Clinical Consultation, Training & Quality Assurance
for Solo Practitioners, Practices, and Agencies
I provide professional consultation, training, and quality-assurance services for therapists and behavioral health organizations who want to strengthen the clinical skills of their counselors, improve documentation quality to meet best practice standards, and to reduce compliance risk.
My approach is focused on how clinicians think, document, and operate in real-world practice so quality services are delivered.
After 20 years in the mental health field, this is what I’ve learned — and what my licensure supervisor taught me early on:
If you provide a high-quality service, people come back. No-show rates stay low.
This principle has guided me throughout my career as a licensed mental health provider and I’m excited to bring this approach to others.
My Story
Working as a supervisor something I quickly found out is that if a supervisee struggled to document their sessions there often wasn’t an actual therapeutic intervention happening. Essentially, the extent of the session was supportive conversation with a “kitchen table” counseling approach.
I say kitchen table counseling, but that is not counseling. A counseling session must include one evidence based therapeutic intervention that targets the diagnosed behavioral health condition. This intervention has to follow the road map of treatment agreed upon by the patient and clinician—the treatment plan. In other words it is part of a broader case conceptualization that begins in the initial assessment process.
What I have found is that many graduate programs are not equipping therapists to be as effective as they could be in the field. It also seems to be, as a whole, licensure supervision is also not meeting this gap.
As you can probably tell, I refer to my licensure supervisor often.
When he agreed to supervise me, he asked for very little in terms of financial compensation. I offered more, knowing it was still far less than what many supervisors charged. He declined and told me, “I do this to give back to the profession.”
And he did.
He had high standards, and he held me to them. At the time, I appreciated that supervision — but in hindsight, I realize I didn’t fully grasp its value until much later.
After the loss of my mother, I found myself on the other side of the system — needing care, trying to find competent providers, and experiencing first hand how difficult it can be to access high-quality services even when you know what to look for.
That experience clarified something for me. It deepened my commitment to clinical competence, ethical practice, and professional responsibility. It reminded me how much the quality of care matters — not just in theory, but in real moments when people are vulnerable and need to be met well.
Those principles are what motivate me to offer consultation and training today: to encourage best practices, strengthen clinical thinking, and help clinicians build the confidence that comes from providing high-quality care.
Common Barriers to Quality Care
Over the years, I’ve seen several patterns that consistently undermine service quality — even among well-intentioned clinicians.
1. Over-Emphasizing the Therapeutic Relationship
Yes, the therapeutic relationship matters — it matters a great deal.
But it is the context in which evidence-based interventions occur, not the intervention itself.
Alliance without intervention lowers the professional bar and often results in sessions that feel supportive but fail to produce meaningful change.
2. Eclecticism Without Theoretical Grounding
Theory is not valued the way it once was, and that’s a problem.
A sound theoretical orientation is what allows clinicians to understand why they are doing what they are doing. In my experience, “eclectic” is too often used to describe a lack of grounding rather than thoughtful integration.
Good therapy isn’t about rigidly following a manual — it’s about being so fluent in a theory (CBT, DBT, etc.) that you can apply it creatively and individualize it without relying on cookie-cutter tools.
Therapy is both a science and an art.
Creativity comes from mastery of the science, not the absence of it.
3. “Putting Out the Fire of the Day”
I once had a supervisee say, “I don’t have time for theory — I’m busy putting out the fires of the day.”
I understood the context. This was community behavioral health, where volume is prioritized over depth, and systems often discourage therapist growth.
But fire-of-the-day therapy keeps treatment at a surface level, fosters dependency, and rarely leads to lasting change.
The only way beyond this is through theory-driven case conceptualization — a framework that helps therapists understand patterns over time rather than reacting session by session.
Research consistently shows that therapist skill and clinical decision-making matter for outcomes.
The therapeutic alliance supports change, but it does not replace structured thinking.
Why Case Conceptualization Matters
Case conceptualization provides a coherent explanatory framework by asking:
What is happening?
Why is it happening for this person, in this way, at this time?
What needs to change for improvement to occur?
Theory supplies the organizing logic that makes this possible, allowing clinicians to move beyond reacting to the “fires of the day” and instead deliver intentional, structured care.
