Photo of Helena Dayal, Psychologist in T5K, AB
Helena Dayal
Psychologist, PhD, RPsych, SEP
Verified Verified
2 Endorsed
Edmonton, AB T5K
Not accepting new clients
Life is riddled with unexpected surprises and challenges that can move us out of line from who we want to be. Sometimes we need help identifying our blind spots to find our footing again and get back on track. Together we can explore your strengths and values so that you can live more authentically with purpose. I work with individuals struggling with issues of self-worth/confidence, anxiety, disordered eating, and trauma (grief/loss, familial issues, difficulties maintaining relationships, and trusting others). Working alongside you, we can go below the surface and address the deeper patterns that are leaving you feeling stuck.
Life is riddled with unexpected surprises and challenges that can move us out of line from who we want to be. Sometimes we need help identifying our blind spots to find our footing again and get back on track. Together we can explore your strengths and values so that you can live more authentically with purpose. I work with individuals struggling with issues of self-worth/confidence, anxiety, disordered eating, and trauma (grief/loss, familial issues, difficulties maintaining relationships, and trusting others). Working alongside you, we can go below the surface and address the deeper patterns that are leaving you feeling stuck.
(587) 816-8470 View (587) 816-8470
Photo of Gabrielle Desgagne, Psychologist in T5K, AB
Gabrielle Desgagne
Psychologist, MEd
Verified Verified
Edmonton, AB T5K  (Online Only)
Not accepting new clients
Hello! My name is Gabrielle and I am a Registered Psychologist working with individual adults in Alberta. I have experience with a variety of concerns including anxiety, depression, trauma, OCD, relationship issues, and self-criticism. My priority is to build a supportive and trusting relationship where you feel heard and understood. I strive to create a non-judgmental space that allows you to safely explore your concerns and work towards your goals. People have many different reasons for seeking therapy. I work in collaboration with you to identify meaningful treatment interventions to meet your unique needs and preferences.
Hello! My name is Gabrielle and I am a Registered Psychologist working with individual adults in Alberta. I have experience with a variety of concerns including anxiety, depression, trauma, OCD, relationship issues, and self-criticism. My priority is to build a supportive and trusting relationship where you feel heard and understood. I strive to create a non-judgmental space that allows you to safely explore your concerns and work towards your goals. People have many different reasons for seeking therapy. I work in collaboration with you to identify meaningful treatment interventions to meet your unique needs and preferences.
(587) 715-0110 View (587) 715-0110
Photo of Elena Zivkovic, Pre-Licensed Professional in T5K, AB
Elena Zivkovic
Pre-Licensed Professional, BA
Verified Verified
1 Endorsed
Edmonton, AB T5K
Life comes with numerous challenges and it can be difficult to navigate them alone. Every step you take is an act of courage, and within the therapeutic space I provide, your experiences will not only be acknowledged but honoured. You deserve to be heard and supported in your therapeutic journey, and my dedication is to provide a space where your experiences are acknowledged, validated, and respected. Together, let's navigate the complexities, empower your resilience, and forge a path towards healing and fulfillment.
Life comes with numerous challenges and it can be difficult to navigate them alone. Every step you take is an act of courage, and within the therapeutic space I provide, your experiences will not only be acknowledged but honoured. You deserve to be heard and supported in your therapeutic journey, and my dedication is to provide a space where your experiences are acknowledged, validated, and respected. Together, let's navigate the complexities, empower your resilience, and forge a path towards healing and fulfillment.
(825) 450-0033 View (825) 450-0033
Photo of Claudia Maria Vasquez, Registered Provisional Psychologist in T5K, AB
Claudia Maria Vasquez
Registered Provisional Psychologist, BA, MC
Verified Verified
2 Endorsed
Edmonton, AB T5K
Welcome! I'm Claudia Vasquez, a Registered Provisional Psychologist currently working at ARCH Psychological Services. Together I aim to create a caring, trusting and supportive environment where you can feel safe to explore any concerns or worries you may have. I understand that you are the expert in your own life; therefore, you know what is best but may need further support and help.
Welcome! I'm Claudia Vasquez, a Registered Provisional Psychologist currently working at ARCH Psychological Services. Together I aim to create a caring, trusting and supportive environment where you can feel safe to explore any concerns or worries you may have. I understand that you are the expert in your own life; therefore, you know what is best but may need further support and help.
