Clinical Intervision and Supervision

Since the fall of 2019, I have organized virtual intervision groups for location-independent psychotherapists. Inspired by their success and the wonderful collaboration among colleagues, I’ve decided to organize more groups for mutual support and knowledge exchange, open to anyone actively working in the field of mental health. Every month, there are two meetings for casework and discussion – one dedicated to interdisciplinary psychotherapeutic approaches and one to psychoanalysis.

At each meeting, two therapists present their cases and discuss problem areas in which they seek help. The meetings follow three steps:

  1. One therapist presents a case.
  2. We discuss the difficulties that he/she has in relation to the client’s treatment.
  3. Everyone asks questions to get to a full understanding of the issue and suggests what the presenter can try or steps they have taken when encountering similar issues in their own practice.

The meetings are virtual and open to colleagues around the world.

The participation fee is 800 euro per year for both intervention groups or 500 for one of them.

If you are a colleague working online or in a traditional clinical practice, you can join an intervision group of your choice by sending me a message presenting yourself and your practice at

One to One Supervision

I also offer one on one supervision sessions for life and business coaches, HR professionals, and psychologists interested in alternative professional perspectives. It is always beneficial to take a step back and present your client’s case for an intellectual discussion in a relaxed and safe environment.

HR professionals might also be interested in my mental health corporate program.

Contact me for more information!

What Others Say About My Supervision Groups

Romina Reginold – Swiss Psychologist and Psychotherapist

I really appreciate the appreciative and supportive atmosphere in Mila’s supervision group. Through the different experiences of the individual therapists, it has always helped me to get a new perspective or input for my problem. Mila’s professional guidance helped to structure the conversation well and not to lose sight of the essential.
Instagram – @romina_reginold


Ursula Schiller – German Psychologist, Psychotherapist and Psychoanalyst

I really enjoy the supervision group calls and definitely recommend Mila. At the beginning of each meeting, she always makes sure that the ones who have an urgent case can go first and that there is enough time for everybody’s topics. The atmosphere is very relaxed and it feels like teamwork. One presents a case with or without a specific question and everybody can bring his/her knowledge in. Mila brings in her extensive knowledge in psychoanalysis and also shares what she would do. In her supervision group, no question is too simple to be asked and no feeling impossible to be discussed. In short, I highly recommend working with her.

Carolina Díaz – Mexican Psychologist, Psychoanalytic psychotherapist

Supervision and intervision groups are an important component of the professional development of any psychotherapist. Mila offers a space to review, reflect, and ask about cases while creating an atmosphere of cooperation and support. The meetings are organized, empathetic, and overall a great experience to learn and share about what happens in private practice.

I fully recommend working with Mila to anyone who’s looking for thoughtful recommendations, new perspectives on their cases, and a space to build a reflective practice.

Mental Health Corporate Program

What is an Employee Assistance Program (EAP) and why your company needs one?

An EAP can help businesses, managers, their employees, and their families with a variety of issues in and out of the workplace, including mental health services and employee assistance with personal, family, and work issues.

Since the year 2020 social isolation has become a high health risk. The World Health Organization has warned us of many potential mental health challenges during and long after the COVID-19 pandemic.

The isolation puts at high risk:

  • employees struggling with preexisting emotional issues, anxiety, depression, or eating disorders;
  • parents who must educate their children and teenagers at home;
  • families experiencing financial insecurity and many others in a new even more stressful situation.

What are the benefits of contracting a psychotherapist to develop a mental health EAP for your company?

  • Prevention of mental health issues. In times of social isolation, multiple emotional issues might emerge, and specialized counseling sessions are therapeutic and preventive.
  • Objective point of view. It is beneficial to bring outsider’s look at the processes, conflicts, and purely personal challenges. This also removes the fear of gossip or potential conflict of interest.
  • Specialized help. HR specialists are often unprepared for the vast diversity of personal issues that a psychotherapist deals with daily. Effective counseling requires at least six additional years of personal and professional development after obtaining a bachelor’s degree in psychology. A professional psychotherapist can bring all this experience and knowledge to your company.
  • Emotional balance is crucial for job satisfaction and better results.
  • Providing counseling sessions sends the message that the company cares for its employees.

