Consultations & Supervision

Professional Consultations & Clinical Supervision For Therapists in Maryland

Do you get a great fulfillment out of genuinely helping others?

This could mean helping someone who has struggled with depression for most of their life to overcome depression at its root, and not just through “symptom reduction.”

This could mean helping someone who has been self-abusive and self-sabotaging due to an abusive childhood come to find peace and learn to love themselves.

It could also mean helping someone who has an explosive temper to speak assertively and firmly to others without losing control.

And I am talking about the ability to achieve these kinds of results with your clients consistently.

This is not hyperbole, but something actually achievable. According to Research 1, the effectiveness of a psychotherapist has nothing to do with years of practice, type of degree, or model of therapy. These are all cultural myths with no established basis in reality. The only factor that is consistently correlated with positive outcomes in psychotherapy is whether the therapist engages in deliberate practice.

Simply put, deliberate practice is a process by which a psychotherapist improves his/her effectiveness and performance through specialized skills, training, and repetition. DP can range from role-playing therapy scenarios with a colleague, to reviewing session video tapes with the goal of discovering and enhancing what is working in sessions.

Consultations & Clinical Supervision

What this research suggests is that we need to practice what works and not just fly by the seat of our pants. While most therapists get into the field because they have a knack for understanding people and are naturally empathic, it takes dedicated training to build upon that to be highly effective.

Consultations & Clinical Supervision

Getting supervision or engaging in a case consultation with an established expert can be a good part of a deliberate practice regimen. This is particularly true if you are interested in videotaping sessions, such as I do, in order to review real data for performance improvement. In fact, this same 2015 study showed that videotaping of sessions is the most challenging form of deliberate practice, and as such, associated with the most highly skilled therapists.

For the past six years I have supervised and trained seasoned clinicians at the Washington School of Psychiatry to become much better at what they do. I can do the same for you.

Professional Consultations For Therapists

Short term support for dealing with challenging cases/clients

We all have had cases that completely throw us for a loop. Or you may have someone who you have been working with for some time but seem stuck. No therapist, no matter how well-trained or experienced, is immune from these kinds of situations. Instead of throwing in the towel and saying things like, “This client does not really want help” or “I am not able to help this person,” a better strategy is to seek outside case consultation. Chances are the problems are, in part, due to countertransference reactions that are difficult to see on your own.

You simply can’t see what you don’t see!

Believe it or not, your most challenging cases can be your greatest teachers. Once a very wise supervisor and mentor said to me after showing him a tape of a client that had me deeply frustrated, “The client is going to be really good for you.” I couldn’t believe my ears… and yet, he was right!

I can help you see what you might not be able to see on your own which will help you achieve greater outcomes with more complex cases. It will also improve your effectiveness with others.

How Therapeutic Case Consultation Works

Case consultation can happen in one of two ways. Below are the benefits and limitations of each method. Please know that you do not need to have ISTDP experience or have a desire to learn ISTDP in order to engage in professional case consultation with me.

Option #1 - Meeting Over Zoom

The most common form of case consultation is for you to bring a case to me that we can discuss and process over Zoom. I prefer Zoom and not the phone because it’s easier to read body and facial cues that are not visible over the phone.

The best case scenario is for you to show a videotape of this client.

If you have never videotaped and are unsure of this, I can definitely help get started with this process. I can provide you with a videotape consent form that you can edit to suit your unique therapy situation. I can even help you communicate with your clients about the benefit of videotaping to assuage any anxiety you (or they) have about this.

And, of course, if you or your client are not comfortable with videotaping, we can certainly still process your case without the use of the videotape. When we connect we can discuss the best ways to proceed with or without a videotaped session.

Consultations & Clinical Supervision

Option #2 - Meeting With Your Client Directly

The second option is for me to meet with your client directly for a two-hour psychodiagnostic assessment. This assessment is videotaped so your client will need to agree/give written consent for this to occur. In this kind of session, videotaping is not optional.

In the two hour assessment, I will explore the following:

After the client session, I will meet with you over Zoom to view the videotape and discuss the client. I will review these different elements with you as well as strategies to engage the client for greater success in therapy with you. Based upon your history with clients, your personality, and your style of therapy I will make recommendations for you to better engage your client.

It is important to understand that the purpose of the psychodiagnostic assessment is to assess and not treat. I will return the client to you for future work once the assessment is completed.

Ongoing Clinical Supervision

ISTDP Case/Clinical Supervision

If you are interested in learning the specifics of ISTDP, I am happy to supervise you in this process. When we meet, I will go into greater detail about ISTDP theory and concepts to help you conceptualize your client through the lens of ISTDP.

In these clinical supervision sessions, we would cover:

In Supervision, we meet on a consistent basis on a weekly, bi-monthly, or once a month with the focus on helping you develop into a more effective therapist.

If you want to learn more about my clinical areas of expertise or experience as a therapist, please visit my About page for details.

If you would like to explore working together, please don’t hesitate to reach out.

Get In Touch With Me

If you’re ready for this kind of support, I would welcome the opportunity to work with you. My services are cash-based and I am accepting clients now.

My office is in Annapolis, MD and you can reach me for a consultation by calling (410) 562-9647 or sending me an email at

If this is a true emergency, please call 911 or go to your local emergency room for support.