Therapist Consultation & Clinical Supervision

For therapists who are here for more than collecting hours.

There's a point in most clinicians' training where supervision stops being about requirements and starts becoming about something more important: is this moving me toward the kind of therapist I want to become?

And if you've landed here, you've probably already noticed something else: not all supervision is built for that question.

Some of it stays procedural. Some of it stays surface-level. Some of it checks boxes, but doesn't really change how you practice.

At a certain level, that stops being enough. This space is for therapists who want something more.

This is not basic supervision

Advanced clinical development, at the intersection of it all

This is where technique meets clinical presence — where your work stops feeling like you're “doing therapy right” and starts becoming something more integrated, grounded, and intentional.

  • Trauma & complex developmental systems
  • Attachment & relational neuroscience
  • Somatic & embodied clinical work
  • EMDR & phase-based trauma treatment
  • Perinatal & relational identity transitions
  • Person-of-the-therapist work — what you bring into the room that no model fully accounts for
  • RPT & child / developmental considerations
  • EFT & relationships
What this work actually focuses on

Most stuck points aren't about knowledge

Most clinical stuck points don't come from a lack of knowledge. They come from:

  • Not knowing what to prioritize in the moment
  • Getting pulled into the client's system without realizing it
  • Over-relying on models when the room is more complex than the model accounts for
  • Losing access to your clinical intuition when things intensify
  • Training that didn't fully translate into live clinical decision-making

So the work here is practical, even when it's deep.

We slow cases down enough to see:

  • What's actually happening in the client's nervous system
  • What the therapeutic relationship is doing in real time
  • Where pacing, timing, or intervention choice is getting off track
  • What you're tracking — and what you're missing
  • Where your instincts are accurate, and where they're getting overridden

The goal isn't more theory. It's better clinical intuition under pressure.

What you can expect

This isn't about performing competence

It's about building confidence and clinical integrity. Sessions focus on:

  • Case conceptualization that holds complexity without oversimplifying
  • Real-time clinical decision-making
  • Understanding therapeutic process as it unfolds — not after the fact
  • Identifying patterns in your clinical responses and countertransference
  • Strengthening pacing, timing, and intervention selection
  • Building confidence in your judgment — not dependence on external validation

Over time, you leave with something concrete: you trust yourself more in the room.

A note on what this is not
This is not passive mentorship. This is not “just talk it through and hope it lands.” This is active clinical development.

Sometimes that means slowing things down. Sometimes it means direct feedback. Sometimes it means naming what's actually happening in the room when it's hard to see. Always, we're working toward clearer clinical thinking — not comfort for its own sake.

Ways to work together

Three focuses for this work

Whichever path fits your stage and goals, the depth of the work stays the same. Offered in person in Houston, with LPC supervision available virtually across Texas & Tennessee and consultation available worldwide.

Reflective practice

Person of the Therapist Consultation

Every therapist brings their own history, attachment patterns, and nervous system into the room — and it shapes the work more than any model. This is dedicated space to understand those patterns, work with your countertransference, and learn to use yourself as your most precise clinical instrument.

$200 / hour
EMDR · RPT · SEP

Certification Pathways

Consultation and supervision toward the specialty credentials that define advanced practice:

  • EMDR certification & Consultants-in-Training (EMDRIA Approved Consultant)
  • RPT — Registered Play Therapist supervision (RPT-S)
  • SEP — support for clinicians in Somatic Experiencing training
$150 / hour individual · $75/hr group · monthly EMDR cohort
Toward licensure

LPC Licensure Supervision

Board-approved supervision for Texas LPC Associates, offered individually or in a small group — structured, dependable, and grounded in attachment, trauma, and relational neuroscience, with a steady mentor through your earliest years in the field.

$125 / week · individual or group

See full investment details

I used Kirsti to provide EMDR consultation to myself and my team, and I couldn't have made a better decision. She carries this incredible balance of depth, insight, and compassion — all while being incredibly humble.
Catherine Fries, LCSW · EMDR consultation
Calm, modern consultation office
About Kirsti Reese

Attachment & trauma specialist, and your consultant

Kirsti Reese, LPC-S, RPT-S, PMH-C, SEP, LCDC, CCTP — EMDR Certified & EMDR Approved Consultant — is a licensed clinical supervisor and attachment & trauma specialist in Houston, Texas, specializing in complex trauma, attachment challenges, nervous system integration, and relational/developmental repair across the lifespan.

Her supervision style is direct, clinically grounded, and focused on helping therapists help their people in real time — not just understand more theory.

More about Kirsti
If you're here

You probably already know something isn't quite working

Most therapists don't look for consultation like this randomly. It usually comes after:

  • Enough training to feel “qualified,” but not fully confident
  • Enough supervision to notice what's missing
  • Enough complex cases to realize theory alone isn't enough
  • Enough self-reflection to know you want more depth than you've been given

Not because something is wrong — because your clinical thinking is ready to get sharper.

Good to know

Frequently asked questions

Supervision is a formal, board-recognized relationship — for LPC Associates working toward licensure or clinicians earning a credential like the RPT. EMDR consultation is a collegial relationship for already-licensed clinicians deepening a specialty; you retain full clinical responsibility for your cases.

Yes. I offer in-person sessions in Houston and virtual LPC supervision across Texas and Tennessee, where I'm licensed. Consultation — person-of-the-therapist, EMDR, and Somatic Experiencing — isn't tied to state licensure, so I work with clinicians worldwide.

LPC supervision runs as a weekly hour, offered individually or in a small group at the same rate. EMDR and play therapy consultation can be scheduled individually or in a recurring group, including a monthly EMDR cohort. We'll set a rhythm that fits your goals and timeline.

Absolutely. This work is especially relevant if you're already doing strong work but want to go deeper — integrating competing modalities (EMDR, SE, RPT, CBT, EFT) or sharpening your clinical judgment in complex sessions.

Reach out through the contact page with a short note about what you're looking for. We'll set up a conversation to explore fit and availability before anything else.

Work together

Supervision and consultation that goes beyond requirements.

We focus on how you actually think, respond, and make decisions in the room — so your work becomes more precise, more grounded, and more your own.

Inquire about availability