Disturbances in the energy balance are treated within shiatsu. Physical as well as emotional causes can result in disturbances. Examples of disturbances and their effect can be found in people who worry a lot. These people can get problems with their stomach and digestion. Also perfectionists can experience disturbances in the form of neck and shoulder problems. Being well aware of ones body can challenge a person to self examination and self reflection.

A coach can help in guiding people within this self examination and/or self reflection. Through the combination of specific coaching techniques and awareness of the body a coach can help in finding personal strength and confidence. Not only is attention given to self reflection but also to inspiration, acceptance and behavioural change.