Clinical Supervision for Perinatal Therapists and Counsellors
When your perinatal clients bring you something you weren't trained for - this is where you bring it.
Specialist clinical supervision for counsellors and therapists working with the full complexity of the perinatal period: birth trauma, pregnancy and baby loss, NICU, postnatal OCD and anxiety, perinatal depression, tokophobia, and childhood trauma resurfacing in new parenthood.
Is This You?
You're a competent therapist. You know your model. But lately, your perinatal clients are bringing things that don't quite fit the textbook.
The client whose baby is alive and healthy — but who cried every day in NICU for three months and now can't stop checking the baby monitor at 3am.
The client who had a straightforward birth but can't stop replaying it. Who feels guilty for feeling traumatised when "nothing went wrong."
The client who lost a pregnancy and is now pregnant again — and you're not sure whether to focus on grief, anxiety, or both. Or in what order.
The client whose postnatal OCD thoughts are so distressing she's convinced herself she's dangerous. You know she isn't. But how do you hold that clinically?
The client whose difficult relationship with her own mother has exploded since giving birth — and what started as postnatal depression is looking a lot more complex.
Behind the scenes, you're asking yourself:
→ "Am I doing this right, or am I missing something crucial?"
→ "Is this trauma, grief, OCD, or all three? How do I even formulate this?"
→ "I don't want to make it worse by pushing in the wrong direction."
→ "Everyone else seems so confident. Am I actually equipped for this?"
→ "Private practice is isolating. I miss having someone to think with."
If any of that sounds familiar — you're exactly who this supervision is for.
Why Supervision with Me is Different
I'm Aleksandra - a BABCP-accredited CBT therapist, EMDR therapist, and NMC-registered Mental Health Nurse with over a decade of NHS experience, working part-time in NHS Talking Therapies and running my own specialist private practice.
I work clinically in this space, right now. I'm not supervising from a distance I'm in it alongside you.
Here's what makes supervision with me different from other supervisors:
I hold the full perinatal picture — not just one presentation.
Birth trauma gets a lot of attention. But the perinatal period is a whole clinical landscape: pregnancy and baby loss, NICU, HG, postnatal OCD and anxiety, perinatal depression, tokophobia, and the way becoming a parent can crack open old wounds that had nothing to do with pregnancy at all. I supervise across all of it.
I'm trained in both NICE-recommended trauma therapies.
CBT and EMDR are both recommended for PTSD — but they're not interchangeable, and knowing which to use, when, and why matters enormously in perinatal trauma work. I can supervise the clinical reasoning, not just reflect your questions back at you.
I understand what it's like to build a specialist private practice.
The isolation, the imposter syndrome, the cases that keep you awake. I'm not supervising from an NHS office with a full MDT behind me — I know what it's like to hold complex cases alone.
I offer structure without rigidity.
Supervision with me uses clear models and frameworks — because "let's just explore that" isn't always what you need when a client is in crisis. But there's also space for the messy, human, uncertain parts of this work.
Just like in therapy, supervision works best when there's a good fit. Here's an honest picture of who I work well with — and who might be better served elsewhere.
Am I the Right Supervisor for You?
We're likely a good fit if:
✓ You're a counsellor, CBT therapist, or integrative therapist seeing clients in the perinatal period — and you want supervision that actually understands the clinical territory, not just your model
✓ You're newly qualified and building your caseload, or experienced but moving into perinatal specialism for the first time
✓ You're already accredited but your current supervisor doesn't have perinatal or trauma experience — and you're feeling the gap
✓ You have clients with birth trauma, pregnancy or baby loss, NICU, postnatal OCD, HG, tokophobia, or perinatal depression — and you want to formulate and treat with more confidence
✓ You're encountering childhood trauma resurfacing in new parents and you're not sure how to hold it alongside the perinatal presentation
✓ You want structured supervision with clear frameworks — not just reflective questions — but also space for the uncertain, human parts of this work
✓ You're feeling isolated in private practice and want genuine professional connection alongside clinical support
We may NOT be a good fit if:
✗ Your caseload has no perinatal focus — my specialism won't add much value to general adult work
✗ You want purely unstructured, exploratory supervision without frameworks or clinical direction
✗ You're looking for supervision primarily to tick an accreditation box, rather than for genuine clinical development
✗ You work exclusively with children and adolescents — I specialise in adult perinatal populations
✗ You want a supervisor who'll simply validate your existing approach rather than helping you develop it
Pricing
Individual Supervision — £80 per hour
One-to-one, online, focused entirely on your caseload and professional development.
Group Supervision — £60 per person
Small groups of up to 4, 2-hour sessions. Structured and clinically focused — not a peer support chat. A useful option if you want the benefit of hearing others' cases alongside your own.
Frequency
Monthly is standard for most supervisees. Fortnightly is available if you're newly qualified, carrying a high-complexity caseload, or going through a particularly demanding period clinically.
Format
All sessions are online via video call. Limited evening appointments are available — because most therapists building a private practice aren't free at 2pm on a Tuesday.
Payment
Bank transfer or card. Invoices provided for your records.
Cancellation
48 hours notice required. Cancellations within 48 hours are charged at the full session fee.
How Supervision with Me Works
The supervision models I use
I draw on two established supervision frameworks: Gibbs’ Reflective Cycle and the Seven-Eyed Model of supervision. Together, these give us a structure for looking at your clinical work from multiple angles — the client, your interventions, the therapeutic relationship, your own process, and the wider context you’re both operating in.
