By the time you know what happened, the hour is half gone.
They arrive with a session, and you get it the way supervisors have always got it: they tell you. Twenty minutes of what she said and what they said back, honest and still a story, shaped by what they remember and by what they’d like you to think of them. Somewhere in it is the moment worth the hour, the place where she went quiet and they filled it, and you can’t tell whether it’s in the account or missing from it. So you supervise the account.
At the end of the year you sign a form saying this person can do the work. You’ve talked about their sessions every week, and you have never watched one.
The hard one stays home
In a single supervision hour, more than four in five trainees keep something back. Over a whole training, almost all of them do. And the mistake is not usually the thing they keep. Most often it is what they think of the supervision itself, and the clinical mistake comes further down the list. None of that is a flaw in them. It is what happens when the only way to bring a session is to describe it, from memory, to the person who also grades you.12
So the session that reaches you is the one that went fine. The one they lie awake over, the one you could actually help with, is the one you never hear about.
Supervision of an account
When supervisees were asked what two weeks of their supervision had actually consisted of, about one in ten had had a recording of a session reviewed with them, and three percent were observed live. The rest was the account, every week. Thirty years of studies have tried to show that supervision improves what happens to clients, and haven’t managed it. Nobody reads that as proof that supervision doesn’t matter. But one reason for it is obvious enough: it has been supervision of what the trainee could remember, by someone who wasn’t in the room.34
Every other expert craft found a way to put the work itself on the table. Ours kept it off, to protect the client. A recording of therapy is the most sensitive object a clinician can hold, so almost nobody held one, and supervision went on running on memory.
Supervision that starts from what happened
psylab is built on one idea: a therapist should be able to look at what happened in the room, and nobody else should, unless the therapist decides otherwise. For supervision that means your supervisee looks first, alone, writes what they saw beside the moment, and then chooses what you see. That order can look like it works against you, but it is what lets the hard session be brought at all.
- They look first, so what you see is what they chose to share and nothing else.
- You see the moment itself, not a summary of it, with their notes beside it.
- You reply on the turn, so the conversation stays attached to what was said.
- Nothing about a person is added up, so there are no scores over time and no table of supervisees.
- When the folder goes, it all goes with it. Nothing is kept longer than three months.
If those are the terms you would want for your supervisees, the next session they bring you could be the first you see.
The session arrives with their moments already marked
The session arrives with the moments already marked: their words on why this one, at the exchange it happened in. You open it together and the first twenty minutes come back. You have nothing to read the night before, because the preparation is theirs, and it always should have been. You won’t get through every moment, and you shouldn’t try. An hour holds a handful, properly. Supervision turns back into what it was supposed to be: two people looking at the same ninety seconds of a session and thinking about it together.
The session is in front of you both, so a skill can be practised
The therapists with the best results are the ones who go back over their own sessions and work on specific things. Deliberate practice needs one thing besides the material: someone who knows the work and can say what to try next. That person has always been you; what was missing was the session itself. A commentary from Nissen-Lie at the University of Oslo says as much: traditional supervision misses its chance to practise specific clinical skills. With the exchange in front of you both, the question stops being “what happened?” and becomes “what would you say now?”, and that one can be tried, and tried again.56
psylab is part of supervision, not the supervisor
If your supervisee shares it, you will also see how psylab read the session against the treatment model they trained in: where they clarified, where they reassured, and where an opening went by. It describes, and it stops there. What that moment means for this therapist, with this client, this year, is a conversation between the two of you, and nothing on the screen replaces it.
The same half minute, twice
This is half a minute of a teaching session from 1965, published and shown in training ever since. The therapist asks one question, and the answer is about the client’s daughter. One track is the recording as it was made. The other is what a supervisor would hear if you kept the session for one: the same words at the same pace, in a voice that is not the one in the room, with the daughter’s name beeped. Switch between them while it plays.
The step runs on the way in, on every session, and there is no version of psylab without it. A name becomes language rather than a hole, so the note, the feedback and anything you ask about a session are written from a transcript that still reads like one. Keep a session for a supervisor and the voice is changed first. The original recording is deleted.
Click a track to switch while it plays. Drag it, or click a word, to move.
I think I might ask, what is it you wish I would say to you?
I wish you would say to me to be honest and take the risk that Pammy's going to accept me. And I also have a feeling if I could really risk it with Pammy, of all people, that I'd be able to see, here's this little kid that can accept me, and I'm really not that bad if she really knows what a demon I am and still loves me and accepts me…
The daughter is named twice, five seconds apart.
Source: Three Approaches to Psychotherapy (1965), minute 15. A published teaching session, not a psylab one.
The beep is a soft 440 Hz tone that fades in and out, well under the level of the voice. It runs a tenth of a second either side of the name, so the edge of a neighbouring word sometimes goes with it.
Confidentiality by design
The reason almost nobody kept a recording is a good one, so it was the first thing we had to design for. psylab never asks who your client is. It doesn’t ask for a name, a date of birth or a personal number, because nothing in it needs them. A case has a title you choose, and we ask you to make it one that means something to you and nothing to anyone else.
