Cliical Consultation


For over 15 years, I have provided clinical supervision and consultation to professionals seeking clinical consultation. Individual appointments can be scheduled as-needed to address a specific clinical or professional concern or on an ongoing basis.


Approach to clinical consultation


I usually take an intersubjective perspective and focus on what happens in the room between patient and therapist. Our unexpected participation in patients’ problematic relational patterns necessarily stirs up difficult feelings for us. It is not a question of if we experience difficult feelings but whether or not we use them constructively, as a source of understanding. Parallel feelings and patterns may emerge in clinical consultation (the phenomenon of “parallel process”), creating a valuable window into both the therapy relationship and the patient’s difficulties.  Psychodynamic work requires the therapist to balance skills and knowledge with keen self-awareness and thoughtful use of self.  Therefore, in addition to both practical and theoretical discussion about frame and practice, I find it helpful to discuss countertransference experiences in order to gain greater understanding of your client’s inner life and what may be going on in your relationship.


Clinical consultation is most helpful when the therapist feels comfortable discussing the full range of thoughts and feelings their patients evoke. I work to create a consultation relationship that fosters the mutual trust and respect necessary for open communication. In theoretical terms, I try to provide a frame that facilitates exploration of transference, countertransference, enactments, and parallel process.  I also take into account the therapist’s history, demographics and sexual orientation, with a special focus on cross cultural biases and use of language.


Consultation sessions typically move fluidly between discussion of process, discussion of theory, and practical clinical guidance. I draw on multiple theoretical models according to their relevance to individual patients; one theoretical lens does not fit all patients. Our understanding of our patient should guide our theoretical choices, not vice versa. I will help you develop a clinical case formulation that brings focus to your treatment.


At times, I also provide supervision for post-masters supervisees.  Part of developing your professional identity in this field is the process of clarifying your beliefs about how psychotherapy works. I enjoy supporting this process of growth and developing a professional identity that includes strong clinical and theoretical grounding and practical day-to-day business strategies in the development of your own private practice. I’m will share my point of view and experience, and I am also interested in hearing about yours.


Please contact me directly for questions and to discuss fees for these services.




Clinical Trainings

(partial list)

The following is a list of trainings  available to interns and clinical staff:


Race, Transference & Counter-transference


Treatment Issues in Couples Work


Clinical Issues in G/L/B/T Asians and Pacific Islanders


Treatment Barriers for HIV+ Asians and Pacific Islanders


Working with Inter-Racial Couples and Families                           


Working with Inter-Racial Queer Couples


 Transforming Anxiety & Depression through Yoga                        


Transforming Shame and Guilt


Developing a Successful Private Practice                                        


Play Therapy Basics and Technique


Adult Survivors of Sexual Abuse                                                        


Language switching in the therapy room




© 2015 Rafael Chang, MFT    |   126 Church Street, San Francisco, CA 94114   |    PH: 415-868-5781    |    EMAIL:

  • Facebook Basic Black