(825) 465-0295 View (825) 465-0295
Photo of Resilience Psychological Services, Psychologist in T5K, AB
Resilience Psychological Services
Psychologist, RPsych, MC, BA
Verified Verified
3 Endorsed
Edmonton, AB T5K
Have you experienced trauma, abuse, or loss? Do you get triggered or feel numb or overwhelmed? Do you find yourself unable to sleep or lay awake at night worrying? Are you worn out with anxiety or depression and find it hard to find hope? I would be happy to support you on your journey of healing and help you uncover your unique strengths, values, and direction to engage in a life that is meaningful to you. I am optimistic, empathetic, and nonjudgmental and provide a safe, supportive space for adults, children, and couples. I have experience working with first responders, veterans, and RCMP, and I am a preferred provider for EPS.
Have you experienced trauma, abuse, or loss? Do you get triggered or feel numb or overwhelmed? Do you find yourself unable to sleep or lay awake at night worrying? Are you worn out with anxiety or depression and find it hard to find hope? I would be happy to support you on your journey of healing and help you uncover your unique strengths, values, and direction to engage in a life that is meaningful to you. I am optimistic, empathetic, and nonjudgmental and provide a safe, supportive space for adults, children, and couples. I have experience working with first responders, veterans, and RCMP, and I am a preferred provider for EPS.
(587) 804-4196 View (587) 804-4196
Photo of Claire Murray, Psychologist in T5K, AB
Claire Murray
Psychologist, MA
Verified Verified
1 Endorsed
Edmonton, AB T5K
Not accepting new clients
I am a Registered Psychologist specializing in treating anxiety, depression, grief, and trauma. I completed my Masters of Arts in Counselling Psychology degree through Yorkville University. My approach to therapy includes collaborating with you to create achievable goals. You are the expert in your own life and my job is to support you to improve your mental wellbeing through non-judgemental listening and validation. I have worked in a variety of clinical settings and have learned from the experiences of every client I have encountered.
I am a Registered Psychologist specializing in treating anxiety, depression, grief, and trauma. I completed my Masters of Arts in Counselling Psychology degree through Yorkville University. My approach to therapy includes collaborating with you to create achievable goals. You are the expert in your own life and my job is to support you to improve your mental wellbeing through non-judgemental listening and validation. I have worked in a variety of clinical settings and have learned from the experiences of every client I have encountered.
(587) 812-8406 View (587) 812-8406
Photo of Logan McColl, Occupational Therapist in T5K, AB
Logan McColl
Occupational Therapist, MScOT
Verified Verified
3 Endorsed
Edmonton, AB T5K
Feel overwhelmed or burned out, struggling to focus or decompress? Let's make sense of your concerns, find a clear way forward, and get you back on track. With 15 years experience and proven approaches, I will help you establish lasting wellness so you can stay on top of what really matters - your interests, responsibilities, and relationships.
Feel overwhelmed or burned out, struggling to focus or decompress? Let's make sense of your concerns, find a clear way forward, and get you back on track. With 15 years experience and proven approaches, I will help you establish lasting wellness so you can stay on top of what really matters - your interests, responsibilities, and relationships.
(825) 250-3517 View (825) 250-3517
Photo of Tournesol Psychological and Educational Services , Psychologist in T5K, AB
Tournesol Psychological and Educational Services
Psychologist, MC, MEd, RPsych
Verified Verified
1 Endorsed
Edmonton, AB T5K
Hello! My name is Julie D’Astous and I am a registered psychologist who works exclusively with children and adolescents. My career as a psychologist follows 17 years of experience in the school system working as a teacher, counsellor, and lead of student support services. I offer both counselling and psychoeducational assessment services in the areas of learning disorders, ADHD, emotional concerns, and behavioural difficulties.
Hello! My name is Julie D’Astous and I am a registered psychologist who works exclusively with children and adolescents. My career as a psychologist follows 17 years of experience in the school system working as a teacher, counsellor, and lead of student support services. I offer both counselling and psychoeducational assessment services in the areas of learning disorders, ADHD, emotional concerns, and behavioural difficulties.
(587) 804-5359 View (587) 804-5359
Photo of Daniel Moir, Registered Social Worker in T5K, AB
Daniel Moir
Registered Social Worker, RSW, BSW, MSW
Verified Verified
1 Endorsed
Edmonton, AB T5K  (Online Only)
During my career I have been fortunate enough to help countless individuals create meaningful change. In addition to my private practice, I am currently employed in outpatient psychiatry where I treat personality disorders, depression, anxiety, trauma, attachment/relationship issues and anger. I believe in a holistic approach to treatment, addressing issues on the cognitive, emotional and social levels. Together, we will develop insight into the causes of current day issues and find more adaptive ways of coping.