They’re frameworks that help us make sure we’re not missing anything important — while leaving space for the session to go where it needs to go.
How sessions are structured
There’s no fixed formula. You might bring a brief check-in on a client — a five-minute update to make sure you’re on the right track — or you might spend the whole hour on a single case, working through the history, formulation, treatment approach, and your own process as a therapist. Often it’s somewhere in between.
What matters is that you leave feeling clearer than when you arrived — about the case, about your next steps, and about yourself as a clinician.
What supervision with me covers
● Case formulation — working through presentations together so you understand what’s driving the clinical picture and what to prioritise
● Treatment planning — which interventions, in what order, and why
● Safety and risk — thinking through risk clearly and confidently, without panic or avoidance
● Reflective practice — exploring your own responses, patterns, and what the work brings up for you
● Role play and skills practice — trying out interventions or difficult conversations in a safe space before you’re in the room with a client
My Background & Training
I’ve spent over a decade working clinically in NHS mental health services and talking therapies services, first as a mental health nurse and then as a CBT therapist and clinical supervisor. My specialism in perinatal mental health wasn’t something I drifted into — it’s been a sustained, deliberate focus, built through clinical experience, training, and a genuine belief that this population deserves better-equipped therapists.
Alongside my CBT accreditation, I’m a qualified EMDR therapist working towards EMDR accreditation, with my own ongoing EMDR consultant supervision. That matters for supervision because I can hold both NICE-recommended trauma therapies — not just one — and help you think through which approach fits your client and why.
My Qualifications
𑁍 Psychology, MSc (Wroclaw University)
𑁍 Mental Health Nursing, BSc (Coventry University)
𑁍 Cognitive Behavioural Therapy, PGDip (Coventry University)
Professional Registrations
● Registered Mental Health Nurse — Nursing and Midwifery Council (NMC)
● Accredited CBT Therapist — British Association for Behavioural & Cognitive Psychotherapies (BABCP)
● Qualified EMDR Therapist, working towards EMDR Accreditation — Member of EMDR Association UK
Selected Relevant Training
𑁍 Cognitive Behavioural Coaching (CBC), Transformation Academy
𑁍 Clinical Supervision (High Intensity), Birmingham University
𑁍 Introduction to Compassion Focused Therapy, The Compassionate Mind Foundation
𑁍 Trauma-Focused Acceptance and Commitment Therapy, Psychwire
𑁍 The Compassion Focused Approach to Perinatal Mental Health, The Compassionate Mind Foundation
𑁍 Healing and Hope: Working with Trauma and Loss in the Perinatal Period, Bespoke Mental Health
𑁍 How to move forward with loss, grief and PTSD linked to traumatic bereavement with Cognitive Therapy, Bespoke Mental Health
𑁍 Strategies to Help Clients Process Grief and Loss, National Institute for Clinical Applications of Behavioral Medicine (NICAMB)
𑁍 Polyvagal Theory in Action: Creating Safety and Connection with Trauma Clients, Deb Dana
𑁍 The Foundation for Infant Loss Training, Foundation for Infant Loss
How to Get Started?
If you’re interested in working together, simply complete the enquiry form and I’ll get back to you within 48 hours. If it feels helpful, we can also arrange a short call to go through the details and answer any questions you may have.
Common Questions About Supervision
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Yes. I work with counsellors and integrative therapists as well as CBT practitioners. What matters is that you're working with perinatal clients and you want to develop your clinical thinking around those presentations. I'll meet you in your model, not try to convert you to mine.
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No — though you're welcome to if it helps. Most supervisees bring a case summary or talk through what's happening. The work is in the thinking, not the paperwork.
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If something urgent comes up, you can send me a brief message and I'll let you know when I can respond. I don't offer between-session clinical support as standard, but I won't leave you completely without a lifeline if something genuinely can't wait.
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Honestly, yes — but not by reassuring you that you're brilliant. It helps because you get a regular, honest space to look at your actual clinical work and realise you're more capable than the voice in your head is telling you. That's more useful than cheerleading.
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Primarily clinical — that's the contract. But I understand the reality of building a specialist practice and I'm not going to pretend the professional development and business questions exist in separate boxes. If it's relevant to your growth as a clinician, we can talk about it.
This is mentoring + supervision combined.
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No — in fact, newly qualified therapists often benefit most from specialist supervision early on, before unhelpful habits set in. I'll calibrate to where you are, not where I think you should be.
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That's a completely valid place to start. We can use supervision to build your clinical framework, think about how you present yourself to referrers, and prepare you to hold these cases well when they arrive.
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Yes — small groups of up to 4 people, 2-hour sessions, £60 per person. Groups are clinically focused and structured. If you're interested, get in touch and I'll let you know whether there's a group forming that might suit you.
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Yes I have limited availability in the evenings. I know most people building a private practice aren't free during standard working hours.
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You'll notice you're less likely to lie awake worrying about a case. You'll formulate more confidently. You'll make clinical decisions with more certainty — and more comfort sitting with the uncertainty that remains. You'll feel less alone in the work. If none of that is happening after a few months, we should talk about why.
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48 hours notice required. Cancellations within 48 hours are charged at the full session fee. I ask for this not to be punitive but because that time was held for you — and because clinical supervision only works if it's treated as a genuine professional commitment, not something to cancel when life gets busy.
let's get startedAre you ready to take your clinical practice to the next level?
Perinatal work is some of the most rewarding — and most demanding — clinical work there is. If you want a supervisor who genuinely understands the territory, I'd love to hear from you.