
This is the reality of how therapeutic practice works.
You were trained to attend to the other person. To track what’s happening in the room, in the relationship, in the material they bring.
Your attention, your presence, your capacity to hold difficult things - all of it is oriented outward, toward the client.
Meanwhile, your internal practitioner landscape - your regulation, your boundaries under sustained pressure, your self-awareness in the room when the material gets close to home, your capacity to keep showing up without quietly depleting - goes largely unmeasured.
Not unnoticed. Unmeasured.

Supervision works with what you bring. But, what you bring is filtered through what you can see.
Supervision is valuable. It’s also relational and subjective.
It depends on the quality of the supervisory relationship, what you choose to bring, and what your current level of self-awareness allows you to name. If something is operating outside your view, it doesn’t make it to the supervision room. It stays hidden in your practice instead.
CPD develops your skills. It adds technique, knowledge, method. But a therapist can accumulate hundreds of CPD hours and still have no structured picture of what’s happening in their internal practitioner landscape.
CPD looks outward. Nothing looks inward.
The result is a professional blind spot that nobody talks about. You’re accountable to your clients, to your supervisor, to your professional body. You’re not accountable to a structured picture of your own internal state as a practitioner. Because until now, that picture hasn’t existed.
PRAXIS is the first assessment built specifically to produce it.
PRAXIS is a structured practitioner assessment from Ladder of Growth. It measures your internal practitioner landscape across 14 categories in four domains, and produces a scored report: your Praxis Score.
The four domains cover the dimensions of practice that don’t show up in session notes, clinical reviews, or CPD records - but that determine the quality and sustainability of everything you do:
How stable your internal state is during sessions. Whether you’re present, or managing. Whether difficult material moves through you or stays with you.
Whether the way you’re working is something your system can sustain. Not whether you feel tired - whether the structure of your practice is quietly depleting you.
How you relate to the wider professional ecosystem - peers, supervisors, the field itself. Whether that relationship is nourishing or isolating.
The gap, if there is one, between how you practise and what you know to be right. Whether your reflective capacity is genuinely functioning or running on fumes.
Each domain is scored, and each of the 14 categories within those domains is scored. The result is a Praxis Score: a structured, multi-dimensional picture of where you are right now as a practitioner.
The assessment is 42 questions and takes approximately 10 minutes.
It’s not a personality instrument. It doesn’t tell you what kind of therapist you are.
It tells you where you are, across the specific internal dimensions that determine whether your practice is sustainable, present, and grounded - or running on reserves you haven’t noticed are running low.
What PRAXIS does is give you something you haven’t had before: a structured, scored, independent account of your internal practitioner landscape, so that everything that comes after - supervision, CPD, your own development - is built on clearer ground.
PRAXIS doesn’t interpret what your scores mean for how you practise. It doesn’t advise, guide, or prescribe. That part is yours, and your supervisor’s.
PRAXIS is built on the Ladder of Growth measurement methodology. Learn more at ladderofgrowth.io.
Overall practitioner profile narrative
Domain Summaries across all 4 domains
Praxis Score
Web-based, available immediately
All 14 Category Profiles with observations
Cross-category patterns
Growth Edges (your 4 lowest-scoring categories)
Growth Moves (specific practices for each edge)
Supervision Preparation guidance
CPD logging support
1 CPD hour included (UK) / CEU equivalent (US)
Overall practitioner profile narrative
Domain Summaries across all 4 domains
Praxis Score
Web-based, available immediately
All 14 Category Profiles with observations
Cross-category patterns
Growth Edges (your 4 priority categories)
Growth Moves (specific practices for each edge)
Supervision Preparation guidance
CPD logging support
1 CPD hour included (UK) / CEU equivalent (US)
A personalised written account of where you are right now as a practitioner, drawn from your specific results. You’ll read things in it you’ve suspected but never had confirmed. And probably one or two things you didn’t expect.
Your profile broken down by domain, so you can see where the load is concentrated. A practitioner who looks broadly functional can be running one domain at significant cost. The Summaries show you which one.
A single structured score you can return to.
The first time you take PRAXIS, it’s a baseline. The second time, it’s evidence. That’s when it starts to do its most useful work.
It’s massive, like properly comprehensive. There’s nothing else out there like this for therapists - it’s exactly what we need. The validation alone is worth a lot
It’s f*cking brilliant! You’ve captured the experience of being a therapist so well.
This report holds the possibility of multi-level integration. It’s a total mirror.
I love the breakdown under each section - the journal prompts, the triggers - it all resonated
Each of the 14 categories gets its own scored profile with personalised observations about what your score, in this category, at this level, indicates.
Most practitioners recognise themselves immediately in at least half of them. The others are usually where the real work starts.
Your categories don't operate in isolation. When one area of your internal landscape is under pressure, it tends to affect others
This section identifies which categories are influencing each other, and how your internal system functions as a whole.
The four categories where your scores are lowest and where your internal system is working hardest to hold things together. It's where focused shifts would make the most difference to your practice.
These Growth Edges gives you a clear focus to improve the fulfilment, efficacy and sustainability of your practice.
For each of your four priority areas, a specific, practical action grounded in what your score actually shows.
This Growth Move is a concrete thing to try, based on the specific pattern your results reveal - something you can bring to supervision, work into your CPD, or simply start doing.
PRAXIS gives you a structured, scored account of your internal landscape that you can take to supervision. This helps you decide what’s worth raising, how to frame it, and what questions the data opens up. Supervision works better when you arrive knowing what you’re bringing. This is that preparation.
The Profile includes 1 CPD hour (UK) or CEU equivalent (US), with specific guidance on how to log it. If you’re working toward your annual requirement, this counts.
The guidance covers what to record and how to frame the learning for your body.
PRAXIS is the practitioner application of the Ladder of Growth measurement model, used across consumer and professional development contexts since 2021.
The 14 categories were identified because they’re known to move. When practitioners do the right development work, these are the dimensions that shift.
This is what a decade of direct observation of how practitioners develop, stall, and recover produced.
The assessment is designed to be taken more than once. A single Praxis Score is a useful baseline. The same assessment taken six months later, after a change in caseload, a period of intensive supervision, or a shift in your practice structure, tells you something more valuable: whether anything has actually moved.
Most professional development operates on the assumption that it works. PRAXIS gives you a way to know.

No. PRAXIS is a structured measurement assessment. It doesn’t diagnose, assess clinical fitness to practise, or make any professional recommendations. It produces a scored profile of your internal practitioner landscape. What you do with it is entirely your decision.
It isn’t a replacement for supervision, and it doesn’t try to be. Supervision works with what you can see and choose to bring. PRAXIS maps what might currently be outside your view - so when you do go to supervision, you’re arriving with better material. Think of it as the preparation that makes supervision more useful, not an alternative to it.
The Profile tier includes 1 CPD hour (UK) or CEU equivalent (US), with guidance on how to log it included in the report. Whether your specific body accepts it depends on their requirements. Check your CPD body’s criteria if this is a factor before purchasing.
The assessment takes around 10-15 minutes, and you will receive you results immediately.
That’s up to you. The Profile includes specific actions for each of your four priority areas, and Supervision Preparation guidance to help you decide what to bring and how to frame it. PRAXIS tells you what’s there. What you do with that information is your professional decision. Most practitioners find the results open up conversations in supervision they didn’t previously have the language for.
The Snapshot gives you the overview: your practitioner profile narrative, Domain Summaries across all four domains, and your Praxis Score. The Profile goes deeper: all 14 category scores with specific written observations, your four priority areas with concrete actions for each, Supervision Preparation guidance, and CPD logging support with 1 CPD hour included.