During my career I have been fortunate enough to help countless individuals create meaningful change. In addition to my private practice, I am currently employed in outpatient psychiatry where I treat personality disorders, depression, anxiety, trauma, attachment/relationship issues and anger. I believe in a holistic approach to treatment, addressing issues on the cognitive, emotional and social levels. Together, we will develop insight into the causes of current day issues and find more adaptive ways of coping.
(587) 801-8066 View (587) 801-8066
Photo of Jasmine Fulks, Psychologist in T5K, AB
Jasmine Fulks
Psychologist, BA, MCPsych, RPsych
Verified Verified
2 Endorsed
Edmonton, AB T5K
I am a Registered Psychologist with quality clinical experience providing direct counselling services to individuals. I use an eclectic approach to helping guide the healing path with emphasis on solution-focused Cognitive Behaviour Therapy. I have worked with a variety of clientele of diverse cultures, backgrounds, abilities and ages experiencing a wide range of difficulties including, but not limited to: depression, anxiety, trauma, sexual assault/sexual abuse, self-esteem/confidence, relationship issues, communication, substance abuse/recovery, crisis, anger management, suicide, self-harm, sexuality,grief and life transitions.
I am a Registered Psychologist with quality clinical experience providing direct counselling services to individuals. I use an eclectic approach to helping guide the healing path with emphasis on solution-focused Cognitive Behaviour Therapy. I have worked with a variety of clientele of diverse cultures, backgrounds, abilities and ages experiencing a wide range of difficulties including, but not limited to: depression, anxiety, trauma, sexual assault/sexual abuse, self-esteem/confidence, relationship issues, communication, substance abuse/recovery, crisis, anger management, suicide, self-harm, sexuality,grief and life transitions.
(866) 818-3056 View (866) 818-3056
Photo of Terry Karpman, Psychologist in T5K, AB
Terry Karpman
Psychologist, PhD
Verified Verified
2 Endorsed
Edmonton, AB T5K
I am a registered psychologist and work with individuals, couples and families. Are you struggling with depression or anxiety? Are there challenges in your relationships? My specialty areas include marriage and couples counselling, interpersonal relationships, depression, anxiety, stress, parenting, grief and infertility. I will encourage you to recognize your own strengths and resources and empower you to take care of your own needs in a healthy way. You will gain a sense of self worth and personal growth as you work through different life experiences, transitions and challenges.
I am a registered psychologist and work with individuals, couples and families. Are you struggling with depression or anxiety? Are there challenges in your relationships? My specialty areas include marriage and couples counselling, interpersonal relationships, depression, anxiety, stress, parenting, grief and infertility. I will encourage you to recognize your own strengths and resources and empower you to take care of your own needs in a healthy way. You will gain a sense of self worth and personal growth as you work through different life experiences, transitions and challenges.
(587) 415-2711 View (587) 415-2711
Photo of Debra Lee Konyk, Psychologist in T5K, AB
Debra Lee Konyk
Psychologist, PhD
Verified Verified
1 Endorsed
Edmonton, AB T5K
I am a Registered Clinical Psychologist with experience in both hospital and private practice settings. I believe a holistic approach to client care is important to promote well-being. I consider physical, mental, developmental, behavioral, interpersonal, social, and spiritual factors to understand your needs, to personalize techniques/coping strategies, and to promote personal growth and healing. I work to develop an accepting and understanding environment to help you to become more aware of attitudes, thoughts, and beliefs that are negatively affecting your mood, behaviours, and physiology.
I am a Registered Clinical Psychologist with experience in both hospital and private practice settings. I believe a holistic approach to client care is important to promote well-being. I consider physical, mental, developmental, behavioral, interpersonal, social, and spiritual factors to understand your needs, to personalize techniques/coping strategies, and to promote personal growth and healing. I work to develop an accepting and understanding environment to help you to become more aware of attitudes, thoughts, and beliefs that are negatively affecting your mood, behaviours, and physiology.