What was said in the room is pseudonymised on its way in. Names, places, dates and the details that would point to a person are replaced, and the clinical meaning stays. It isn’t a setting, and there’s no version of psylab without it. The note, the feedback and anything you ask about a session are written from that text, so nothing after that step sees the original. We say pseudonymised rather than anonymised on purpose: it makes a client much harder to recognise, and we’d rather not claim more than that.
The recording itself isn’t kept. Audio is transcribed and then let go, and only the pseudonymised transcript stays. If you keep the audio so a supervisor can hear a session, the voice is changed first, and the original is deleted. That is what makes it safe to study your own work here, and to let AI help you with it: what’s on the page is the session, without the details that would identify a person.
What you see, and what you don’t
Every tool a therapist uses has to survive the sentence they say to a client when they ask for consent. Here is ours, and what it means on your side of the table.
“I record our sessions with a tool built to forget. It replaces your name and anything that would identify you on its way in, deletes the session the next day unless I keep it, never keeps anything longer than three months, and shares nothing unless I choose to share it.”
You see what they share, for as long as the folder lasts, pseudonymised before you or anyone sees it. You can’t keep it or share it on. When the folder clears, your access clears with it.
- Stored in Europe, under European law
- Never used to train models
If you would be comfortable on both sides of that sentence, the next session a supervisee brings you could be one you can see for yourself.
Ordinary, the way it is in every other expert craft
We want it to be ordinary: they bring Tuesday’s session, you look at it together on Thursday, and the rest of the week goes on as before. Supervision that starts from what happened, not from what either of you can recall. And at the end of the year, a form you can sign having watched the work.
A profession that improves the way surgery and sport learned to, without giving up what makes it therapy: that what is said in the room belongs to the two people who were in it.
If you’d rather be told than see, this isn’t for you
psylab is for supervisors who would rather see the session than hear about it, and for training programmes that would rather their supervisors could. It is for the supervisee too, the one with something they haven’t brought. Wondering whether to bring it is part of their job; guessing what it was shouldn’t be part of yours.
References
- 1Mehr, Ladany & Caskie (2010). Trainee nondisclosure in supervision: What are they not telling you? Counselling and Psychotherapy Research.
- 2Ladany, Hill, Corbett & Nutt (1996). Nature, extent, and importance of what psychotherapy trainees do not disclose to their supervisors. Journal of Counseling Psychology.
- 3Amerikaner & Rose (2012). Direct observation of psychology supervisees’ clinical work: A snapshot of current practice. The Clinical Supervisor.
- 4Watkins (2011). Does psychotherapy supervision contribute to patient outcomes? Considering thirty years of research. The Clinical Supervisor.
- 5Chow, Miller, Seidel et al. (2015). The role of deliberate practice in the development of highly effective psychotherapists. Psychotherapy.
- 6Nissen-Lie (2026). Deliberate practice in psychotherapy supervision: A promising paradigm for enhancing clinical effectiveness even if we still have puzzles to solve. Journal of Clinical Psychology.
Who we answer to
psylab is built by a small company in Oslo that hasn’t taken venture money. Raising tends to mean owing someone a rate of growth, and what a company owes shows up in the product: the price creeps up, and your data starts to look like an asset. We want to owe the people who use this.
So far psylab has been paid for out of our own pockets. From early access on, we want it paid for by the clinicians who use it, at one price for every therapist, held for the people already paying it. A few of them may come to own a small piece of the company. Nothing here depends on hitting a number by the end of a quarter.
We’re doing this because we think the quality of mental health care can go up, and that it starts with therapists being able to look at their own work. We also think AI can be used well here, on the clinician’s side, if the people building it are careful about what it’s for. psylab is our attempt to be careful.
If there’s something here you’d like to ask about, or hold us to, write to Kristian.
kristian@psylab.aiIf you would like to back this rather than use it, the investors page says how it is paid for.
- We don’t train models on your data.
- We haven’t taken venture money, and we’re not raising a round.
- We answer to the clinicians who use psylab.
- We’d rather keep the quality high and the price fair than grow fast.
- If any of this changes, this is where we’ll say so.
Next time they bring a session, it’ll be the session.
Early access is open to a small group.
Hear it from us in person
This autumn you can hear from us in person, and bring the hard questions with you.
Utvikling av verktøy – KI i personlighetsforstyrrelser. Kan KI gi bedre tilbakemeldinger enn en ekspert i mentaliseringsbasert terapi (MBT)?
Building tools: AI in personality disorders. Can AI give better feedback than an MBT expert?
Personlighetsforstyrrelser, Faglig ForumQuality Hotel Expo · Fornebu, OsloIn Norwegian
Hieu Tran NgocCo-founder, CCO
Who you’d be trusting with your sessions
Kristian S. MunkvoldFounder, CEO / CTOEngineer turned founder, building the clinical infrastructure he thinks psychotherapy has been missing. His job is to make the software as careful as the people who use it.
Hieu Tran NgocCo-founder, CCOClinical psychologist who has worked in specialist health services and in private practice. Keeps asking how each part of the platform will feel from the therapist’s chair.
See the talks
Sigmund KarterudClinical advisorProfessor of psychiatry, formerly at the University of Oslo and a leading authority on mentalisation-based therapy in Norway. His research covers psychotherapy, supervision of therapists, personality disorders, group analysis, and more.