Abstract: This was an applied naturalistic study examining changes in work and clinical outcomes after using individual mental health coaching services from an employee assistance program in the United States. The data was from 872 employee users at CuraLinc Healthcare during the years 2020 to 2022. The coaching intervention included individual sessions that focused on helping the employee with personal goal setting, problem-solving and skill-building. Over two-thirds of clients engaged in coaching for support with mental health issues (anxiety 47%, depression 12% or other 9%) while others had issues of stress (19%), personal relationships (marital 8%, family 4%) or work (2%).