The Shift Coaching, Consulting & Advocacy

The Shift Coaching, Consulting & Advocacy Empowering People. Transforming Systems. Coaching, consulting & advocacy rooted in emotional intelligence, innovation and individualized support.

Bridging gaps between people and the systems meant to serve them. At The Shift, we challenge the status quo with empathy, strategy and bold thinking. Lacey Tougas, RN, NC-BC, empowers individuals and families, while also supporting organizations that want to lead with purpose. From coaching adolescents and moms to consulting for healthcare and education systems, she designs individualized solution

s that meet people where they are. Services include:
- 1:1 & Group Coaching
- Intuitive or Educational Workshops
- Leadership & Team Training
- Burnout Support & Systemic Strategy
- Advocacy for Law Enforcement Families, Educators, Caregivers & More

Every package is customized. Every person is seen. Every system can shift.

➤ Rooted in Emotional Intelligence
➤ Built on a Solution-Focused Mindset
➤ Serving both people & the systems they’re in

Something exciting I’ve been quietly building in the last year is becoming more! ✨After years of healthcare, leadership,...
05/07/2026

Something exciting I’ve been quietly building in the last year is becoming more! ✨

After years of healthcare, leadership, advocacy, coaching, business and navigating complex systems alongside people and families… I created a space that truly reflects the work I do and the impact I hope to continue to make through The Shift.

My website is officially LIVE:
https://www.theshiftfm.com

The Shift was built around a simple belief:
People don’t just need more information — they need support understanding themselves, help navigating systems, implementing change, and moving forward with clarity.

This work blends:
• Coaching
• Consulting
• Advocacy
• Behavioral insight
• Systems thinking
• Real-life implementation strategies

Whether supporting individuals, families, leaders, or organizations — the goal is always the same:
helping people move from overwhelm → clarity → sustainable change.

Thank you to everyone who has supported, encouraged, challenged, trusted, and believed in me along the way. This next chapter means a lot to me. 🤍

Why many women are diagnosed with ADHD later in life:Girls with ADHD often learn to mask their struggles early.Instead o...
04/15/2026

Why many women are diagnosed with ADHD later in life:

Girls with ADHD often learn to mask their struggles early.

Instead of hyperactivity, it may look like:

• overwhelm
• perfectionism
• people pleasing
• emotional sensitivity
• burnout from constantly trying to keep up

Many women spend years believing something is wrong with them…

when their brain was simply working differently.

Understanding ADHD later in life can bring both relief and clarity.

And for many women, it’s the moment their whole life finally starts to make sense.

Do you relate to any of these? 🙋🏼‍♀️




One of the biggest misconceptions about health is that it’s purely medical.Most people think health is about symptoms an...
04/14/2026

One of the biggest misconceptions about health is that it’s purely medical.

Most people think health is about symptoms and treatment.

But after 15+ years in the healthcare system, I’ve learned something very different.
People rarely struggle with only medical problems.

They struggle with life.
Stress.
Burnout.
Relationships.
Career pressure.
Family dynamics.
Overwhelm navigating healthcare systems.

All of these things shape our health.

Yet most healthcare systems focus on treating symptoms, not helping people navigate the context of their lives and finding the root cause (I promise, it is somewhere between the lines).

That’s where nurse coaching comes in.

Nurse coaching bridges the gap between healthcare and real life.

As nurses, we’re trained to look beyond symptoms and see the whole person. Not just what’s happening medically — but what’s happening in someone’s life.

Through nurse coaching, we help people:

• recognize patterns and root influences shaping their health
• navigate complex healthcare systems with greater clarity and confidence
• develop sustainable strategies that support their physical and mental wellbeing
• communicate more effectively with providers, family members, and support systems
• regain perspective and direction during challenging seasons of life

Because meaningful change rarely comes from information alone.
It comes from understanding, strategy, and support in applying that knowledge to real life.

Our health is shaped by how we live, work, think, connect, and cope every single day.

Sometimes what people need most isn’t another appointment.
They need guidance, perspective, and a strategy for moving forward.

That’s the heart of what we do.

Have you heard of nurse coaching before?

Let’s normalize something: chaos usually means life is actually being lived.Not every home with kids looks calm and perf...
03/04/2026

Let’s normalize something: chaos usually means life is actually being lived.

Not every home with kids looks calm and perfectly organized.

Sometimes it looks like:

Cold coffee.
Dishes everywhere.
Laundry multiplying overnight.
Someone crying.
Someone laughing.
Someone asking for snacks for the 47th time.

And a mom in the middle of it all just trying to keep things moving.

That doesn’t mean you’re failing.

It means life is happening here.

A messy house with kids in it
is evidence of a life being lived —
not a life being failed.

So if today your biggest accomplishments were:

• keeping everyone alive
• feeding them something
• making it through the chaos
• and trying again tomorrow

That counts.

Lower the bar sometimes.

