| Frequency | One impaired session, honestly discussed afterwards | Two or more, or a pattern of cancellations around them |
| What the client says | "I overdid it at a work dinner and shouldn't have joined" | "I need a drink to get through the day," or attempts to cut down that keep failing |
| Effect on goals | Drinking is a habit they want to change among others | Use is undermining work, relationships, health or money |
| Physical signs | None beyond the one day | Withdrawal symptoms, injuries, blackouts, mentions of medical concern |
| Mood | Normal ups and downs | Persistent low mood, anxiety, talk of self-harm |
| Safety of others | No concern | Driving impaired, caring for children while impaired, violence at home |
Referring is not abandoning. Many clients can keep working with a coach on career, business or life goals while a doctor, therapist or addiction specialist handles the substance use. Some coaches make that a condition of continuing; others pause coaching until the client is settled with support. Whichever you choose, say it clearly:
"I'm glad you told me. What you're describing is bigger than coaching can handle on its own, and you deserve proper support for it. I'd really encourage you to talk to your doctor or a counsellor who works with alcohol and drug use. I'm happy to keep working with you on [goal] alongside that, and I'd like us to check in on how it's going each time."
Keep a short list of referral routes for where your clients live: their family doctor, local counselling services, national helplines, and for US clients the 988 Lifeline for crisis moments. You are not expected to know the right clinician. You are expected to point toward one.
What is at stake if you get this wrong?
More than a wasted hour. The first time it happens, you will probably be unprepared, and the instinct of a helpful person is to carry on. New coaches tend to treat a session as something they owe the client, so they keep going: they ask the planned questions, take notes, and set actions the client will not remember. That wastes a paid hour, it teaches the client that showing up impaired is fine, and it can quietly make you part of the problem.
There is also a safety side that has nothing to do with coaching skill. A client who has been drinking heavily before a video call may be alone at home. A client who smoked before an in-person session may plan to drive away from your office. Alcohol lowers inhibition, so a distressed client may say something about self-harm that they would keep to themselves sober. None of these are common, but each one asks you to make a decision in seconds, and decisions made in seconds go better when you have made them in advance.
Then there is the relationship. Handled with warmth, an awkward session can become the most honest turning point in a coaching engagement: the client finally names what has been going on. Handled with shock or judgment, it usually ends the engagement, and the client is left with one more person who reacted badly. The rules and the agreement wording below exist to make the first outcome more likely.
What do the rules actually say?
For most coaches, there is no specific law telling you what to do when a client turns up drunk or high. Coaching is not a licensed profession in most places, so you do not have a licensing board's rules on intoxicated clients the way a therapist or nurse might. What applies instead is a mix of general law, your own contract, and the ethics code of any body you belong to. This is not legal or medical advice; if you are unsure how any of it applies to you, ask a local attorney or solicitor.
- Emergencies. Calling emergency services when someone appears to be in medical danger is always open to you: 911 in the US, 999 in the UK, 112 across the EU. The official health guidance above (NIAAA in the US, NHS in the UK) is clear that suspected alcohol poisoning is a reason to call immediately.
- Children at risk. If you learn that a child is being looked after by someone who is seriously impaired, reporting rules depend on where you are. In some US states every adult is a mandated reporter of suspected child abuse or neglect; in other places anyone may report to child protection services or the police. Check your state or country's rules now, and in an emergency call emergency services.
- Confidentiality. Your agreement should say what you keep confidential and the exceptions, usually including a risk of serious harm to the client or others. Where you are in the world changes what you may share and how; privacy law, for example, treats health information as sensitive in many countries.
- Clinical licenses. If you are also a licensed therapist, counsellor, nurse or doctor, your profession's rules on assessment, documentation and duty to act may apply even inside a coaching relationship. Check with your licensing board.
- Ethics codes. If you hold or are working toward an ICF credential, the Code of Ethics expects you to refer when another professional would serve the client better and to be clear about confidentiality and its limits.
- Your contract. Fees, refunds, rebooking and ending the engagement are contract matters. What you wrote and the client signed is what you can rely on.
- Insurance. If you carry professional liability insurance, it is worth asking your insurer how they expect you to handle and document an incident like this.
The practical takeaway: outside a real emergency, your signed agreement does most of the work, so the wording matters.
What should your coaching agreement say about substance use?
A short, neutral readiness clause, a line on what happens to the session fee, and a confidentiality exception for serious risk. Put it in every agreement, not just for clients you are worried about, so nobody feels singled out. Have a local lawyer review your agreement; laws on contracts and consumer rights vary by state and country.
Sample wording you can adapt:
Session readiness. Coaching works best when we are both clear-headed. I ask that you do not attend sessions under the influence of alcohol, cannabis or other non-prescribed substances. If, in my judgment, you are not able to take part safely or usefully, I may pause or end the session and offer to rebook. If you take prescribed medication that affects your focus, you do not need to tell me what it is; just let me know if a session time is not good for you and we will move it.