Why contract Dr. Mila Petkova’s services?

  • A unique combination of 14 years of formal training and therapeutic practice in addition to 8 years of corporate experience and 6 years of private practice as an online counselor.
  • I am a licensed psychotherapist with a Ph.D. in psychoanalysis, I specialize in the treatment of anxiety, panic attacks, burnout, addictions, difficulty socializing, working under pressure, etc.
  • I work in 3 languages – English, Spanish, and Bulgarian.
  • I  have access to professionals who can provide counseling in other languages as well as professionals specialized in family therapy, psychiatry, art therapy, mindful training, fitness, and nutrition.
  • My active collaboration with international psychotherapeutic organizations and my understanding of the underlying dynamics in the emotional and professional life make me the perfect expert who you can trust to develop your company’s mental health program.


You can find more detailed information about my professional development and qualifications in my BIO or on my LINKEDIN profile.

Contact me by e-mail to schedule a meeting where we can discuss in detail your employees’ needs.

dr.mila.petkova @

COVID-19 and Mental Health Resources


The World Health Organization (WHO) has warned us of many potential mental health challenges during the COVID-19 pandemic. The most affected are the medical staff, the infected and their relatives, as well as people with mental illness who have difficulty undergoing remote therapy.

A large wave of issues of neurotic nature is also expected, caused by isolation and anxiety about loved ones and one’s own health. The isolation of people struggling with addictions, anxiety, depression or eating disorders, parents who have to educate their children and teenagers at home for the first time, people who will lose their jobs and many others, are at high risk.

What can I offer as a mental health specialist?


How are online sessions conducted?

Consultations with a psychotherapist via video chat are not much different than live sessions.

The first step is to exchange several messages by mail. I need to know what the problem is in order to determine if I am the right specialist for you, or if I should refer you to a colleague. Then we exchange contacts and hold a video call using protected software.

All you need is a quiet place where you can talk without being disturbed, a stable internet connection, and a desire to make a change 🙂


About my blog

The psychotherapist today is not an elderly man with beard and glasses, who, sitting quietly in a gloomy cabinet, takes notes in a leather notebook – this is the therapist from the generation of my professors, however, times are changing.

The therapist of today merges with the crowd, feels its energy, and captures the emotions and vibrations associated with every social event, fashion fad, cataclysm, new social network or application. Life is happening dynamically and we are always up-to-date with its changes, learning from our clients, being accessible to them in a variety of channels, sharing our personalities in order to inspire positive change in others. Our blog is an essential part of this self-reflective, transformative process.


Who can benefit from online counseling?

  • Anyone working in a stressful environment;
  • Anyone who would like to improve crucial details of his/her life, such as communication with family members, abilities to get over loss and separation, strategies to cope with work issues and relationship problems, etc. ;
  • Anyone who suffers from general anxiety, social anxiety, body image issues, etc.;
  • People who have suffered from excessive alcohol or drug consumption/abuse in the past, but still need someone to accompany them trough the difficulties of their recovering process in a long term;
  • Family members of people with such issues;
  • Anyone who travels a lot or moves frequently from one city/country to another for work or leisure;
  • Anyone who finds it difficult to dedicate more time for him/herself because of his/her busy schedule;
  • Anyone who wants to remain completely anonymous

Who can’t benefit from them?

  • People with severe clinical psychological conditions;
  • People who believe that meetings that are not held in person, lack intimacy and are ineffective;
  • People who are uncomfortable communicating via means of technology.


How I decided to become an online counselor

For better or for worse, we are all connected with the immense stream of digital information and all we can do now is take advantage of it.

