Edge of the Couch Oversaturation: Graduate Programs and the Importance of Gatekeeping
Oct 1, 2025
The hosts delve into the pressing issue of therapist oversaturation and distinguish between quantity and quality in the field. They tackle the failures in training programs and emphasize the critical role of meaningful supervision. Concerns about surface-level oversight and the need for ongoing professional development are discussed. The conversation also highlights the public's perception of a shortage of qualified therapists, while exploring the need for gatekeeping that ensures both accessibility and high standards. Their candid commentary challenges the readiness of some graduates to practice.
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Quantity ≠ Quality In Therapy
- There are many therapists but far fewer who meet high standards of skill and effectiveness.
- Jordan Piquel and Allison McCleary argue the problem is quality, not quantity.
Academic Gatekeeping Is Weak
- Programs are failing as gatekeepers by allowing many students through without meaningful assessment.
- Allison and Jordan link weak academic gatekeeping to an oversupply of mediocre clinicians.
Require Real Supervisory Oversight
- Ensure supervisors provide real oversight, including reviewing tapes and discussing clinical thinking.
- Prioritize meaningful supervision over mere hour-signoffs to protect clients and develop skills.