Sessions ended for readiness. The first time a session is ended for this reason, I will rebook it at no charge. After that, it is treated as a late cancellation under the cancellation policy above.
Safety and confidentiality. What you share in coaching is confidential, except where I believe there is a serious risk of harm to you or someone else, or where the law requires disclosure. In an emergency I may contact emergency services and the emergency contact you have given me.
Scope. Coaching is not therapy, medical care or addiction treatment. If I believe you would benefit from another professional, I will tell you, and we will agree together whether coaching continues alongside that support, pauses, or ends.
The fee line is where coaches differ most. Here are the common choices:
| Fee approach | How it works | Good for | Watch out for |
|---|---|---|---|
| Always rebook free | Any session ended for readiness is rescheduled at no charge | Coaches who want honesty above all, and recovery-adjacent niches | Can be gamed by a client who uses it to dodge sessions |
| First time free, then late-cancel rule | One free rebook, then the cancellation policy applies | Most coaches; it is generous once and clear after | Track the first occurrence so you apply it fairly |
| Always late-cancel rule | Treated exactly like a cancellation inside your notice window | Busy practices with waiting lists, corporate-paid coaching | Feels punitive on a first, honest slip |
| Session used from package | The session counts as delivered from a package or retainer | Retainer clients with a fixed monthly allocation | Needs a clear line in the retainer terms |
If the session is paid for by an employer under a corporate coaching agreement, be careful. Your confidentiality terms with the sponsor decide what you can say, and "the session did not take place" is often all the sponsor needs to know. Our guide to cancellations in retainers covers how to word sponsor reporting.
Finally, collect two things at intake: an emergency contact, and the client's usual location for sessions. On the intake form, explain why in one sentence ("in case of an emergency during a session"), so it reads as care, not suspicion.
A fictional example: how one coach handled it
This example is fictional, written to show the steps above in sequence.
Priya is a career coach in her second year, working mostly over video with mid-career professionals. One of her clients, Daniel, is six sessions into a twelve-session package about moving into a management role. He joins his 6 pm Thursday call eight minutes late from his kitchen, laughs at the wrong moments, and twice asks her to repeat a question. When she gently asks how he is doing, he says he went for "a couple of drinks" after a tough team meeting.
Priya decides he cannot use the session. She tells him she is stopping for today, that she is not upset, and that she will send two times for next week. She checks he is at home and not planning to go anywhere. The call ends at 6:14. That evening she writes a short note on his record: what she observed, what he said, what she did, and the rebooking. Her agreement says the first readiness rebook is free, so she does not charge for it.
The next morning she sends a short message offering Monday or Tuesday. Daniel replies with an apology and picks Tuesday. In that session she opens by asking how his week has been, then describes the Thursday call in two sentences and asks what happened. Daniel says the drinks after work have become most nights since he got the stretch assignment, and he has been anxious about whether he is good enough. Priya asks whether that is something he wants to work on in coaching or get support with elsewhere. He says both.
They agree he will talk to his doctor about the anxiety and the drinking, and that coaching continues on the management goals, with a two-minute check-in at the start of each session on how he is doing. Two months later the package ends with Daniel leading his team. The case is invented, but the shape is common: an impaired session that is handled calmly often becomes the moment the real issue gets named.
Setting it up in Coachful when you are starting out
Coachful is a coaching platform for coaches who deliver programs, not just sessions: booking, payments, coaching agreements, client records, programs with habits and check-ins, messaging, courses, community and a website, under one login, with one branded app for clients. It is built for solo coaches, including those in their first years, who want everything in one place and may grow into a small team, and for coaches replacing four to six separate tools. It is not a clinical system: Coachful is not HIPAA-certified and does not sign a BAA, so clinical records and anything resembling treatment notes belong in a proper clinical system. You can start with a free trial (current plans: Lite: $29/month for up to 5 clients; Solo: $49/month for up to 20 clients; Pro: $99/month with unlimited clients; Studio: $199/month with unlimited clients).
For this topic, four parts of it are useful.
The agreement. Coachful sends coaching agreements with e-signature before the first call and stores the signed copy on the client record. Paste in the readiness, fee, confidentiality and scope clauses above, have them reviewed, and every new client signs them before session one. When you need to point back to the clause in a follow-up conversation, it is on the record.
Intake and the client record. Intake questions can be attached to booking, so the emergency contact and usual session location are collected before the first call. Notes, intake answers, tags, sessions and payments all live on the client's profile, which is where your same-day factual note belongs.

