In this state, it easy to fall back into abusive relationships and behaviors, not because they feel good, but because they are familiar, predictable, and controllable, all of which brings relief from what is nothing less than an existential crisis. Therapists should help structure and link changing behaviors and attitudes in the client's life. Lastly, therapists and client should take set-backs in stride. All of the issues raised above require that the therapist be aware of his or her own reactions to the client in what are the beginning to middle stages of recovery work. Supervision in the difficult moments, either by a mentor or peers, is key.
Supervision can help identify and normalize negative or overwhelming reactions to clients.
It is also a place to learn new techniques and skills and thus enhance one's sense of competence, which can be seriously tested in this work. Supervision also helps the frustrated or angry therapist reorient to an empathic mode and set realistic goals for that portion of the treatment. Lastly, after supervision is finished, the therapist needs to engage in self-care. The therapist needs to maintain boundaries between his or her professional and personal life and do things that provide pleasure and personal rejuvenation. Both supervision and self-care will help the therapist do his or her work well and, perhaps, even benefit from it.