Using the Power of Clinical Consultations for Therapists

What Does Good Clinical Consultation Look Like?

Good consultation can take many forms – from phone calls between colleagues, informal meetings with colleagues who are friends, through to paid group or individual clinical consultation sessions. Because client confidentiality and safety come first, the wrong place to seek this input is on social media.

I agree with Wong who says sites like Facebook can be “a good place to seek out WHO to consult with. But when it comes time for actual case consultation and those nitty gritty case details…. Not Facebook.”

I lead consultation groups for colleagues. As the leader, I am responsible for the safety of the group. Most professional groups are fee-based because the members make a firm commitment to come regularly and be present for each other, and the leader of the group is working to support rich discussion. The facilitator’s job is to ensure confidentiality and maintain everyone’s safety in the room.

I am sure there are some therapists concerned that they may be exposed to judgment about their work. It’s important to have full confidence that everyone knows explicitly, this is a place to hold issues in safety and to accept and honor any issues that a member may be struggling with. I work from a strengths-based perspective. So I’m going to talk about the abilities and skills that each member brings in providing care.

From my perspective, if a colleague is getting clinical consultation, that is a strength right there. Colleagues in consultation care about themselves, about their clients, and they are aware enough to get support for this work.

As therapists, we don’t need consultation just to make it through each day. Regular consultations are an important and invaluable gift of self-care.

If you have fears or concerns you do not feel safe bringing to a group setting, you may want to have an individual consultation. You just meet one-on-one with a trusted colleague. Some feel more secure meeting individually and feel like they get undivided attention for that time.

How Good Clinical Consultation Impacts Work and Life

A few of the people I have met in formal groups have become wonderful friends. These relationships are just so fulfilling and rich. For instance, I am in a group of a few colleagues who meet regularly for breakfast – usually one Sunday every other month or so – it’s our time together.

It takes hard work to create and maintain connections, and build a self-care support system. But it’s worth it to me, because this is what allows me to work as hard as I can. People sometimes ask me, how do I fit in the classes and the caseload I have each week?

I can because of this support system. Our work itself is very rewarding – but the inherent reward is not enough to sustain our best work and prevent burnout.

I still need interaction – I still need people – because what we do is so human. I believe we all do!

Why I Host Clinical Consultation Groups

I am an open proponent of clinical consultation – and hold regular group sessions as part of my work — because it’s so important. It’s what makes us good therapists. It’s my hope and my suggestion we all consider it.

More Resources


“Good Self-Care for Therapists” by Robyn Brickel

“A Therapist’s Guide to Clinical Consultation in Private Practice,” by Rebecca WongHTherapists Spill: “How I Cope with Stress” by Margarita Tartakovsky


The Resilient Practitioner: Burnout and Compassion Fatigue Prevention and Self-Care Strategies for the Helping Professions (3rd ed) by by Thomas M. Skovholt and Michelle Trotter-Mathison


With in-depth experience in trauma informed care, Robyn Brickel works with clinicians and other therapists as a case consultant, and speaks and teaches on topics including family systems, substance abuse, eating disorders, PTSD, and more. You can contact her at: [email protected]

Women talking photo available from Shutterstock

Using the Power of Clinical Consultations for Therapists

Robyn Brickel, MA, LMFT

Robyn E. Brickel MA, LMFT, is the founder and director of Brickel and Associates, LLC in Old Town Alexandria, Virginia, which she established in 1999. Her insights for parent and teens appear in interviews in The Washington Post, and Washington Parent magazine, and she presents educational workshops for clinicians on the treatment of adolescent substance abuse and trauma. Her counseling and psychoeducational services provide treatment for recovery from trauma and/or abuse, including dissociation; addictions; adult children of alcoholics (ACOA) issues; body image issues and eating disorders; self-harming behaviors, including emotional intensity and instability; anxiety, depression, and other mood disorders; challenged family systems; chronic illness; co-dependency; dysfunctional relationships; life transitions; loss and bereavement; relationship distress; self esteem; GLBTQ and sexual identity issues/struggles; and stress reduction. She is a trained trauma and addictions therapist who has helped countless clients make and maintain positive changes in their lives. To learn more about Robyn E. Brickel, visit her website.


APA Reference
Brickel, R. (2019). Using the Power of Clinical Consultations for Therapists. Psych Central. Retrieved on February 22, 2020, from


Scientifically Reviewed
Last updated: 23 Sep 2019
Last reviewed: By John M. Grohol, Psy.D. on 23 Sep 2019
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