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Clinical Supervision
(Carrickfergus & Online)

Supervision is an essential part of therapeutic practice. It offers a place to step back from the intensity of client work and reflect on what is unfolding.

Therapeutic work can be deeply meaningful, but it can also be emotionally demanding.  Without space for reflection, therapists may begin to feel overwhelmed, isolated, or uncertain about how to hold complex client material.

Supervision provides a reflective space to think about your work, explore complex client dynamics, and maintain ethical, grounded practice.

It can also support your own development as a therapist, helping you remain connected to the values and intentions that brought you to this work.

How does Clinical Supervision work?

Clinical supervision is a professional relationship where counsellors and psychotherapists have the opportunity to discuss their work in a thoughtful, supportive environment.   

 

Rather than being evaluative or prescriptive, the most effective supervision offers a space to:

 

●explore the therapeutic relationship

 

●reflect on client work and emotional responses

●consider ethical questions and boundaries

 

●develop confidence and professional judgement

 

●stay connected to curiosity and learning

How I approach Supervision

My approach to supervision is relational, reflective, and integrative.

 

This means we explore both the presenting clinical aspects of the work and the experience of the therapist themselves in relationship with their client.

 

The aim is not to provide rigid answers but to create a space where understanding can develop.  The process is collaborative rather than hierarchical. Supervision works best when it feels like a place where thoughtful conversation can unfold freely.

 

Supervision may involve reflecting on:

 

●the therapeutic relationship

the supervisory relationship

●emotional responses, "parts" and the impact of the content of sessions on you

●recurring client patterns

●ethical or professional dilemmas

 

●how your own experiences interact with the work

 

I particularly enjoy working creatively with supervisees.  I am happy also for you to bring clinical creative work to supervision sessions, obviously with prior consent from clients.  

Supervision formats

Monthly Supervision

I work on a one to one basis with psychotherapists and counsellors seeking a primary supervisor for their work  This is suitable for trainee therapists, therapists working in agencies and those in private practice.  

Ad hoc Consultation

I offer "one of" sessions for therapists seeking additional consultation from time to time.  For example, this might be in relation to some more specialised work you are doing with a small number of clients.  Most commonly, this would relate to work with autistic and otherwise neurodivergent people or sandplay / sandtray work.

Therapeutic Consultation Group

I am beginning to gather a consultation group for experienced practitioners.  We use a process orientated approach to access "therapist parts" and deeper levels of awareness in order to untangle / unblend from stuckness in our

clinical work. 

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I've written in more detail about the format here 

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New to private practice?

I'm tentatively planning for this new group to begin in September 2026.

It will be collaborative and relational with an emphasis on co-creating an environment which aims to be fundamentally nurturing and shame free, without compromising on gentle challenge and steady growth.

 

We will focus on your wellbeing alongside your clients’ needs.

Starting Supervision

If you’re looking for clinical supervision, the first step is usually an introductory conversation.This allows us to discuss your practice, the kind of supervision you’re looking for, and whether working together feels like a good fit.

                                            Contact

therapywithsiana@gmail.com

+44 7429 552881

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