Fifteen counseling center supervisors were interviewed about 3 instances related to important feedback with an intern supervisee: in which the feedback was given easily, in which it was given reluctantly or with difficulty, and another in which it was not given. Supervisors indicated that easy feedback was most often about clinical problems, was given directly, had positive effects, and was facilitated by supervisee openness. Difficult feedback was most often about clinical, personal, and professional issues, was given indirectly, had mixed impact, and was characterized by a lack of supervisee openness. Feedback not given was typically about personal and professional concerns and was hindered by a lack of supervisee openness. Supervisors indicated that there were negative effects of not having given the feedback and indicated that they would do it differently if they could.