Collaborative, Functional, and Evidence-Based Consultation
At The Anxiety Break, Michelle Puerner, LCSW, provides individualized professional consultation for clinicians treating anxiety, OCD, tic disorders, and related conditions. Her collaborative, evidence-based approach integrates ERP, ACT, DBT, SPACE, I-CBT, CBIT, and the Family Well-Being model from When a Loved One Won’t Seek Mental Health Treatment.
Consultations help clinicians build functional clarity, strengthen case formulation, and design exposures that promote resilience and independence. Sessions are tailored to each clinician’s goals—whether refining complex cases, integrating family-based approaches, or preparing for clinical supervision within a systems-informed framework.
Who Consultation Serves
Consultation is designed for licensed and pre-licensed clinicians, school-based professionals, and allied providers seeking to deepen their skills in treating anxiety, OCD, and tic disorders, or to better support families when a loved one resists care.
Michelle works with therapists who want to:
Strengthen confidence in functional case formulation and exposure design.
Integrate SPACE, Family Well-Being, and CBIT principles into treatment or parent coaching.
Differentiate between OCD, anxiety, and eating-disorder overlap in complex presentations.
Reduce family accommodation and build caregiver collaboration across home and clinical settings.
Receive thoughtful, systems-informed supervision and professional mentorship.
Consultation supports both new and seasoned clinicians looking to ground their practice in clear behavioral function, compassionate boundaries, and evidence-based strategy.
Consultation Options and Packages
Choose the consultation format that fits your goals.
Whether you need focused troubleshooting, ongoing mentorship, or a long-term supervision track, each option is designed to support your growth as a clinician through functional, evidence-based guidance.
30-Minute Professional Consultation — $80: Buy Here
A focused, half-hour session for troubleshooting cases, refining exposure design, or clarifying treatment direction.
Recommended for clinicians with a working understanding of ERP who want brief, targeted feedback or help applying functional and systems-based interventions to real-world challenges.
60-Minute Professional Consultation — $150: Buy Here
An in-depth, collaborative session for clinicians treating OCD, anxiety, tic disorders, and family accommodation patterns. Together, we examine case formulation, exposure sequencing, and functional analysis through the lens of ERP, ACT, DBT, SPACE, I-CBT, CBIT, and Family Well-Being principles.
Ideal for clinicians building confidence with complex or treatment-resistant presentations.
5-Session Professional Consultation Package —>$650: Buy Here
Structured mentorship for clinicians seeking consistent growth, accountability, and confidence.
Across five sessions, you’ll strengthen your ability to:
Map and target behavioral functions accurately.
Implement ERP and CBIT interventions flexibly.
Integrate SPACE and Family Well-Being frameworks when working with parents or systems.
Refine your exposure design and treatment sequencing with supervision-level depth.
Sessions must be used within six months. Payment plans available through Affirm.
10-Session Professional Consultation / Supervision Package —>$1,200: Buy here
A comprehensive mentorship or supervision track for clinicians ready to deepen their conceptual and applied skills. Together, we’ll strengthen functional formulation, exposure design, and system-level intervention, integrating principles from ERP, ACT, DBT, SPACE, I-CBT, CBIT, and the Family Well-Being model.
This series supports both advanced consultation and, when approved, formal supervision for pre-licensed clinicians (SWLCs, PLCL’s or equivalent). Sessions emphasize critical thinking, flexibility, and confident application of evidence-based practice within a supportive and collaborative environment.
Supervision must be discussed and approved ahead of time and is not guaranteed. Sessions must be used within six months. Payment plans available through Affirm.
Supervision for Pre-Licensed Clinicians
Supervision with Michelle is an extension of her consultation model—rooted in functional formulation, values-based intervention, and systemic awareness.
For pre-licensed clinicians (SWLCs, PLCL’s or equivalent), supervision focuses on developing clinical reasoning, confidence, and flexibility across complex cases involving OCD, anxiety, trauma, tic disorders, and family dynamics.
Through a collaborative process, you’ll learn to:
Differentiate between content and function in case conceptualization.
Integrate ERP, ACT, DBT, SPACE, I-CBT, CBIT, and Family Well-Being principles into treatment.
Strengthen communication, documentation, and boundary-setting in clinical work.
Identify your professional style and ethical compass as you grow into full licensure.
Supervision availability is limited and must be discussed and agreed upon in advance. Approval is not guaranteed.
Policies at a Glance
Payment: All consultations and supervision sessions are prepaid through Vagaro.
Cancellation: A minimum of 24 hours’ notice is required to cancel or reschedule. Appointments canceled with less than 24 hours’ notice—or arrivals more than 15 minutes late—are considered a no-show and are non-refundable.
Package Use: Multi-session packages must be used within six months of purchase.
Outside Correspondence: Case review or written feedback requiring more than 15 minutes outside of session time is billed at the hourly rate unless otherwise contracted.
Supervision: Supervision availability must be discussed and approved in advance and is not guaranteed.
Refunds: Packages and prepaid services are non-refundable.
Insurance: Consultation and supervision services are not psychotherapy and are not eligible for insurance or HSA/FSA reimbursement.
Ready to Get Started?
Take the next step toward clarity, confidence, and competence in your clinical work.
Whether you’re seeking focused consultation, ongoing mentorship, or approved supervision, Michelle offers a collaborative space for growth rooted in functional understanding and evidence-based care.
Choose the format that fits your goals and book directly through Vagaro below.
If you’re unsure which option is right for you, start with a 30-minute consultation to discuss your needs and next steps.

