Although regular clinical supervision is a pre-licensure requirement, once licensed, a therapist in Massachusetts can practice without regular clinical supervision. As a PhD student steeped in learning about, from, and through receiving and providing clinical supervision, I find the idea of not receiving supervision, especially related to self-of-the-therapist issues, concerning and rather sad. Do we ever stop growing, changing, and learning? Is there some after-licensure miracle that makes us impervious to our own demons, flaws, biases, and blind spots? Can we give an infinite amount of support to others without replenishing our own tanks? Nope. My husband, an LMHC who works in a community health center, practices without regular clinical supervision, as it is not required and hence not prioritized in a medical setting. Even as an experienced individual therapist, I watch him struggle under the weight of carrying his clients’ pain, with remaining empathetic and creative without burning out, and facing his own struggles without projecting them onto his clients. It doesn’t seem fair or right that he, and other therapists -- regardless of their time served -- are doing this critical work on their own, without structured support.