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.
15-Minute Collaborative Case Consult (Phone) — $30: Buy Here
A brief, phone-based professional consultation for clinicians seeking clarity before referring, transferring, or co-working on a case.
This consult is designed to support:
Referral fit and scope clarification
Case transfer or co-treatment planning
Coordination on SPACE or family-based cases
Clear next steps prior to formal consultation or supervision
Consultations are offered regardless of whether a referral ultimately moves forward.
This service is phone-based only and is intended for efficient professional coordination. It is not psychotherapy, supervision, intake screening, or insurance verification. Determining insurance compatibility and primary case responsibility remains with the referring clinician.
For clinicians unsure which consultation option best fits their needs, this 15-minute consult is the recommended starting point.
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, ACT 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 —>$1,200: Buy here
An advanced consultation track for clinicians seeking sustained mentorship, clinical depth, and skill refinement over time.
Across ten sessions, consultation focuses on:
Advanced functional case formulation
Exposure design and sequencing
Systems-informed intervention and accommodation reduction
Strengthening clinical judgment and flexibility across complex cases
This package is consultation only and does not include formal supervision or supervision hours.
Sessions must be used within six months. Payment plans available through Affirm.
Organizational Training & Consultation
For group practices, agencies, and clinical teams seeking shared language, stronger case formulation, and consistent application of evidence-based care across clinicians.
These offerings are designed for organizations that want to improve clinical accuracy, reduce treatment drift, and support clinicians working with complex presentations, or needing support with OCD..
Group Training Options
Live trainings focus on functional analysis, treatment sequencing, and process-based approaches to OCD, anxiety, trauma, eating disorders, and overlapping presentations.
Training formats may include:
90-minute trainings
Half-day trainings (3 hours)
Full-day trainings (6 hours)
Follow-up group consultation is available for organizations that wish to support implementation after training.
Pricing Transparency
Pricing for individual consultation and supervision services is listed openly to support clarity, ease of scheduling, and informed decision-making.
Organizational trainings and group consultation are structured differently. Because practices vary in size, clinical focus, and scope of need, these services are priced per clinician, with a minimum total fee based on the length and format of the training or consultation.
Specific pricing for organizational services is provided upon inquiry and reflects preparation time, delivery, and organizational use. Follow-up consultation options for organizations are available and priced separately.
To inquire about organizational training or group consultation, please email with a brief description of your practice, the number of clinicians, and the type of training or consultation you’re seeking.
Supervision Services
Supervision carries distinct clinical, ethical, and legal responsibility and is offered as a separate service from consultation.
Clinical Supervision (60 Minutes) — $150/hour minimum
Supervision is available for pre-licensed clinicians (SWLCs, PLCLs, or equivalent) and focuses on developing clinical reasoning, ethical decision-making, documentation, and confident application of evidence-based care.
Supervision emphasizes:
Functional formulation and treatment sequencing
Application of ERP, ACT, DBT, SPACE, I-CBT, CBIT, and Family Well-Being principles
Risk assessment, boundaries, and professional accountability
Development of independent clinical judgment
Supervision availability is limited and must be discussed and approved 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 15-minute phone call to discuss your needs and next steps.

