Clinical Supervision for Therapists

For Relational Depth, Clarity & Clinical Grounding

Relational, depth-oriented supervision for clinicians interested in understanding what unfolds within the client, within themselves, and within the therapeutic relationship.

Sometimes the question isn’t only what to do next.

You can be a skilled, thoughtful, deeply committed therapist and still encounter cases that leave you feeling uncertain, activated, overly responsible, frustrated, or strangely pulled in a particular direction.

You may notice yourself thinking about a client long after the session ends. You may feel urgency to help, pressure to get something right, an impulse to rescue or reassure, or a wish to pull back when the work becomes difficult.

At times, it can be hard to discern what belongs to the client, what belongs to you, and what may be emerging in the relational field between you.

Supervision gives us a place to slow those moments down — not because they mean you are doing something wrong, but because they may tell us something important about the work.

What happens within you is not separate from the work.

It can become a guide to understanding what is unfolding.

How I Approach Supervision

The Relational Field

Therapy does not happen only inside the client. It unfolds within a relationship.

Countertransference, therapist activation, enactments, and parallel process can offer meaningful information about what is occurring in the work. Rather than treating these experiences as interference to eliminate, we can become curious about what they may be communicating.

A NARM-Informed Approach

My supervision is grounded in the NeuroAffective Relational Model (NARM) and brings particular attention to agency, relational patterns, protective strategies, and the therapist’s internal experience.

We may become curious about how your own adaptations interact with those of the client — including moments when choice narrows into urgency, over-functioning, withdrawal, self-doubt, or a need to get something right.

What We Might Explore Together

Countertransference & Activation

What gets evoked in you emotionally, somatically, and relationally — and what those responses may help us understand about the work.

Enactments & Relational Patterns

Moments when familiar dynamics begin taking shape within therapy, including parallel process and patterns that become difficult to see from inside the relationship.

Agency & Clinical Choice

Recognizing when urgency, over-responsibility, avoidance, or self-doubt constricts your range of responses — and creating more room for steadiness, curiosity, and choice.

What Supervision Can Look Like

You might bring a case, a recurring clinical dilemma, or a particular moment from a session that has stayed with you.

We may slow that moment down and become curious about what was happening in the client, what was happening in you, and what was taking shape between you. Alongside clinical formulation and technique, we can explore the protective strategies, expectations, and relational dynamics organizing the interaction.

The aim is not simply to find the correct intervention, but to strengthen your capacity to remain thoughtful, grounded, and responsive in the presence of complexity.

This work may resonate if…

  • You feel drawn to relational, depth-oriented, or trauma-informed work.
  • Certain clients or clinical situations evoke self-doubt, urgency, over-responsibility, frustration, or withdrawal.
  • You want to understand countertransference and therapist activation more deeply.
  • You value reflective exploration alongside clinical guidance rather than technique alone.

This work may not be the best fit if…

You are primarily seeking highly directive case management, protocol-based oversight, or quick answers about which technique to use next.

Technique and clinical guidance certainly have a place in supervision; they simply aren’t the sole organizing focus of this work.

Ways We Can Work Together

Individual Supervision

60-minute individual meetings offer space for sustained exploration of clinical material, therapist process, countertransference, and relational dynamics.

Small-Group Supervision

A collaborative format where clinicians can bring clinical material, reflect together, and learn from relational processes emerging across different cases and perspectives.

Logistics

Length

60 minutes for individual supervision

Individual Fee

$175 per individual session

Small-Group Fee

3+ participants
Rates and session length vary by group size and format

Cancellation

48 hours' notice for cancellations or rescheduling

Location

Secure telehealth via Zoom

Questions about fees, insurance, or scheduling can always be discussed during an initial consultation.

Length

55–60 minutes

Fee

$175 per session

Insurance

Out-of-network
Superbills provided

Cancellation

48 hours' notice for
cancellations or rescheduling

Location

Secure telehealth via Zoom

Questions about fees, insurance, or scheduling can always be discussed during an initial consultation.

Length

60 minutes for individual supervision

Individual Fee

$175 per individual session

Small-Group Fee

3+ participants

Rates and session length vary by group size and format

Cancellation

48 hours’ notice for cancellations or rescheduling

Location

Secure telehealth via Zoom

Questions about fees, logistics, or scheduling can always be discussed during an initial consultation.

If this way of thinking about clinical work feels relevant, I welcome you to reach out.

I offer a complimentary consultation to learn about your clinical work, answer questions about supervision, and explore whether working together might feel like a good fit.

Monday to Friday, 8am to 6pm ET

andrew@andrewplisner.com