Clinical Supervision

A supportive space to reflect, grow, and stay grounded in your practice.

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Clinical supervision provides professional support for counsellors, therapists, and social workers. It creates a structured, confidential environment where you can examine your clinical work with guidance from an experienced practitioner. This dedicated space allows you to explore complex client interactions, process challenging therapeutic moments, and reconnect with your core professional values and purpose.

Clinical supervision offers:

  • A protected time to process difficult cases

  • Professional guidance on ethical dilemmas

  • Opportunities to expand your clinical skills

  • Support for preventing compassion fatigue

  • Space to examine transference and countertransference

  • Validation of your professional judgment

Through regular clinical supervision, you gain clarity on your therapeutic approach and the decision-making processes that inform it. This reflective practice strengthens your clinical effectiveness while ensuring you maintain appropriate boundaries and self-care practices for sustainable practice in counselling and therapy.

Why Clinical Supervision Matters

Supervision gives you room to pause and take stock. To ask better questions and get clear on what matters.

Working with Elizabeth

Elizabeth Nardella, RSW, RCC, offers clinical supervision for Registered Social Workers and Registered Clinical Counsellors in BC. Elizabeth has completed advanced clinical supervision training (Levels 1 & 2) and is currently working toward becoming an Approved Clinical Supervisor (ACS-C). She’s especially passionate about supporting clinicians who work with youth and families, and those navigating the challenges of private practice.

Her approach to clinical supervision is curious and collaborative. Elizabeth values process over perfection, creating a supervision relationship that balances clinical insight with practical grounding. She understands that effective clinical supervision for therapists and social workers requires both theoretical knowledge and real-world application.

Drawing from over a decade of experience working with youth, families, and individuals who have experienced trauma, Elizabeth brings depth and breadth to her clinical supervision therapy practice. Her background in narrative and somatic therapy informs her approach to supporting clinicians in developing meaningful, grounded conversations about their therapeutic work.

When engaging in clinical supervision with Elizabeth, you can expect:

  • Honest reflection on your clinical cases

  • Protected space to think through complex client situations

  • Emphasis on maintaining groundedness in your therapeutic practice

  • Collaborative exploration of your professional development

  • Support for your unique clinical style and strengths

Elizabeth's clinical supervision framework helps counsellors and social workers enhance their skills while staying connected to the values that brought them to this profession.

Expect honest reflection, space to think, and a focus on staying grounded in your work.

Clinical Supervision Sessions may include:

Open book with a psychology symbol representing clinical case consultation in supervision with Elizabeth Nardella.

Case Consultation

Paper and microphone icon symbolizing supervision through transcript or audio review with Elizabeth Nardella, therapist and supervisor in BC.

Transcript or Audio Review

Lightbulb icon illustrating clinical supervision focused on therapist stance, presence, and reflective practice.

Reflection on Therapeutic Stance

Scales of justice icon labeled “Ethically Sourced,” highlighting values-based reflection on ethics and therapist identity in clinical supervision.

Exploration of Professional Identity and Ethics

Clinical Supervision for Counselling

Focus Areas

Elizabeth's clinical supervision approach creates a nurturing space for counsellors facing the inherent complexities of therapeutic work. Her warm, reflective clinical supervision framework particularly supports counsellors who find themselves:

  • Weaving narrative and somatic practices into their therapy sessions, seeking practical ways to embody these approaches with diverse clients

  • Finding their footing in high-stress clinical environments where complex client presentations demand thoughtful response

  • Struggling to develop documentation practices that feel both authentic to their voice and professionally sound

  • Processing the emotional impact of therapeutic relationships involving trauma, grief, and intense emotional experiences

  • Learning to set gentle yet firm boundaries while maintaining a genuine therapeutic connection

  • Seeking balance between professional care and personal well-being in their counselling practice

Clinical supervision for therapists provides a protected space for reflection, where challenging clinical scenarios can be explored with curiosity rather than judgment, allowing for meaningful professional growth alongside enhanced client outcomes.

Clinical Supervision for Social Work

For Registered Social Workers, Elizabeth offers clinical supervision that acknowledges the unique challenges and richness of social work practice. Her thoughtful clinical supervision for social work professionals focuses on:

  • Exploring ethical grey areas and scope of practice questions that arise within complex, multi-disciplinary settings

  • Finding creative ways to work within systems-involved care while honouring client dignity and agency

  • Developing trauma-informed social work approaches that remain grounded, effective, and sustainable

  • Gently addressing patterns of over functioning that can emerge in high-demand social work environments

  • Cultivating self-regulation strategies for those difficult moments when working with clients experiencing significant distress

  • Bridging clinical social work theory with practical, compassionate intervention strategies

Through clinical supervision, social workers discover a reflective sanctuary where professional development and practitioner wellbeing can flourish together, supporting both their growth and the clients they serve.

Supervision is where the messy middle gets to be seen.

What to Expect

Clinical supervision isn't about achieving perfection in your practice. Rather, it creates a structured environment to honestly examine what's occurring in your therapeutic relationships and your professional responses. There's no requirement to present immaculately organized case notes or polished clinical formulations, just a willingness to engage in reflective practice.

When participating in clinical supervision with Elizabeth, you can expect:

  • Professional support for your actual clinical work, without pressure to present an idealized version of your practice

  • A supervision framework that welcomes uncertainty and exploration of complex clinical situations

  • Substantive discussions about professional boundaries, ethical considerations, burnout prevention, and scope of practice

  • Opportunities to examine session transcripts or recordings (with appropriate client consent) when beneficial for your development

  • Recognition of your existing clinical strengths alongside identification of areas for professional growth

  • Flexible scheduling options for both in-person clinical supervision in Surrey and virtual clinical supervision sessions

This approach to clinical supervision for counsellors and social workers emphasizes practical skill development while maintaining the reflective space essential for professional growth.

Elizabeth has completed advanced clinical supervision training (Levels 1 & 2) and is currently working toward becoming an Approved Clinical Supervisor (ACS-C). She’s especially passionate about supporting clinicians who work with youth and families, and those navigating the challenges of private practice.

Still Not Sure if Clinical Supervision is What You Need?

That's completely understandable. Many professionals question whether clinical supervision will address their specific needs. You don't need complete certainty to initiate a conversation about possibilities.

Clinical supervision therapy sessions can provide structured guidance through challenging clinical periods, offer a dedicated space to process complex cases, or create opportunities to reflect on your practice with professional objectivity.

Whether you're a social worker seeking licensed clinical social worker supervision or a counsellor needing regulatory-required supervision, having a trusted clinical supervisor makes a difference.

You’re allowed to ask for a space that feels safe enough to be real. Let’s see if this one works for you.

✉️ hello@elizabethnardellacounselling.com

FAQs About Clinical Supervision

  • Sessions typically include case presentations, exploration of therapeutic challenges, skill development, ethical considerations, and discussions on professional growth.

  • No, clinical supervision benefits practitioners at all career stages, offering ongoing professional development and support for complex clinical work.

  • While core principles remain consistent, clinical supervision for social workers often incorporates additional focus on systems navigation and interdisciplinary collaboration.

Land and Practice

Elizabeth’s work takes place on the shared traditional and unceded territories of the Musqueam, Squamish, Stolo, Tsleil-Waututh Nations, and Coast Salish Peoples. She holds deep respect for these lands and the communities that have cared for them since time immemorial, and reflects often on what it means to practice as a settler here.