Supervision for practising specialists

When it is worth going to supervision

• The case is not moving. The work is going on, but there is no result, and it is unclear why.
• Doubts about the conceptualisation. There is a hypothesis, but no confidence in it.
• Strong reactions of your own. The client provokes irritation, pity, boredom or anxiety — and this affects the work.
• An unfamiliar presentation. A case has come in from an area where you have no experience.
• Ethical uncertainty. A situation where it is not clear what the right thing to do is.
• Regular support for your practice — with no particular trigger, as part of the professional standard.

Formats

Individual supervision

Working through one or several of your cases one to one with a supervisor. Suitable when depth is needed: a complex case, an unusual presentation, sensitive topics you would rather not bring into a group.

Small-group supervision

A small group of colleagues and a supervisor. Each participant brings a case. Besides working through your own material, you see how other practitioners think — which often gives more than working through your own case.

How a case review runs

Supervision is not an examination and not a hunt for mistakes. The structure is usually as follows:

1. You formulate your question for supervision: what exactly you want to understand.
2. You present the case briefly — anonymised, without data that could identify the client.
3. We examine the conceptualisation: does the hypothesis fit the facts, what is missing from it.
4. We discuss the choice of techniques and how they were applied.
5. We look separately at the therapeutic relationship and at your own reactions — often this is where the case is getting stuck.
6. We formulate concrete steps for the next sessions.

Approaches

Supervision is provided in CBT and schema therapy. If your case calls for a different approach, we will say so directly and, where possible, recommend a colleague.

Confidentiality

Cases are presented anonymised. The supervisor receives no data that could identify a client; everything discussed in supervision stays between the participants.

Arrangements and cost

The format, frequency and cost are agreed individually — they depend on your experience, the volume of your practice and whether you need a one-off consultation or ongoing support. Send a request and the coordinator will go through it all with you.