Clinical supervision
LMHCA supervision in Seattle and across Washington.
I’m Patrick Phelan, LMHC — a Washington State approved supervisor. I supervise LMHCAs, LMFTAs, and LICSWAs working toward licensure, by telehealth from Seattle to the coast.
Washington credential MHC.LH.61324174. Approved supervisor under WAC 246-809-234 since June 2026. I provide the Department of Health Declaration of Supervision before supervision begins.
What I bring
My clinical work focuses on teens and young adults, DBT, and high-risk presentations — suicidal ideation, self-harm, and emotional dysregulation. If you are working with these populations, that is where I can be most useful to you.
I am trained in CBT, DBT, CAMS, and Functional Analytic Psychotherapy, and I supervise associates carrying acute risk on their caseloads. My goal is to help you develop your authentic voice as a therapist, and to sharpen your tools so you can provide supportive and intentional care.
Alongside this practice I work as a therapist and supervisor at DOVE, Vashon’s domestic violence agency, and provide school-based clinical services at Vashon High School. More on my background is on the therapists page.
Formats
Every hour counts as immediate supervision.
Individual
Weekly or biweekly one-to-one sessions focused on your caseload, your clinical development, and your licensure requirements.
$180 per hour.
Paired
Two associates and me. Case presentation, peer learning, and shared clinical discussion — at roughly half the cost, with no loss of qualifying hours, because Washington counts a pair as immediate supervision.
$100 per person, per session.
Pairs form as associates come in. Get in touch and I will tell you what is open.
How the hours count
Washington requires 3,000 hours of supervised postgraduate experience over at least 36 months, including at least 1,200 hours of direct client counseling and at least 100 hours of immediate supervision (WAC 246-809-230).
Immediate supervision has a specific definition: one approved supervisor and no more than two licensure candidates (WAC 246-809-210). Washington permits group supervision with up to six candidates, and those hours count toward your 3,000 — but a group larger than two does not count toward the 100 immediate hours.
That distinction catches a lot of associates late, often after they have paid for a year of cheap group supervision that does not do what they needed it to do. I cap at two for exactly that reason. Whether you see me individually or in a pair, every hour is immediate.
If you graduated from a CACREP-accredited program, you are credited with 500 experience hours and 50 supervision hours toward these totals.
Details
- Supervisor
- Patrick Phelan, LMHC — Washington credential MHC.LH.61324174
- Approved supervisor
- Yes. Meets WAC 246-809-234 requirements; Declaration of Supervision provided before supervision begins
- Who it is for
- LMHCAs, LMFTAs, and LICSWAs working toward licensure in Washington state
- Format
- Individual, or paired with one other associate. Both by telehealth, both count as immediate supervision.
- Rate
- $180 per hour individual. $100 per person per session paired. No sliding scale.
- Where
- Telehealth statewide — Seattle, Bellevue, Tacoma, and anywhere else in Washington. Practice based on Vashon Island, King County.
- Specialties
- DBT, high-risk presentations, teens and young adults
- Language
- English
If you are looking for a position rather than outside supervision, here is what working here looks like — we are not taking applications at the moment, but we expect to hire again.
Questions
Common questions about associate supervision.
- Are you a Washington State approved supervisor?
- Yes. I meet the approved supervisor requirements in WAC 246-809-234 and have been an approved supervisor since June 2026. I provide the Department of Health Declaration of Supervision before we start.
- Which associate credentials do you supervise?
- LMHCA, LMFTA, and LICSWA.
- Can associates in Seattle work with you?
- Yes. Supervision is by secure telehealth, so associates in Seattle, Bellevue, Tacoma, and the rest of Washington can all be seen. The practice itself is on Vashon Island, in King County.
- Does telehealth supervision count toward licensure?
- Yes. Washington defines immediate supervision as a meeting between an approved supervisor and no more than two candidates. The rule does not require it to be in person, and the Department of Health’s supervisor directory lists distance supervision as a standard option.
- Does paired supervision count toward the 100 immediate hours?
- Yes. Washington caps immediate supervision at two candidates, and I cap pairs at two by design. Larger groups — up to six is permitted — count toward your 3,000 total hours but not the 100.
- How much does supervision cost?
- $180 per hour individual, $100 per person per session paired. Payment is due at the time of session. No sliding scale.
- What do you supervise?
- DBT, teens and young adults, and high-risk work — suicidal ideation, self-harm, emotional dysregulation. I am trained in CBT, DBT, CAMS, and Functional Analytic Psychotherapy.
- How do we start?
- Email or call for a free 30-minute consultation about your caseload, your remaining hours, and whether we are a good fit. If we move ahead, you get a written supervision contract and the Declaration of Supervision.
Interested?
Reach out by email or phone.
We can talk through what you are looking for and whether it is a good match.