Mabadiliko Intercultural Supervision Online Referral Form
Counselling Supervision is a confidential and collaborative clinical learning environment based on mutuality between the supervisor and the supervisee.

My role as your supervisor is to facilitate an ethical 'holding' space, to enable you the supervisee, to reflect and learn about yourself, as well as explore and understand the dynamics within the therapeutic relationship with your clients.

The supervisor/supervisee working alliance is fundamental for effective supervision to be established, as it parallels the importance of the therapeutic relationship between counsellor and client.

I provide you with a space to receive constructive feedback to enhance your practice, allowing time to explore you as a person as well as your practice as a counsellor/therapist. I also incorporate therapeutic coaching to enhance your private practice and professional growth.

My main theoretical approach is Integrative Psychodynamic with a strong focus on transferential experiences and working with transference and counter-transference. My work is also influenced by Intercultural and Relational perspectives. I consider the impact of culture, ethnicity, and spirituality on individuals regardless of race, gender or sexuality; inclusive of both the therapist/counsellor and client.

I am a qualified and certified clinical supervisor, with a MA in Psychodynamic Counselling and an Advanced Professional Diploma in Integrative counselling. 

I am an Accredited member of NCPS (NCS14-00628) and a Registered member of BACP (362998).

I have professional and public liability insurance and registered with the ICO as a Data Controller for Mabadiliko Intercultural Therapy CIC for GDPR compliance.

If you are a qualified practitioner you will be required to confirm that you have professional and public liability insurance and are registered with the ICO for GDPR compliance.

I do not supervise counselling clinical work provided for CYP under 18. Professional reflective clinical supervision is however available for other types of frontline workers that work with CYP and other client groups.

Beverley J Weston, Director and Lead Supervisor, Mabadiliko Intercultural Therapy CIC
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Email *
CONTACT INFORMATION
First Name *
Last Name *
Your email (please do not insert accademic emails) *
Your main contact number *
ABOUT YOU & YOUR PERSONAL CIRCUMSTANCES
This section helps me to get to know a bit about you and considers equality and inclusion.

The information here as well as content from the consultation will help me help you learn and manage transference and counter-transference experiences, in addition to identifying parallel processes with your clients and more.
How would you describe your ethnic background and cultural influence? *
How would you describe your religious / spiritual beliefs (if any) *
Age & Gender *
Relationship status *
Required
Children & Age/s                                                                       *
Are you a paid or unpaid carer? / Do you support anyone that has extra care needs due to disability or lack of capacity?  *
Do you consider yourself to have any physical disabilities or physical health concerns? *
Do you take any medication for any physical health concerns? *
Do you consider yourself to have any learning difficulties or processing issues? (please give details if any) *
What personal experience do you have with mental health concerns? *
Are you currently prescribed or taking any medication for any mental health concerns? *
Have you ever taken any medication for your mental health concerns? *
Are you currently in personal therapy? *
PROFESSIONAL INFORMATION
This section helps me to get a picture of how I might best support you at an appropriate level
Professional  Status   *
Required
Name of training institution where you received your most recent qualification or where you are currently studying *
Name of course obtained from the above named institution or that you are currently studying     *
What is your main clinical / theoretical orientation? *
Required
What type of client group do you work with or intend to work with? (Please note I do not supervise clinical hours with children) *
Required
Current case load - how many clients do you currently have? If you have a mix of weekly and fortnightly or other please specify. *
Frequency of supervision needed 
(trainee counsellors must have fortnightly supervision in accordance with ethical guidelines)
 *
What main presenting issues do you work with or have worked with? Please check all that apply, if you work with any presenting issues not listed please specify. *
Required
What is your professional membership level or status *
Required
What professional ethical body/s do you have membership with? *
Required
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