Garthine Walker – Psychotherapist & Clinical Supervisor in Cardiff | Online Psychotherapy
Clinical Supervision

Supervision with me

My psychotherapy and counselling supervision practice is grounded in relational integrative psychotherapy and informed by my experience as a UKCP-registered psychotherapist, supervisor, and psychotherapy trainer. For coaches, as an EMCC-accredited senior practitioner, I have a particular understanding of coaches’ distinct supervision needs.  

I provide supervision for:

  • Trainee psychotherapists and counsellors

  • Qualified therapists in private practice or organisational settings

  • Coaches seeking supervision from a supervisor with professional coaching experience and qualifications

  • Therapists working relationally and integratively

  • Therapists working with trauma, attachment, and relational difficulties

  • Therapists working with neurodivergent clients, especially ADHD, AuDHD, Autism and HSP

  • Therapists seeking deeper understanding of complex clinical work

  • Therapists working with clients who experience problematic immersive or ‘maladaptive’ daydreaming (see below).

I welcome supervisees at different stages of clinical development. 

My rate for qualified practitioners is £80 for 50 minutes or £135 for 90 minutes.

For trainees, my rate is £50 for 50 minutes and £90 for 90 minutes.

The cost of group supervision depends on numbers of participants and length of sessions. Please do get in touch to discuss.

Painting by Garthine, after Dan Mazzotti
Photo by Mehrab Sium on Unsplash

Supervisory Consultation for Problematic Immersive or 'Maladaptive' Daydreaming

If you’re working with a client whose presentation includes patterns of immersive or ‘maladaptive’ daydreaming, or you’re supervising a therapist who has such a client, you might find yourself in a position where neither the therapist nor their regular supervisor is familiar with the client’s experience or how to approach it. I have specialist clinical experience, lived experience  and a research interest in this field, and offer consultation on a one-off or ongoing ad hoc basis alongside your regular ongoing supervision to help you think through how to work with it well. Do get in touch if you’d like to book such a session with me. 

My approach to supervision

I hold a Certificate in Clinical Supervision awarded by the Metanoia Institute, a training I chose for its relational approach. I see the supervisory relationship as a collaborative one which aims to facilitate depth, reflexivity and ethical responsiveness in your work. 

My approach to supervision involves:

  • Careful attention to the therapeutic relationship

  • Development of clinical understanding and formulation

  • Support for the therapist’s reflective capacity

  • Exploration of relational dynamics within therapy and within supervision

  • Integration of theory and clinical practice

Supervision provides a space to think deeply about clinical work, supporting both therapist development and effective and ethical client care.

Models of supervision

If you’re interested in specific supervision models I find useful, that which most lends itself to the relational-integrative way I work, and which I feel excited about, is Hawkins and Shohet’s ‘seven-eyed model’.

The seven-eyed model provides a map of the multiple layers of what is happening in supervision – not directions to follow, but a mapping of what is. I’m drawn to the model’s capacity to include and distinguish between both content and process. It allows for multiple perspectives: the client’s (through the lens of the supervisee), in what the client brings and how are they present themselves (eye 1); the supervisee’s interventions and their rationale (eye 2); the client-supervisee relationship (eye 3); the supervisee’s internal process – their thinking, feeling, imaginal and somatic responses to the client (eye 4); the supervisory relationship (eye 5); the supervisor’s internal process in relation to the supervisee and the client (eye 6), and the wider field conditions – cultural, social, and organisational contexts that may have an impact on the what is occurring under any of the previous eyes (eye 7).

The seven-eyed model provides a framework to be curious about: might we be focusing more on particular eyes rather than others, and why might that be? It’s compatible with integrative models of psychotherapy such as Patrüska Clarkson’s multiple relationships model, Richard Erskine et al.’s ‘contact-in-relationship’, and pluralistic approaches.  

I also find useful Brigid Proctor’s three-function description of supervision (formative, normative, restorative), which cuts through and gathers together the scope of the supervisory relationship. Briefly, the formative aspect of supervision attends to the process of developing supervisees’ skills and applied knowledge; the restorative aspect supports the supervisee in managing their therapeutic practice to avoid overwhelm and burnout; the normative aspect involves professional standards. Some topics of supervision might embrace all three functions: ethical dilemmas, for instance.

AI modification of Photo by Elena Mozhvilo on Unsplash
Made with by Therapy Webgenie