Clinical Consultation

Not every clinical challenge can be solved through standard supervision. When therapists work with dissociation, complex trauma, grief and loss, chronic mood disorders, and treatment-resistant presentations, having access to specialized consultation can make the difference between feeling stuck and moving a case forward with confidence. Clinical consultation provides an opportunity to collaborate with an experienced clinician who offers advanced expertise, fresh perspective, and practical guidance for challenging cases.

Why Clinical Consultation? Many therapists receive supervision because it is required by their employer, graduate program, or licensure process. Clinical consultation is different.Consultation is a professional investment chosen by clinicians who want specialized expertise, deeper clinical insight, and advanced support for complex cases.

Rather than focusing on administrative requirements or general professional development, consultation centers on improving clinical effectiveness and enhancing client outcomes.
Therapists often seek consultation when they find themselves asking:

• Why does this client seem stuck despite treatment?
• How do I safely work with dissociation?
• Is trauma driving these symptoms, or is something else occurring?
• What interventions should I consider next?
• How do I manage complex grief presentations?
• What am I missing in this case conceptualization?

Areas of Consultation
Dissociation and Dissociative Disorders

• Differential diagnosis
• Assessment and treatment planning
• Phase-oriented treatment
• Stabilization and safety
• Internal systems and parts work
• Complex trauma presentations

Complex Trauma

• Childhood trauma
• Developmental trauma
• Attachment injuries
• Complex PTSD
• Emotional dysregulation
• Relational trauma

Grief and Loss

• Complicated grief
• Prolonged grief
• Traumatic bereavement
• Multiple losses
• Ambiguous loss
• Meaning reconstruction

Mood Disorders

• Chronic depression
• Treatment-resistant depression
• Bipolar spectrum concerns
• Co-occurring trauma and mood symptoms
• Diagnostic clarification
• Long-term treatment planning

Consultation Topics
Sessions may focus on:

• Case conceptualization
• Treatment planning
• Clinical interventions
• Diagnostic questions
• Ethical considerations
• Therapist reactions and countertransference
• Risk assessment
• Clinical decision-making
• Managing therapeutic impasses

For Therapists at Every Stage of Practice 

Whether you are a newly licensed clinician seeking additional support or an experienced therapist wanting another perspective on a challenging case, consultation provides a confidential and collaborative space to strengthen your clinical skills.Seeking consultation is not a sign that something is wrong. It is a sign that you are committed to providing the highest level of care possible.

Work with Anna Shurmatz, LCSW

With more than two decades of clinical experience, Anna provides consultation that is practical, thoughtful, and grounded in real-world clinical practice. She helps therapists deepen their understanding of complex presentations, strengthen treatment planning, and develop greater confidence when working with challenging cases.Because even the most experienced clinicians benefit from expert consultation.

Consultation Options

• Individual Case Consultation
• Ongoing Clinical Consultation
• Group Consultation
• Practice-Based Clinical Training
• Trauma-Informed and Vicarious Trauma Consultation

When the work is complex, you don't have to navigate it alone.

"You don't have to rely solely on the supervisor you were assigned. Consultation allows you to intentionally seek expertise that matches the clinical challenges you're facing."