Clinical supervision and consultation for therapists
Work from presence, not performance.
A steady, unhurried place to bring your work, the parts that technique does not reach. For licensed and developing clinicians, across Massachusetts.
Telehealth across Massachusetts / Now taking a few new supervisees
Supervision
Less a review of your cases, more a place to think.
Most of us were trained to do therapy well. Fewer of us were taught what to do with what happens inside us while we work: the pull to fix, the doubt, the moments a client can only find their own way through. That is most of what we look at together.
Most supervision runs on a clock and a checklist. This is slower than that. We take the time to actually look at what happened, and at what happened in you while it did. Nothing here needs to be performed or defended. The doubt, the missteps, the moment you had no idea what to do, those are often the most useful things to bring, and the ones there is rarely anywhere else to say out loud.
I supervise licensed and pre-licensed clinicians, and consult with therapists who want a thoughtful place to bring their work. Peer to peer, plainspoken, no hierarchy for its own sake. The same stance I bring to clients, brought to the work itself.
What does this person most need me to understand right now?
The question underneath the workWhat we look at
The threads I return to most.
These come from the supervision work itself, and from the sessions I teach. 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
For pre-licensed clinicians working toward licensure. Formal supervision that meets the requirement, with someone who also wants the hour to be worth it. We cover what the hours are for, and the harder questions underneath them.
Consultation
For licensed therapists who want a steady place to bring the work: a difficult case, a pattern you keep hitting, a colleague to think alongside. Peer to peer, no sign off, no hierarchy.
About
Who you would be working with.
I have been doing this work close to twenty years, across private practice, community mental health, and outpatient care, with a long stretch of supervising and leading clinical teams along the way. Long enough to know that the hardest parts of this job are almost never the clinical ones. They are the moments you second guess yourself, or feel something you did not sign up to feel, or quietly suspect the technique is not going to be the thing that helps. That is the work I most like to get into with people.
I do not supervise from on high. I figure you already have good instincts and mostly need a steady place to hear yourself think, ideally without anyone performing wisdom at you. So this tends to be unhurried, plainspoken, and allergic to the tidy answer that sounds great and fits nothing. I take the work seriously and myself a good deal less so, and I would genuinely rather sit in a real question with you than pretend either of us has it figured out.
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.
A brief conversation is the best way to see whether working together makes sense. You are welcome to get in touch.