Start by using your early supervision time to go over potential therapy cases. You cannot do weekly therapy with every outpatient so you need to choose wisely. You don’t want to be full to capacity if that really good case comes along.
Try and use video or audio recordings once you get up the nerve. This is the best way to let your supervisors know what is going on in therapy. Process notes are more time efficient and can help as well. Tell your supervisors what isn’t going well, there is a lot more to be learned from mistakes than from successes.
Not everyone sees themselves as talented therapists, or even aspires to become skilled at this (e.g. Vistaril’s sarcasm). No one ever masters this, but any amount of skill makes you better at psychiatry. It colors your interventions even when doing “med visits”.