Supervision and Consultation

I offer supervision and consultation for therapists who are interested in developing a deeper, more psychoanalytic way of listening.

My work is especially suited for clinicians who want to become more comfortable with transference, countertransference, unconscious conflict, resistance, enactment, and the emotional pressures that emerge in intensive clinical work. Many therapists know the language of depth therapy but feel uncertain about how to actually work with it in the room. Consultation can help bridge that gap.

Rather than focusing only on diagnosis, technique, or symptom reduction, I help clinicians listen for the patient’s underlying emotional organization: what the patient repeats, what they cannot yet know, what they need the therapist to feel, and how the treatment relationship becomes part of the problem and the cure.

A Psychoanalytic Approach to Clinical Thinking

Good supervision is not simply advice about what to say next. It is a place to think about the whole clinical situation.

In consultation, we may explore questions such as:

What is the patient unconsciously asking of the therapist?

What role is the therapist being invited to play?

Where is the treatment stuck, and what might the stuckness be communicating?

How are transference and countertransference shaping the work?

What anxieties, defenses, and conflicts are organizing the patient’s experience?

When is support needed, and when does support become a way of avoiding deeper contact?

How can the therapist become more emotionally present without becoming intrusive, reactive, or over-responsible?

I am particularly interested in helping therapists refine the timing, depth, and emotional tact of their interventions. Often the most important clinical question is not simply “What does this mean?” but “What is the patient able to hear now, from me, in this relationship?”

Areas of Focus

Clinicians often consult with me around:

  • Psychodynamic and psychoanalytic formulation

  • Transference and countertransference

  • Narcissistic, obsessional, melancholic, and borderline dynamics

  • Resistance, silence, withdrawal, and negative therapeutic reactions

  • Shame, envy, aggression, idealization, dependency, and eroticized dynamics

  • Frame questions, cancellations, fees, boundaries, and treatment frequency

  • Developing a more analytic stance while remaining emotionally alive and humane

I also work well with therapists who feel they have become too supportive, too explanatory, too careful, or too eager to be experienced as helpful. These are common and understandable clinical positions. But over time, they can limit the patient’s ability to encounter the fuller truth of their internal world.

Developing the Therapist’s Clinical Self

Supervision is also about the therapist.

Every clinician has characteristic ways of listening, protecting themselves, seeking approval, managing aggression, avoiding helplessness, or trying to repair too quickly. These patterns are not flaws. They are part of the therapist’s clinical instrument.

Consultation can help you become more aware of how your own subjectivity enters the work, without collapsing into self-criticism or excessive personal exposure. The goal is not to become neutral in the sense of being blank or distant. The goal is to become more usable: emotionally available, technically thoughtful, and less driven by unconscious pressure.

Format

Consultation may be ongoing or short-term, depending on your needs. Some clinicians come with one difficult case. Others use consultation as a regular space to deepen their clinical thinking across their practice.

Sessions are typically focused on detailed clinical process: what happened in the room, what you felt, what the patient seemed to evoke, where the session became alive or deadened, and what might be emerging beneath the manifest content.

This work is not a substitute for formal licensure supervision unless specifically arranged and appropriate. It is best understood as advanced clinical consultation for therapists who want to deepen their psychodynamic and psychoanalytic capacities.

Who This Is For

This may be a good fit if you are a therapist who wants to:

  • Practice with more depth and confidence

  • Better understand difficult or confusing treatment dynamics

  • Work more directly with transference and countertransference

  • Become less reactive, overly helpful, or avoidant in the room

  • Develop a more psychoanalytic ear

  • Think more clearly about complex patients

  • Feel less alone with the emotional burden of clinical work

Supervision and consultation can be especially valuable when a treatment begins to feel repetitive, confusing, overly intense, emotionally flat, or subtly coercive. These moments are often not signs that the therapy is failing. They may be signs that the unconscious life of the treatment is becoming available.

Beginning Consultation

If you are interested in supervision or consultation, you are welcome to contact me to discuss what you are looking for. We can talk about your clinical interests, the kinds of patients you work with, and whether ongoing consultation or a more focused meeting would be most useful.

My aim is to provide a thoughtful, serious, and emotionally honest space for therapists who want to grow in the depth of their work.