Break Through Your Most Complex Cases. Refine Your Clinical Judgment.

1-on-1 Case Consultation for Therapists

Bring your toughest relational, couples, and systemic cases. Get a seasoned clinical perspective, clearer formulation, and practical next steps.

Book Your Free 15-Minute Call

Book a 50-Minute Case Consultation — $200

When a Case Just Isn't Moving

Some cases stay stuck despite your best efforts.

A client repeats the same pattern. A couple remains caught in conflict. A family dynamic resists intervention. Or you're simply unsure what you're missing—or what to try next.

Bring the Case. We'll Work Through It Together.

See the Pattern — Look beyond the presenting problem to understand the relational dynamics keeping it in place.
Expand Your Options—Draw from systemic, Solution-Focused, Narrative, Social Constructionist, and Gottman approaches.
Know What to Try Next — Leave with practical clinical possibilities you can bring into your next session.

What Case Consultation Looks Like

1. Start With the Case

Bring the client, couple, or family situation that's keeping you stuck. We'll clarify what's happening, what's been tried, and where you're uncertain.

2. See the Pattern

Step back from the presenting problem to examine the relational dynamics, recurring patterns, and opportunities for change.

3. Expand Your Clinical Options

Draw from Solution-Focused, Narrative, Social Constructionist, Family Systems, systemic, relational, and Gottman approaches as appropriate.

4. Leave With a Clearer Direction

We'll identify practical clinical possibilities you can consider in your next session—without forcing the case into a rigid formula.

Consultation Built Around Your Clinical Needs

Single Case Consultation

For one difficult case, clinical question, or immediate dilemma.

What you get:

50-minute 1-on-1 video or phone consultation
Focused case consultation
Systemic and relational perspective
Practical next steps

3‑Session Consultation Package

For ongoing support with a complex or evolving case.

Includes:

Three 50-minute consultation sessions
Ongoing case formulation
Intervention planning
Systemic, Narrative, SFBT, and Gottman perspectives as appropriate
Brief email support between sessions

$200

$500

Book a Single Session

Secure Your Bundle

Why Work With Me

30 Years of Clinical Experience

Three decades of experience in relational, systemic, marital, and brief therapy.

Beyond the Manual

I draw from Solution-Focused, Narrative, Social Constructionist, systemic, and relational approaches to fit the case—not force the case into a formula.

A Confidential Place to Think

Bring the case you're stuck on, the questions you're wrestling with, and the uncertainty. We'll work through it together.

Meet Your Consultant

Brian Milliken, LPCC, LMFT

30 Years of Clinical Experience

Experienced in complex relational, couples, and systemic cases.

Clinical Approaches

Solution-Focused
Narrative
Social Constructionist
Family Systems
Gottman Method

I don't just tell you what to do.

We look at the case together and find a clearer path forward.

Sometimes the breakthrough isn't a new technique. It's seeing the case differently.

What You'll Leave With

Clearer Clinical Thinking

See the patterns and dynamics shaping the case.

Practical Next Steps

Know what you can explore or try in your next session.

Greater Confidence

Feel more confident in your clinical decisions and direction.

A Broader Perspective

Expand your options with systemic, relational, narrative, and brief-therapy approaches

Frequently Asked Questions

Get clarity on our services and approach.

Is this clinical supervision?

Case consultation and clinical supervision are not the same thing. Consultation is designed as a collaborative opportunity to think through clinical cases, perspectives, and intervention possibilities with an experienced peer. It does not include formal administrative oversight or sign-offs for licensure.

Who is consultation for?

Consultation is designed for practicing therapists who want an experienced perspective on complex client, couples, family, relational, or systemic cases.

Can I bring couples and family cases?

Yes. Relational and systemic cases are a primary focus of this consultation work. This includes complex couples dynamics and patterns involving multiple members of a family system.

What if I'm only struggling with one case?

That's exactly what the single-session consultation is designed for. You don't need an ongoing consultation relationship to bring a difficult case and get another perspective.

What should I bring to the consultation?

Bring the case you're thinking about, your clinical questions, what's been happening in treatment, what you've tried, and where you're feeling stuck. You don't need to have everything figured out beforehand.

Is the consultation confidential?

Yes. Consultation takes place in a secure, professional, and confidential setting. Client-identifying information should be handled appropriately and minimized or entirely de-identified when discussing cases.