CBT supervision
for therapists.

• Anxiety disorders
• Depression and low mood
• Excessive worry and generalised anxiety
• Panic and health anxiety
• OCD
• Trauma and PTSD
• Social anxiety
• Low self-esteem
• Perfectionism
• Stress and burnout
• Complex or comorbid presentations

• CBT assessment and case conceptualisation
• Individualised cognitive-behavioural formulation
• Avoidance and behavioural patterns
• Treatment planning and selecting appropriate interventions
• Difficult or stalled therapy
• Therapeutic relationship issues
• Therapist confidence, wellbeing and development
• Maintaining fidelity to evidence-based CBT while working flexibly with the individual
• Transitioning into independent/private CBT practice

Space to step back when therapy feels stuck

One of the areas I particularly enjoy is helping therapists make sense of complex or stuck cases.

When therapy isn’t progressing, it can be tempting to simply add another technique. Often the more useful step is to return to the formulation and ask whether we fully understand what is maintaining the problem.

Supervision can help you step back from the detail of individual sessions, identify patterns that may have been missed and develop a clearer hypothesis about what needs to change.

This can be particularly helpful when:

• Several problems are interacting
• The client appears to understand CBT intellectually but little is changing
• Standard protocols are not producing the expected improvement
• Avoidance or safety behaviours are difficult to identify
• The therapy has become repetitive
• You are unsure whether to continue, adapt or change direction

A closer look at your clinical work

Where appropriate, I can incorporate close supervision of clinical work, rather than relying solely on retrospective discussion.

This can include reviewing therapy recordings or extracts, examining specific therapist-client interactions and identifying opportunities to develop clinical skills.

Close supervision can be particularly useful for understanding aspects of therapy that are difficult to capture through verbal case discussion alone. It can also provide a much richer basis for developing specific CBT competencies.

We can discuss suitable arrangements for live or recorded work, including client consent and confidentiality, before bringing material to supervision.

Practical feedback to help you grow

I have previous experience marking Cognitive Therapy Scale – Revised (CTS-R) recordings within CBT training.

Where appropriate, supervision can include reviewing recorded therapy and using CTS-R competencies as a framework for developing your clinical skills. This can be useful if you want to strengthen:

• Agenda setting and session structure
• Feedback and collaboration
• Pacing and interpersonal effectiveness
• Eliciting appropriate cognitions and emotions
• Applying change methods
• Developing effective homework
• Conceptual integration

The purpose isn’t simply to obtain a score. Used well, the CTS-R can help identify very specific ways in which your clinical practice can become more effective.

Make the transition with support

Moving from an NHS or organisational role into private practice brings a different set of challenges.

Alongside clinical supervision, I can help you think through the clinical and professional decisions that come with working independently.

My aim is to help therapists make the transition into private clinical work safely and confidently.

• Deciding which clients are appropriate for your practice
• Managing complexity when you no longer have a wider multidisciplinary team around you
• Boundaries and contracting
• Managing risk independently
• Determining when referral to another service is appropriate
• Balancing evidence-based treatment with the expectations of private clients
• Maintaining professional and ethical standards while running an independent practice
• Protecting your wellbeing and building a sustainable workload