Psychotherapy supervision remains a crucial element in psychiatric residency training. The rapidly changing health care system is forcing supervisors to explore new methods of psychotherapy training. Supervisors must contend with decreased time for supervision, increased numbers of patients per resident, and patient cases that turn over more quickly. All of these changes require a more efficient and effective method of psychotherapy supervision. The authors propose a method that provides the psychiatry resident two supervisors for the price of one, that is, the psychotherapy supervisor and the resident himself or herself. The authors detail the use of this method and present its potential advantages and difficulties.Abstract Teaser