Strong case conceptualization improves service quality because it:
Guides treatment and intervention selection
Interventions are chosen based on identified mechanisms of change, not habit or preference.Creates continuity and flexibility over time
Sessions build on one another, and when treatment stalls, clinicians can revise the conceptualization rather than abandon the plan or blame the client.Supports engagement, documentation, and sustainability
Clients understand why they are doing the work, documentation reflects clear clinical reasoning and medical necessity, and clinicians experience less anxiety and burnout through clearer thinking and greater confidence.
As I was taught early in my career, and have seen repeatedly since:
The best form of self-care is providing quality services.
Competence builds confidence — for clinicians and for the people they serve.
The Best Clinicians I Know…
The best clinicians I know maintain a commitment to learning long after they graduate and complete supervision. They approach their work with curiosity and never assume they have learned everything there is to know.
Another defining quality is their resistance to blaming the client when progress stalls. That requires humility — the willingness to ask, “Is the client doing their best? Is this a limitation in my own skill set or conceptualization? Would consultation help me think about this case more clearly?”
This is the professional stance that Mounts Counseling & Consulting seeks to cultivate. Consultation here is not about quick answers or reassurance; it is about clinical training and formation — developing stronger thinking, clearer decision-making, and greater confidence in complex work.
Clinical Consultation & Practice Support
I don’t believe effective consultation happens through one-off advice or disconnected trainings.
Real improvement happens when clinicians learn how to think, decide, and document consistently over time.
My work focuses on building clinical competence, not quick fixes.
How I Work
I provide ongoing, case-driven consultation, structured training, and documentation support for clinicians, practices, and agencies.
All services focus on:
Clear case conceptualization grounded in theory
Translating theory into effective session interventions
Strong clinical decision-making when treatment stalls
Documentation that reflects clinical reasoning and medical necessity
Reducing anxiety around audits, compliance, and risk
This work is applied to real clients, real notes, and real system constraints.
Services
Ongoing Clinical Consultation
(Individual, group, or supervisor)
Structured Training Series
Skill-building sequences focused on CBT, DBT, case conceptualization, treatment planning, and clinical documentation
Documentation & Quality Review
Feedback on intakes, treatment plans, progress notes, and discharge summaries with a focus on defensibility and ethical practice
Practice-Level Systems Support
Evaluating workflows, productivity expectations, documentation systems, and supervision structures to support sustainable, high-quality care
Clinical Orientation
I am extensively trained in CBT and DBT — not as technique lists, but as organizing frameworks.
CBT clarifies maintaining factors, beliefs, and behavior
DBT supports work with emotional dysregulation and ambivalence toward change
Used together, these models allow clinicians to intervene intentionally, adapt creatively, and work effectively with complex clients.
Why This Matters
Quality care reduces burnout.
Competence builds confidence.
Confident clinicians do better work.
As I was taught — and as experience has consistently confirmed:
The best form of self-care is providing quality services.
Essential Clinical Foundations
Best for:
Solo clinicians, early-career therapists, and practices or agencies seeking to raise baseline clinical quality and consistency.
What’s Included
Ongoing Consultation & Supervision
Weekly group consultation and individual supervision
(live or virtual)Initial needs assessment based on practice analysis and feedback
Core Training Modules (delivered over time)
CBT Theory
DBT Theory
Integration and Clinical Creativity
Case conceptualization fundamentals and assessment training
Treatment planning that guides care
Evidence-based interventions in practice
Writing clinically defensible progress notes
Systems-level review
Applied Learning
Case-based application during consultation
Translation of theory into real-world clinical decision-making
Documentation Support
Five (5) documentation reviews per clinician
(intakes, treatment plans, progress notes, or discharge summaries)
Pricing
Solo Clinicians
$1,000 / month
Includes an estimated 10–12 hours of monthly engagement
Practices
$2,500 / month for 2–4 clinicians
$750 per additional clinician beyond four
Pricing scales with clinician count due to increased consultation demand, documentation volume, and clinical coordination.
Agencies
Services provided under contract
Pricing based on scope, frequency, acuity, documentation volume, and regulatory requirements
Additional packages and specialized offerings coming soon!!!!
