Mind-body (or integrative) personal training takes into account the needs of the client beyond the physical body. “The trend of integrating other mind-body disciplines or providing a more holistic coaching approach to personal training is big [and] here to stay,” says San Diego–based Fabio Comana, MA, MS, faculty instructor at San Diego State University, the University of California, San Diego, and the National Academy of Sports Medicine. “Historically, personal training has been very physical and ‘directive’ in its orientation. For example, trainers identify issues, [create] programs and then tell clients what to do. It’s a self-focused model that comes from medicine. Today, influences are coming from integrative medicine. We’re not only addressing physical issues; we’re also looking at cognitive and emotional aspects and how to help people change behaviors. In the future, trainers will need to be coaches, and coaching is a mind-body approach.”