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Supervisia
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Where CBT therapists train, refine, and stop drifting

Refine your craft. Practise techniques. Restore fidelity.

For trainees building competency. For qualified therapists keeping their edge. For supervisors evidencing fidelity in their cohort. Trainer commentary on every drill, CTS-R feedback on every session, disorder-specific formulations done properly.

Inside the training engine
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The trainer commentary

Your trainer’s clinical voice, embedded in every drill

Every module includes original commentary written by a BABCP-accredited CBT supervisor — the kind of in-the-moment teaching points you only get in real supervision. Not generic AI output. Not textbook summaries. Real practitioner notes.

GAD · Worry Postponement · Step 3
Negotiating worry time with a sceptical client
ER
Trainer commentary
“Watch for the moment they describe worry as useful. That's the fork. If you push back too hard you lose the alliance; if you collude you reinforce the safety behaviour. Chase a moving target — name the paradox out loud.”
⚠️ Watch for
Collapsing too quickly. Many trainees abandon the technique when the client objects once.
Quick walkthroughs
Click to play · 30–90 seconds each
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Built by a practising clinician — not a startup founder

“Every drill, every formulation prompt, every trainer note in Supervisia comes directly from thousands of hours of supervision collated from hundreds of therapists. Trainees deserve better than awkward role-plays with classmates — and I needed a better way to manage my CBT records for my neurodiversity.”

Elliot Rose · BABCP-accredited CBT therapist
The therapist-drift problem

Therapist drift is real. Supervisia is the antidote.

The problem

Therapists drift from evidence-based practice after qualification. The techniques you trained hard to use — exposure, behavioural experiments, disorder-specific protocols — gradually disappear from your sessions. You lean on the therapeutic relationship. You generalise.

Outcomes get worse, but you don't notice: most therapists rate their skill “well above average” even when they aren't. The self-assessment bias is the hardest part to see.

The antidote

Supervisia is where you keep your edge. Practise the techniques you've stopped using. Refresh the protocols you trained on. Score your sessions against the CTS-R framework and see — measurably — what needs work.

It's CPD that does something other than tick a box. Deliberate practice. Real feedback. The same evidence-based principles you're meant to be delivering, applied to your own work.

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Why therapist drift is the dirty secret of CBT outcomes
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The evidence base for deliberate practice

Deliberate practice — not more training — improves therapist outcomes

Supervisia maps directly to four decades of research on therapist training, fidelity measurement, and the role of deliberate practice in clinical expertise.

Behavioural rehearsal works

In a randomised comparison of fidelity-measurement methods, behavioural rehearsal aligned closely with direct observation, while therapist self-report and chart-stimulated recall significantly overestimated adherence. AI-client practice with CTS-R scoring is the digital analogue of behavioural rehearsal — the most accurate non-observation method studied.

A Randomized Trial to Identify Accurate Measurement Methods for Adherence to Cognitive-Behavioral Therapy (2022). PubMed ID: 36229116.
Deliberate practice differentiates effectiveness

Highly effective psychotherapists spend significantly more time in solitary, structured practice — reviewing recordings, drilling specific skills, seeking feedback — than their less-effective peers. The differentiator isn't qualification or years of experience. It's the cumulative hours of deliberate practice outside of session.

Chow, D. L., Miller, S. D., Seidel, J. A., Kane, R. T., Thornton, J. A., & Andrews, W. P. (2015). The role of deliberate practice in the development of highly effective psychotherapists. Psychotherapy, 52(3), 337–345.
Structured practice improves CTS-R competence

Standardised, protocol-based CBT supervision improved therapists' competence ratings on the CTS-R — indicating that competence is a process strengthened by active, structured feedback over time, not an event conferred by initial training. Trainer commentary embedded in every drill applies this finding at scale.

Liness, S. et al. Clinical supervision in cognitive behavior therapy improves therapists' competence: A single-case experimental pilot study (2019). PubMed ID: 32213046.
Therapists can't rate themselves accurately

The great majority of psychological therapists rate their skill level as “well above average”, with very few seeing themselves as falling in the lower half of clinicians — a self-assessment bias that disqualifies therapist self-report as a credible measure of competence. External, CTS-R-aligned feedback is the only reliable signal.

Walfish, S., McAlister, B., O'Donnell, P. & Lambert, M. J. (2012). An investigation of self-assessment bias in mental health providers. Psychological Reports, 110(2), 639–644.

Further reading: Ericsson (1993) on deliberate practice and expertise; Rousmaniere (2016) on deliberate practice for psychotherapists; APA Measurement-Based Care guidance (2020); Cambridge review on video feedback in CBT supervision (2024). Full reference list available on request.

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Deliberate practice — the missing layer between qualification and expertise
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What makes it different

Every AI client is built with a full history, family, community, culture, work, idiosyncrasies and hidden depths. They have triggers and ruptures. They respond to your progress, and if you damage the alliance badly enough, they will drop out of therapy on you. Layered on top: trainer commentary, disorder-specific formulation tools, and CTS-R feedback aligned to the BABCP competency framework. Built by BABCP-accredited supervisors and trainers, not computer programmers.

Trainer commentary on every drill

In-the-moment teaching points written by a practising supervisor. The kind of advice you only get when you bring a tricky session to supervision — but available on every exercise.

CTS-R competency feedback

Automatic scoring against the 12-item BABCP competency framework. Identify your areas of weakness, then get directed to the Supervisia skills training designed to address them.

AI clients you can’t reset

Each client has a full history, family, community, culture, work, idiosyncrasies and hidden depths. They have triggers and ruptures. They respond to your progress, and if you damage the alliance badly enough, they will drop out of therapy on you. Practise the conversations you can’t practise with classmates.

Lose a client? We have hundreds more waiting — and unlike real ones, they don’t complain, file ethics reports, or get you fired.

Disorder-specific formulation tools

Clark, Wells, Salkovskis, Ehlers-Clark, Hackmann — each model is implemented properly. Not a generic five-areas box for everything. Formulate cases the way the model intends.

Who this is for

The training engine works for everyone learning, refining, or maintaining CBT skills.

Qualified therapists

Refresh, retrain, refine

Brush up on disorders you haven’t treated in years. Counter drift with deliberate practice. Build portfolio-ready CPD evidence with CTS-R scores from real sessions. The antidote to “I should probably do more exposure but…”

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Trainees in supervision

Practise between sessions

Drill the techniques you’re working on with your supervisor. Bring CTS-R-scored sessions back to supervision as evidence. Practise difficult conversations before you have them with real clients.

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Independent students

A full curriculum, on your terms

No supervisor required. Work through the full module library at your own pace, with CTS-R feedback on every session and trainer commentary on every drill.

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Start free. Upgrade when it's saving you time.

A 30-minute voice taster and a handful of drills — free, no card needed. £59/month with a verified student email, £79 otherwise. Cancel anytime.

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