This chapter reviews several aspects of practice that are relevant to our first contact with clients, as we begin to establish a therapeutic relationship. It discusses the emotional and interpersonal issues inherent in the supervisory relationship. The relationship we form with our primary supervisor will probably be the most powerful influence on the type and quality of professional growth we achieve in our placement. Making the transition from the role of student to the role of professional clinician is part of clinical training. Although the supervisory relationship is a professional and collegial one, the emotionally charged nature of clinical work means we will have strong emotional responses in supervision. Our professional growth is enhanced when we talk about cases that are improving, as the insights we gain help us understand what contributes to our effectiveness. We are establishing the therapeutic frame and beginning a therapeutic relationship, which means conveying a combination of professionalism, collaboration, and understanding.