Clinical supervision and consultation
Bring the doubt.
For licensed and pre-licensed clinicians across Massachusetts, individually, over telehealth.
Telehealth across Massachusetts / Now taking a few new supervisees
Supervision
How this works.
We use the time on whatever needs it. Some sessions stay with one case. Others cover more ground. Some are not about a case at all.
If I see something, I tell you. If I would try something different, I tell you that and why. Sometimes a question gets you there faster than my answer, so I ask instead.
I am the same every week. That sounds small. It is not.
What I want out of it is not that you feel supported, though I hope you do. It is that the people you see are better cared for because we took the time.
What does this person most need me to understand right now?
What we look at
The threads I return to most.
These come from the supervision work itself, and from the slides I write for the clinicians I supervise. We follow whichever thread is alive in your work rather than moving through them in order.
- Using what you feelWhat arises in you during a session as information rather than interference, and how to work with it instead of around it. Much of what tires us out is not the feeling, it is the effort of pretending we do not have it.
- Feeling like a fraudThe self doubt that follows most of us into the room, experienced clinicians included. How to hold it honestly so it stops quietly steering the work.
- Working with angerYours and theirs. What anger is protecting, and how to stay steady and useful when it shows up, without matching the client’s heat or going artificially soft.
- Only they can solve itHolding a nondirective stance without going passive. Staying close while a client finds their own way, and trusting their movement toward what they need.
- Working with depressionMeeting flatness, hopelessness, and risk without rushing to fix or reassure, and holding steady when a client cannot yet hold hope for themselves.
- When you feel stuckThe difference between slow and stuck, stuckness as something co-created in the room, and the patience that is not the same as avoidance.
- On presenceStaying with a person rather than managing them. When you stop trying to move the session, it tends to move on its own.
Who it’s for
Supervision, or consultation.
Supervision
If you are working toward licensure, these sessions meet the requirement. What we spend them on is whatever your work needs: the cases you are carrying, and what they are stirring up in you.
Consultation
If you are already licensed, come when a case has gotten to you. That might be every week or twice a year.
About
Who you would be working with.
I have been doing this work since 2004, licensed in Massachusetts since 2009, across private practice, community mental health, and outpatient care, with a long stretch of supervising other clinicians along the way.
What I keep coming back to is above. What you feel and what to do with it. The doubt that follows you in. Anger, stuckness, presence.
The question is not how can I treat or change this person, but how can I provide a relationship they can use for their own growth.
Carl RogersFees
Individual supervision and consultation are the same rate. If you are a developing clinician for whom the full fee would be difficult, say so when we talk and we will figure out what works.
Contact
If it sounds like a fit, reach out.
The easiest way to find out is to talk for a few minutes. If any of this sounds like what you are looking for, get in touch.