It’s Complicated…
Reflective one on one supervision sessions for clinicians working with OCD who can no longer clearly tell what is pulling the work off course.
Some cases do not need more information. They need another set of eyes on what is happening in the room.
Supervision with Dr Celin Gelgec
There comes a point in OCD work where the difficulty is no longer understanding the model.
The formulation starts slipping in and out of focus. You are no longer fully sure whether the work needs holding, revising, tightening, slowing down, or simplifying. You notice yourself thinking about the case long after the session has ended. You go back over what you said. You re-run the formulation in your head. You wonder whether you are missing something important.
Sometimes the case is genuinely complex. And sometimes the difficulty is that OCD has started negotiating with both the client and the therapist at the same time.
The hardest treatment drift to recognise is observing your own uncertainty while you are still inside it. That is what this space is for.
“It’s Complicated” is not a teaching programme. It is a live, reflective supervision space for clinicians who want help thinking through the cases that have become clinically noisy, emotionally loaded, or difficult to hold onto with clarity. The focus is not on performing expertise. It is on slowing the work down enough to see what is actually happening in the room.
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Working with clients with OCD across all themes/sub-types
Cases where ERP has stalled and it is no longer clear why
Therapist drift, reassurance drift, or softened exposures
Co-occurring presentations complicating treatment direction
Family accommodation and system dynamics
Difficulty distinguishing between signal and noise in the formulation
Cases where the formulation may need revision
Risk fears, responsibility fears, and therapist uncertainty
Rebuilding behavioural clarity when the work has become emotionally or conceptually muddy
Cases that feel “stuck” despite technically-correct ERP
The parts of the work that are hardest to see from inside your own session
Wanting to nut out ERP skills or questions around treatment
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While my main framework falls under Exposure and Response Prevention (ERP), inhibitory learning principles, and ACT-informed behavioural work, I also bring in Schema and DBT principles where appropriate. This allows us to stay closely connected to the realities of what happens in-session once treatment becomes less straightforward.
The focus is on strengthening clinical judgement, recognising treatment drift earlier, and learning how to stay behaviourally grounded when the room becomes noisy.
This is reflective, collaborative supervision. Not performance-based supervision. You do not need to arrive with certainty. You do not need to arrive with the “right” formulation already worked out. The work often begins precisely where clarity has started slipping.
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This supervision pathway is designed for clinicians already working with OCD presentations who want reflective space around their clinical work.
It is likely a good fit if:
you already understand the foundations of ERP
you find yourself second-guessing certain cases repeatedly
the work has started feeling behaviourally muddy
you are carrying uncertainty about what the treatment is targeting
the sessions still feel productive, but meaningful behavioural change has slowed
you are trying to hold complexity without losing the formulation underneath it
If you are completely new to OCD treatment, Foundations is usually the better starting point before moving into supervision work.
Where does supervision fit in with the rest of the programs?
Stuck teaches the common ways OCD treatment drifts off the formulation and how to recognise those patterns more clearly.
“It’s Complicated” is where you bring the specific case that still feels difficult to read, even after you can recognise the patterns in theory.
The two work well together, but supervision does not depend on completing the Stuck programme first. Some clinicians begin with Stuck and move into supervision afterwards. Others arrive already holding a case that needs reflective space now.
What People Are Saying
“Supervision with Celin has brought a lot of clarity for me while working with people with OCD.”
— Lorie. Psychologist.
“Celin has instilled confidence in me to want to learn more and work in this space. Working with OCD feels really fulfilling.”
— Alex. Ed and Dev Psychologist.
“Being able to formulate my clients with someone who gets it has been really helpful.”
— Fiona. Clinical Psychologist.
“I was relieved and happy when Celin chose to stay with us for a further three years after graduating and those years were some of the most successful for our programme, increasing from part-time to full-time and taking referrals from all over the country. Unfortunately for us but happily for her, she moved to her own practice in 2013 to continue her work in an outpatient practice. Actually, this was good for everyone because she has added to the number of exquisitely talented and skilled therapists working with OCD patients in our town. Plus, she has encouraged more and more young psychologists to work with OCD people in her practice over recent years. I am happy to say that I still work with her when we share care of some of the more unwell patients and she remains our first choice when looking for long-term follow-up for our patients. Her expertise is well recognised now and her care much sought after."
- Dr Scott Blair West, Psychiatrist.
Your Investment
1:1 live reflective supervision session
50-minutes in duration
Online - a zoom link will be sent to you prior to your scheduled time.
To enquire about availability follow the link below to submit a request. A team member will then be in touch to arrange a mutual time.
$280.00 (AUD) per session
Your Questions, Answered
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Yes. Supervision often includes work around trauma, ADHD, Autism, eating disorders, depression, disgust, perfectionism, family accommodation, and other processes that complicate treatment.
The focus remains on understanding how these processes are interacting with OCD and the formulation guiding the work.
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Sometimes, especially around skills building. But the goal of supervision is not simply to provide instructions. It is to strengthen your ability to recognise what is happening in the room, hold the formulation more clearly under pressure, and build your ability to make behavioural decisions when uncertainty is present.
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Collaborative, honest, and straightforward. I’m here to help guide the process, formulate with you, and help you find ways to keep things moving.
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Yes I do. Since 2010 I have encountered every theme/sub-type of OCD there is on several occasions.
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Both. There is room for consultation and reflective supervision. We can focus on problem-solving difficult cases, as well as work towards understanding what is happening clinically, behaviourally, relationally, and systemically once the work becomes difficult to hold.
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No. Stuck and supervision work well together, but supervision is open to clinicians regardless of where they have trained.
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Yes. While this space assumes a working understanding of ERP and OCD formulation, you can still book in for supervision to get you started on your learning journey. If you are new to OCD work, it is also highly recommended that you start with Foundations to get you oriented.