Psychotherapy isn’t excluded from this tendency. Many specialists turn to the digital means of communication in order to give more options to their clients. I am one of these professionals. This method of work allows our clients more flexibility with their schedules, making it more accessible and location independent. In addition, getting in contact with us is much easier and faster as a result. And of course, we can offer more affordable rates thanks to the savings we make from not renting an expensive office in a fancy area of the city. Now you can receive psychotherapy from your comfortable home, office or even your favorite cafe.

By using an online platform we see a multitude of new advantages, since the client-consultant relationship doesn’t have to be interrupted during work trips or family reunions (paradoxically, these are some of the most stressful situations for many of my clients).


Sadness, depression and thoughts of self-harm

It is difficult to accurately determine when ordinary sadness progresses into a depressive state, nevertheless with time passing, they are quite clearly identifiable. Sadness has a certain cause, it lasts for a while (usually a few months) and at some point begins to slowly fade away. This is where the old cliché that time heals everything comes from. Yes, time definitely heals the healthy sadness, but not depression.

Sometimes this condition, instead of fading, grows into existential grief, which little by little covers all aspects of everyday life and builds up in the consciousness as a permanent state of despair. Then it manifests on a physiological level, interferes the normal functioning of the individual, and the condition becomes incapacitating. It has to be treated on several fronts – with medications (especially in severe cases), with exercises – meditation, cognitive behavioral methods, and last but not least with psychoanalysis or other types of depth psychotherapy.  In a long-term depression, the root of the problem is usually less clear.

Thoughts of suicide or self-harm usually come at a time when it is no longer possible to deal with so much psychological tension. In this state of helplessness the only way out seems to be actual physical pain. These are quite typical for depressive states. The client should not be afraid of them but it is very important to share them with the therapist, so that they may better help them in their path of recovery.

If said thoughts extend to urge for action, the subject must reach for emergency psychiatrical help immediately. Remember that deep depression and suicidal thoughts should be consulted first with medical professionals and clinical psychologists. Online counseling can only be considered as complimentary help for less serious conditions.


Alcoholism, drug addiction, and problematic consumption

It is imminent to understand that severe cases of dependence on alcohol or a narcotic substance should be treated in a hospital. Its serious physiological and physiological dimensions make it almost impossible for the individual to cope with them without medical intervention.

However, my experience shows that long before a person becomes physically dependent on a substance (alcohol, light drugs, heavier substances, tranquilizers or painkillers), there is a long period of problematic consumption.

My take on this condition is that it is a kind of self-medicating – a failed attempt to silence an underlying problem with the help of a chemical substance. The usual end result, however, is that the practice itself becomes a grave problem. Many people do not turn to a specialist on time and thus develop mental and physical dependence. It is for these reasons that a specialist should be contacted as soon as possible.

In psychoanalytic therapy, we talk about everything that has been avoided to the date with the help of alcohol, drugs or medication.

Psychotherapy is also highly recommendable for people who have already overcome dependence, but would like to familiarize themselves more with the problem that has led them to the problematic consumption in the first place.


Fear, phobia and anxiety

What is the difference between fear, phobia and anxiety?

Fear is a perfectly normal way for a living being to survive in hostile nature. For us, however, fears can be very abstract. Fear of commitment, for instance, is related to all conscious or unconscious connotations that burden the word “relationship” with negative meaning. Fear of failure may be very logical, at first glance, but it is also a product of many personal motives that do not have a universal explanation.

Anxiety is a very frequent reason why people nowadays are seeking a psychotherapist. Sometimes it can become incapacitating. The most stressful thing about it is that anxiety has all the physiological dimensions of fear, but there is no specific source related to it. An anxious individual lives in a constant state of fear without knowing what he/she is afraid of.

Phobia is an interesting phenomenon where all this fear and anxiety is focused on one object that cannot hurt us. It is an attempt of consciousness to deal with anxiety by giving it some physical shape.

In psychoanalytic therapy, we seek out the origin of these fears, anxiety and insecurities, and we look for a solution to the underlying problem, not just to its current manifestations.