What We’ve Said

What we’ve said about Supervision

15 points from 5 episodes, newest first

Also searched as clinical supervision, mentoring

In short

The best supervision is part therapy: it asks about your feelings toward patients and invites open-ended self-reflection, and it is worth paying for when you find the right person. Seek it out for hard cases like sexual transference, make mistakes and ask dumb questions there, and watch for the parallel process.

What good supervision looks like

  1. The most helpful supervision is a blend of therapy and supervision: less about answering clinical questions, more about your own emotions toward patients.

    “The ones that I found the most helpful, it was like this blend of therapy and supervision. This supervisor would ask me questions about It wasn't just answering clinical questions as much as it was my own emotions to patients”
    48:05Tips to Avoid Burnout in Psychiatry (Outpatient, mostly)Mar 2026
  2. Good supervision invites open-ended questioning and self-reflection from the clinician. Without that, its usefulness is limited.

    “I think a good supervision invites with open ended questioning and self reflection for the clinician being supervised. If that's not present. It's going to be a little bit limited in utility”
    48:42Tips to Avoid Burnout in Psychiatry (Outpatient, mostly)Mar 2026
  3. Role plays let you try the conversation you dread. If you worry the patient will explode or crumble when you say something, they will not, because they are not really there, so you can play with it.

    “your patient's not really here. So, you know, if you're worried they're going to explode or crumble, if you say this, they won't because they're not really here, but we can play with it”
    29:57Why the Therapeutic Alliance Matters in Psychiatry: Recognizing and Repairing Ruptures with Dr. Catherine EubanksNov 2025Guest episode
  4. The more mistakes you make, the more you learn. In group supervision, ask the dumb questions, the ones you think you should already know.

    “the more mistakes you're making, the more you're learning, period. So like in group supervisions, in these things, like ask dumb questions, ask questions that you think like I should know this already”
    33:32Why the Therapeutic Alliance Matters in Psychiatry: Recognizing and Repairing Ruptures with Dr. Catherine EubanksNov 2025
  5. Rupture and repair training is the most practical training there is, and the skills get used constantly in medication management, not just therapy.

    “To me, it's the most practical training. And I feel like I approach, I use the skills so much in medication management in not just therapy”
    53:41Why the Therapeutic Alliance Matters in Psychiatry: Recognizing and Repairing Ruptures with Dr. Catherine EubanksNov 2025

When to seek it

  1. Find a mentor or supervisor who has been through these situations and can help make sense of them with you.

    “So the advice I always would give was find a mentor or a supervisor who's been through these things and can help make sense of them with you”
    32:27Tips to Avoid Burnout in Psychiatry (Outpatient, mostly)Mar 2026
  2. Postgraduate supervision, coaching or mentoring can make a considerable difference with burnout. Even if you have to pay for it, find the right person, and get your money's worth.

    “It's getting supervision, postgraduate supervision, coaching, mentoring. Even if you have to pay for it, you find the right person. It can make a pretty considerable difference, but get your money's worth”
    47:05Tips to Avoid Burnout in Psychiatry (Outpatient, mostly)Mar 2026
  3. Without safe people to talk to, the other avenues are supervision, a peer discussion or support group for clinicians, or emotion-focused psychotherapy.

    “one of the only other avenues would be supervision, a peer discussion or support group for clinicians, or of course, emotion focused talk therapy, psychotherapy”
    30:12Tips to Avoid Burnout in Psychiatry (Outpatient, mostly)Mar 2026
  4. Reflect on what you are doing and why. Supervisors and your own therapist give you a place to do that.

    “as providers, it's important to really reflect on. what it is that we're doing, the reason for what we're doing. It's important to have supervisors, to have our own therapists, to be able to reflect on”
    1:05:06Probably The Most Important Topic in Psychiatry: Therapeutic Alliance and FrameJan 2025
  5. With sexual transference, unless you have a very clear idea of what you are doing, seek supervision.

    “Unless you have a very clear idea of what you're doing, I highly recommend that you seek supervision”
    33:53When Patients Fall in Love with their Psychiatrist: Sex, Boundaries, Frame, and LiabilityAug 2025
  6. Reading a paper on how an analyst seeing a patient three times a week handled sexual transference does not mean you should make a half-baked attempt to recreate that intervention.

    “just because I read a paper on some deep psychoanalysis three times a week and how that therapist responded to sexual transference doesn't mean I do a half-baked attempt at recreating what that intervention was”
    32:39When Patients Fall in Love with their Psychiatrist: Sex, Boundaries, Frame, and LiabilityAug 2025

Pitfalls

  1. Parallel process: in psychodynamic or psychoanalytic supervision, what happens between patient and therapist starts to replicate itself in the supervision session, and you have to manage that.

    “There's a concept called the parallel process, even, where in a psychodynamic or psychoanalytic supervision, what happens within the patient-therapist interaction will begin to replicate itself within the supervision session, and you have to manage that”
    49:13Tips to Avoid Burnout in Psychiatry (Outpatient, mostly)Mar 2026
  2. Therapists are usually open, accepting and non-confrontational. Without a good conceptualization of why boundaries matter, early therapists and psychiatrists really struggle to set them.

    “the temperament of a therapist typically is open, accepting, non-confrontational. And if you don't have this good conceptualization of the importance of setting boundaries, I see early therapists and psychiatrists really struggle with setting boundaries”
    28:58Why the Therapeutic Alliance Matters in Psychiatry: Recognizing and Repairing Ruptures with Dr. Catherine EubanksNov 2025
  3. Many supervisors purposely ignore personality, formulation and diagnosis, likely out of stigma.

    “many, many supervisors purposefully ignore personality and formulation and diagnosis. They purposefully ignore it. I think there's stigma”
    21:13Is Psychoanalysis Still Relevant in Modern Psychiatry?Oct 2025
  4. When supervisees say they are working until 8 p.m., a look at their emails usually shows messages that are way too long and way too friendly.

    “every person I've supervised, when they say they're working until 8 p.m. or whatever, I go through their emails and I'm like, this is way too much. This is way too much. This is way too friendly”
    21:07Tips to Avoid Burnout in Psychiatry (Outpatient, mostly)Mar 2026

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From these episodes

Every point above is something said on the Psychofarm podcast, with the words as spoken and a link to the moment in the episode. It is education, not medical advice, and an episode reflects what we thought when we recorded it.

Educational content only. Everything here is what was said on the Psychofarm podcast, for clinicians. It is not medical advice and not a substitute for clinical judgment, current labeling or guidelines. An episode reflects what we thought when we recorded it, so check anything before you rely on it.