Because survival days still build strong families.

That 1% more effort you showed today than yesterday? While it may not seem like it accomplished anything, it’s better than 0%. (And if you wouldn’t have given that 1% things would feel even more overwhelming now) 😂

And if you’re an ADHD mom doing this on hard mode?

That’s Olympic-level.





ReframeMindset

When stress goes up, sleep falls apart.This is a cycle I tend to go through — and if you do too, keep reading.Honestly, ...
03/02/2026

When stress goes up, sleep falls apart.

This is a cycle I tend to go through — and if you do too, keep reading.

Honestly, sleep is something I have always struggled with.
Falling asleep can be hard. Staying asleep can be hard. And a lot of mornings I wake up feeling like I barely rested at all (making it hard to get up).

Between stress, ADHD, and a brain that seems to run all night (plus very loud dreams), sleep doesn’t always come easy.

And I feel it the next day.

My mood is shorter.
Parenting feels harder.
My focus is worse.
Little things feel bigger.
Work takes more effort.
Stress feels heavier.
I feel more burned out.
I get more emotional.
Do you see the snowball effect yet?

Poor sleep makes everything in life feel harder… and then life being harder makes sleep worse.

Then comes the guilt-train...

Guilt that I didn’t get everything done.
Guilt that I didn’t play that game with the kids.
Guilt that I didn’t prep snacks or dinner for the next day.
(If I even had a penny for how often I hear these things...)

Sometimes we just need to take a deep breath.

How much of this is not getting good sleep… and how much of it is the pressure we put on ourselves to be superwoman?

Spoiler alert! You're only one person. And you need to take care of yourself too!

What’s one of the simplest things we can do that has the biggest impact on our sleep and wellbeing?

MOVEMENT.
We're talking any movement!

Walk 45 minutes a few times a week. It doesn’t have to be fast; you should be able to hold a conversation.

Yoga.
Pilates.
Strength Training.
Walk the dog.
Stretch on the living room floor!

Whatever it is, just move your body regularly!

Movement is one of the quickest chemical changes and nervous system resets you can create. Lower your stress hormone (cortisol). Give yourself a "calm/feel-good" boost (dopamine/serotonin). Regulate your nervous system (endocannabinoids).

And THAT improves your sleep. (99 times out of 100, everything improves for me after movement!)

Which changes your next day.
Your next week.
Your whole wellbeing.

Now getting back to simplicity- What movement can/WILL you do today to improve your sleep?
(my response in comments)

When you stop chasing symptoms…everything changes.This was never about weight.It was about inflammation, GI stress, immu...
01/18/2026

When you stop chasing symptoms…
everything changes.

This was never about weight.
It was about inflammation, GI stress, immune activation, bloating and nervous system overload.
Instead of reacting to every symptom, we addressed why the body was responding the way it was — with individualized, realistic support.

The body didn’t need discipline. It needed direction.

Root cause > symptoms.

If this resonates, you’re not imagining things — your body is communicating, listen to it and reach out for direction.

Merry Christmas 🎄🤍So incredibly thankful for my kids…even though they’re currently driving me all the way up the 9-ft Ch...
12/26/2025

Merry Christmas 🎄🤍

So incredibly thankful for my kids…
even though they’re currently driving me all the way up the 9-ft Christmas tree 😅

Regulating like a pro with my AirPods in, noise canceling on, choosing connection over correction (because jail doesn’t hit me as festive this evening).

Tomorrow? We regulate.
Structure + routine = safety (for kids and adults)

If things felt a little unhinged at your house too — you’re not alone.
That’s the holidays, lean into the chaos instead of fighting- mindset matters most!

Hope everyone survived and had a wonderful Christmas ❤️





Our kids with ADHD?Their brains are already three steps aheadwhile we’re still finishing the sentence.They process infor...
12/18/2025

Our kids with ADHD?
Their brains are already three steps ahead
while we’re still finishing the sentence.

They process information faster, broader, and deeper—
which is exactly why the “standard way” of learning loses them.

These kids don’t need to be slowed down.
They need us to build them a different path.

Meet their brains where they are, keep them engaged,
and watch how quickly they can actually learn. I’ll let you in on something, it’s often much faster than the average kid. 💡🧠🤯

Different wiring. Big brilliance. ✨

Pictures say a thousand words, don’t they? 😂I was diagnosed with ADHD in my early 30’s and it changed everything.After m...
12/14/2025

Pictures say a thousand words, don’t they? 😂

I was diagnosed with ADHD in my early 30’s and it changed everything.
After my diagnosis, I went all in. Therapy (topic for another time). Learning everything about ADHD (because let’s be honest… the hyperfocus showed up hard 😅). Suddenly, my life made sense. The overwhelm. The patterns. The strengths. The struggles. None of it was a personal failure, that I was led to believe my whole life, I was just wired differently.

Then something bigger clicked.

