This work makes use of similarities between psychotherapy and supervision to develop a framework for considering the priorities for topics that may be addressed in an individual supervision session. Working directly from a Hierarchy of Thematic Priorities described for the practice of psychotherapy (Kemberg, Selzer, Koenigsberg, Carr, & Appelbaum, 1989), this article first describes the significance of the Hierarchy for the practice of supervision. The work then adapts this hierarchy to form a Hierarchy for Supervision that provides a framework for deciding the relative urgency of a range of supervisory concerns. The Hierarchy is of significant value in optimizing the efficacy of supervision, maximizing the use of limited supervisory time, and maintaining a supervision that promotes trainee growth without crossing over the boundary from supervision to psychotherapy.