A tag such as "readiness rebook used" makes it easy to apply a "first time free" rule fairly. Keep the note factual and short, and think about what you actually need to keep; our guide to a client record retention and deletion policy covers how long notes should live. If you use Michelle, Coachful's built-in AI assistant, to summarize recorded sessions, consider whether a session you ended for readiness should be recorded or summarized at all, and see our guide to AI session notes and client consent.
Rebooking. Booking pages with availability rules, minimum notice and buffers let you send a rebooking link rather than trading emails. Paid sessions and session credits mean a free rebook can be handled as a credit rather than a refund.

The follow-up and the pattern. Direct messages in the client's branded app and the email inbox inside Coachful are where the calm next-day message goes. Over time, the clients overview flags clients who have gone quiet, and Client Lab lists clients at risk of disengaging with a drafted check-in for you to edit and send. That matters here because clients who are struggling with substance use often disappear rather than cancel.


This short walkthrough tours the Clients area of Coachful, where these records live:
Why Coachful stands out: a free white-glove service. From Create, choose "We'll build it for you · FREE", describe what you need, attach reference links or files, and the Coachful team builds it inside your account, usually within about 24 hours. For this topic that could be your intake form with the emergency-contact fields, a client welcome sequence, or a worksheet. Nothing gets invented, and gaps are left for you to fill. It is not legal review, so any agreement wording still needs a lawyer's eye. Read more about the free white-glove service, or see how Coachful works for coaches who are just starting.
What mistakes do new coaches make with an impaired client?
Almost all of them come from good intentions. The most common:
- Coaching through it. Finishing the hour because the client paid for it. They will not remember the actions, and you have quietly accepted the behaviour.
- Interrogating. Asking what they took, how much and how often, in the moment. It produces denial and an argument.
- Diagnosing. Using words like "alcoholic" or "addiction" with a client. You are not qualified to say it, and it ends conversations.
- Ignoring the safety check. Hanging up without knowing where the client is or whether they are about to drive.
- Making up the fee rule afterwards. Deciding by email whether to charge, when the client is embarrassed and you feel awkward. Write the rule first.
- Raising it in the group. Addressing an impaired participant in front of others, or explaining their absence afterwards.
- Becoming the treatment. Turning coaching into weekly sobriety support, with daily check-ins and late-night messages, instead of referring.
- Dramatic notes. Writing "client drunk again" instead of what you observed. Notes may be read later, possibly by the client.
- Dropping the client by email. Ending the relationship in writing after one incident, without a conversation.
- Never mentioning it again. Rebooking and pretending nothing happened, so the pattern continues and the real issue is never named.
Frequently asked questions
Should I charge for a session I ended because the client was drunk or high?
Only if your agreement says so. Many coaches rebook the first one at no charge and treat later ones like a late cancellation. Whatever you choose, write it down before it happens and apply it consistently.
Can I refuse to coach a client who keeps showing up impaired?
Yes. Coaching is a voluntary agreement, and a readiness clause makes the expectation clear. Have a sober conversation first, offer a referral, and if nothing changes, end the engagement in line with your contract's termination and refund terms.
What if I'm not sure they are under the influence?
You do not need to be sure. Ask a neutral question about how they are, and decide based on whether they can engage. If they cannot focus, pause the session for that reason, which is accurate whatever the cause.
Should I tell their partner or family?
Not as a rule. Your confidentiality terms decide that, and the usual exception is a serious risk of harm. In an emergency, contacting the emergency contact they gave you is reasonable; outside one, encourage the client to reach out to people they trust.
The client says cannabis is legal where they live. Does that change anything?
Not for the session. Your standard is whether they can take part clearly, not whether the substance is legal. A readiness clause that names alcohol, cannabis and non-prescribed substances avoids the debate.
Can a coach help a client cut down on drinking?
Coaches can support goals and habits, and some specialise in sober-curious or recovery coaching with specific training. A coach is not a substitute for medical care, especially where there are withdrawal symptoms or heavy daily use. If in doubt, refer to a doctor first and coach alongside.
What should I write in my notes?
Facts: what you observed, what the client said, what you did and the next step. Avoid labels or guesses about diagnosis. Keep only what you need, and follow your retention policy.
Is this legal or medical advice?
No. It is practical guidance for coaches. Laws on confidentiality, emergencies and contracts vary by state and country; check with a local attorney, and follow official health guidance or emergency services in any medical situation.
What is Coachful's free white-glove service?
It is a build service included on every Coachful plan. You describe what you need, such as an intake form, a website, a program or an email sequence, and the Coachful team builds it inside your account, usually within about 24 hours. They do not invent credentials, testimonials or prices, and the service is not legal review, so have a lawyer check any contract wording.
Does Coachful store clinical or addiction treatment notes?
It is not designed for that. Coachful is not HIPAA-certified and does not sign a BAA, so it should hold coaching notes only. Clinical records belong in a clinical system run by a licensed provider.