After I finally felt like my life made sense, learned who I was, and finally found some identity in myself, I started looking at my role as a parent through a new lens.
The explosive emotions. The big reactions to small things. The school struggles, teacher’s emails, meetings, constant advocacy and the defiance, OH the defiance! 😤

And then the light went on-
💡My kids have ADHD too… and it shows up differently in every single one of them.

That realization changed everything about how I show up—not just as a mom, but as a nurse, a coach, a partner, a friend and an advocate.

Fun Fact:
ADHD is highly hereditary, about 70–80%. So if your kid has it, chances are it didn’t start with them… it just finally got named (Faraone et al., 2021; Thapar et al., 2022). (Articles available upon request!)

My kids will grow up with something I didn’t have: support, language for their experiences, tools for regulation, and someone who will push for them—inside schools, healthcare, and systems that weren’t built with brains like theirs in mind.

We were never meant to fit into a mold.
We’re meant to understand our wiring, honor it, and create a new way forward. It’s actually a superpower and what we should be more focused on with the children of our future.

If any of this sounds familiar, buckle up—I’m about to validate what you’ve been experiencing and help you understand.
Whether you’re navigating this personally, within your family, or in a professional role, I bring both lived experience and formal graduate-level education. This is what I’ve devoted the last five years to understanding, studying, and supporting.

12/02/2025

I didn’t learn regulation techniques from a course.
I learned them in the middle of my daughter’s medical crisis — in real time — because I had to.

When her nervous system was spiraling, mine couldn’t.
If I didn’t regulate myself, she wasn’t going to regulate either.

So I learned on the spot.

I learned to steady my breath when fear hit my chest.
I learned grounding because breaking down wasn’t an option.
I learned how to calm my body so she could feel safe enough to calm hers.

Not from a book.
Not from a classroom.
From life demanding that I rise.

And when the crisis finally ended… I wasn’t the same.

My body was exhausted.
My heart was bruised.
My mind was full of unprocessed fear.
I was angry.

That is when I found my coaching program — after everything happened.
And I truly believed I was choosing it to help others.

But what I didn’t realize was this:

That coaching program found ME right when I needed it, like divine intervention. Those next 7–8 months were still healing me.

Still teaching me.
Still unraveling the patterns I had been living in for decades.

Coaching didn’t drag me back into the past —
it helped me understand the patterns that had shaped my entire life:
How I reacted to stress.
How I coped.
How I protected myself.
How I shut down or over-functioned.
How I carried responsibility that wasn’t mine.

It showed me my behaviors with honesty and compassion and then taught me how to rewrite them.

It taught me radical self-awareness:
accepting that I’m human,
embracing vulnerability,
and connecting with people in ways I never knew how to before.

Because underneath all of it,
that’s what we’re all longing for —
connection, safety, and to be heard.

Coaching helped me slow down after years of survival mode.
It helped me enjoy the present instead of bracing for the next emergency.
It helped me ground before reacting.
It brought clarity where I used to panic.
It gave me grace for myself — and for life.

And somewhere in that process, I became someone different:
calmer, more regulated, more present, more grounded, more understanding, more patient, … more me.

That’s why I coach now.

Not because it’s trendy.
Not because it’s inspirational.
But because coaching rebuilt me from the inside out —
and I know what these tools can do for someone who’s been carrying more than they can say out loud, I’ve lived it and I’ve physically seen it.

Coaching simply gave me what I needed to become who I am now,
and now I get to help others do the same.


Some of us grew up believing that who we are depends on how we act.That love, attention, and connection only came when w...
10/20/2025

Some of us grew up believing that who we are depends on how we act.
That love, attention, and connection only came when we were “good.”

But we were never meant to build our identity around behavior.
We were meant to understand the impact of our behavior — on ourselves, others, and the world around us.

If we’d learned that earlier, maybe we’d be more self-aware now.
Maybe we’d pause before reacting, get curious instead of defensive, and remember that we are not our mistakes.

When behavior becomes the measure of worth, we lose the chance to be seen for who we truly are: inherently good, worthy, and lovable.

That space between being misunderstood and wanting to be seen is where shame grows.
And where there’s shame, there’s coping.
Defensiveness. Perfectionism. Avoidance.
All trying to protect something tender underneath.

You are not your worst behavior.
You are not your best behavior.
You are a human — learning, healing, and doing the best you can with what you know.

When we focus on the person instead of the performance, we make space for empathy, curiosity, and real growth.

Your behavior is information, not identity.
Get curious about what it’s trying to tell you. ❤️
👉If this resonates, save it or share it with someone who might need the reminder today.
🧐If you're curious and want help to recognize these patterns, message me!

Address

22 6th Street N
Moorhead, MN
56560

Opening Hours

Monday 9am - 4pm
Tuesday 9am - 4pm
Wednesday 9am - 4pm
Thursday 9am - 4pm
Friday 9am - 4pm

Telephone

+17018094627

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