A place to work through what's still murky, without rushing to an answer.
Clinical days are busy. One therapy session can run into a meeting, an urgent phone call, or simply the next patient. When something happens that you'd like a moment to understand, you might jot it down, bring it to supervision, talk with a colleague, or move on. Sometimes you know something happened but can't yet say what; sometimes the details blur; sometimes the moment is lost.
TherapySupervisor creates another option: a reflective exchange to help you hold on to more of what happened, put some shape around it, and develop your own questions to take to supervision.
These examples are here to get you thinking about the kinds of things you might wrestle with but not think to discuss. You're also welcome to bring something entirely specific to you.
You saw a patient this afternoon. The session was unremarkable, one of many. Coincidentally or not, you don't feel quite right — maybe you didn't sleep well but you are tense and irritable.
You have a patient you've started to dread seeing, or one you find yourself looking forward to more than the others. Nothing dramatic. You may have noticed it in how you schedule, or what you do in the minutes before.
There's a case that is on your list but somehow you never find the time to bring it up in team or supervision. You tell yourself it's because there's nothing urgent. That's probably true.
Trainee lines composed for illustration. TherapySupervisor responses unedited.
TherapySupervisor is designed to help you stay with an experience long enough to notice more of it, put words around what may be hard to name, and develop questions of your own. The exchange stays close to what you bring rather than trying to settle the case for you. What emerges can then be thought about further, including in supervision.
Supervision is where another person brings clinical judgment and experience, and where a relationship develops between the two of you over time. TherapySupervisor is meant to help you arrive there with more of what happened and more of your own thinking available to work with.
TherapySupervisor is not for everything. Questions about medication decisions, treatment management, and safety concerns need the people responsible for care in real time. The software is built to recognize those edges and direct you back to them.
The exchange starts with what you bring. Rather than analyzing a case or offering conclusions, it stays close to your own experience, asking questions that help you notice more, put shape around it, and continue developing your own thinking.
In casework, earlier sessions remain available as context, allowing the work to build over time. The aim is to support your ongoing development as you learn to think clinically.
Sometimes reflections take you to personal places. That's easier when you know your supervisor and training program cannot see what you write. Your supervisor only sees what you choose to bring into supervision.
Clinical detail can matter; identifying information doesn't. First names and age ranges are fine ("Sarah, 30s"). Automated safeguards also screen for identifying information before it reaches the AI.
Technical access is limited to what is needed to operate and maintain the software.
Reading something is different from experiencing it. You try, you miss, you notice, you try again. At some point you understand for real.
It is in you, not in the tool, and it goes with you into rooms the tool will never be in.
The feedback so far points to two things: a space where the trainee doesn't feel watched or asked to perform, and a tool that helps them consider questions about their work they hadn't thought to ask.
TherapySupervisor is currently being piloted with trainees and supervisors at Montefiore Einstein.
I built TherapySupervisor while exploring how AI might contribute something genuinely valuable to psychotherapy education. What started as an interest in AI gradually became a different question: not how software could think more like a supervisor, but how it could help people hold on to more of their own experience, reflect between supervision sessions, and continue developing their own thinking over time. That idea became TherapySupervisor.
The fuller account of what building this taught me is in “You Tell Me,” published by the American Psychoanalytic Association in The CAI Report.
If you're interested in bringing TherapySupervisor to a training program, learn more about how pilots work.