I provide consultation and supervision of health care professionals, primarily in the area of psychotherapy. The theoretical orientation of the supervisee is less important than his/her openness to considering new perspectives in their work with clients. In addition to cognitive and psychodynamic aspects of therapy, it is important for therapists to consider recent developments in neuroscience, developmental psychology and traumatology. For example, in addition to so-called “top down” interventions with clients, “bottom up” interventions that involve working with the client’s nervous system need to be considered, as well as the therapist developing a capacity to track and titrate activation in their own nervous system in the moment to moment exchange of psychotherapy. I believe it is also important for clinicians to be able to work with a client’s emotional experience.
I believe that while consultation and supervision are not therapy for the therapist, to be effective they do require an openness to examining how one’s own psychology may play a role in the work. There is also a distinction between consultation and supervision. The latter is more comprehensive and requires a greater degree of responsibility for the supervisor.
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