(855) 658-5689 View (855) 658-5689
Photo of Gary Hotson, Psychologist in T5K, AB
Gary Hotson
Psychologist, PhD
Verified Verified
5 Endorsed
Edmonton, AB T5K
I am a registered Clinical Psychologist in Edmonton, Alberta. Co-founder of the Edmonton Psychological Group. I have worked in both hospital and private practice settings. I work primarily with adults contending with: depression, anxiety, bipolar disorder, eating disorders, obsessive-compulsive disorder (OCD), trauma, abuse, grieving, substance abuse, and personality disorders.
I am a registered Clinical Psychologist in Edmonton, Alberta. Co-founder of the Edmonton Psychological Group. I have worked in both hospital and private practice settings. I work primarily with adults contending with: depression, anxiety, bipolar disorder, eating disorders, obsessive-compulsive disorder (OCD), trauma, abuse, grieving, substance abuse, and personality disorders.
(866) 804-4016 View (866) 804-4016
Photo of Khadijah Mohammed, Pre-Licensed Professional in T5K, AB
Khadijah Mohammed
Pre-Licensed Professional, BA, MA
Verified Verified
Edmonton, AB T5K
Welcome! I'm Khadijah Mohammed, a Mental Health Therapist currently working at ARCH Psychological Services. My lived experiences have enabled her to understand and to relate meaningfully with people from various cultural backgrounds. She believes in the importance of being sensitive to the client’s background and personal experiences when providing care. Through cultural awareness, more meaningful care can be provided to the client. Khadijah believes the therapeutic relationship is essential for positive therapeutic outcomes and growth in her counselling.
Welcome! I'm Khadijah Mohammed, a Mental Health Therapist currently working at ARCH Psychological Services. My lived experiences have enabled her to understand and to relate meaningfully with people from various cultural backgrounds. She believes in the importance of being sensitive to the client’s background and personal experiences when providing care. Through cultural awareness, more meaningful care can be provided to the client. Khadijah believes the therapeutic relationship is essential for positive therapeutic outcomes and growth in her counselling.
(825) 254-7111 View (825) 254-7111
Photo of Rohan Parikh, Counsellor in T5K, AB
Rohan Parikh
Counsellor, MC, CCC
Verified Verified
Edmonton, AB T5K
I absolutely love working with clients who are navigating trauma and learning to process big emotions. Life is incredibly complex, and being able to hold space for you in this way is an honour.
I absolutely love working with clients who are navigating trauma and learning to process big emotions. Life is incredibly complex, and being able to hold space for you in this way is an honour.
(587) 742-0441 View (587) 742-0441
Photo of Evelyn Gorecki, Psychologist in T5K, AB
Evelyn Gorecki
Psychologist, BSc, MC, RPsych
Verified Verified
2 Endorsed
Edmonton, AB T5K
The decision to start therapy is a courageous first step towards understanding, healing and growth. Whether you struggle with relationships, persistent troubling thoughts or feelings, are overwhelmed by events that are out of your control or just want to get in touch with a deeper sense of meaning and purpose in your life, therapy can help.
The decision to start therapy is a courageous first step towards understanding, healing and growth. Whether you struggle with relationships, persistent troubling thoughts or feelings, are overwhelmed by events that are out of your control or just want to get in touch with a deeper sense of meaning and purpose in your life, therapy can help.
(587) 207-5974 View (587) 207-5974
Photo of ECSS Psychological Services, Psychologist in T5K, AB
ECSS Psychological Services
Psychologist
Verified Verified
Edmonton, AB T5K
ECSS is committed to empowering individuals and families to realize their potential through a nurturing and challenging environment that respects each person’s uniqueness and right to privacy. ECSS acknowledges the importance of the mental, social, emotional, and spiritual dimensions of persons as they grow and develop. We believe that people have the ability to change and to achieve their goals, in respecting the uniqueness and privacy of individuals, and in the importance of the mental, physical, social, and spiritual dimensions of persons.
ECSS is committed to empowering individuals and families to realize their potential through a nurturing and challenging environment that respects each person’s uniqueness and right to privacy. ECSS acknowledges the importance of the mental, social, emotional, and spiritual dimensions of persons as they grow and develop. We believe that people have the ability to change and to achieve their goals, in respecting the uniqueness and privacy of individuals, and in the importance of the mental, physical, social, and spiritual dimensions of persons.
(587) 806-3600 View (587) 806-3600
Photo of The Family Centre, Psychologist in T5K, AB
The Family Centre
Psychologist
Verified Verified
Edmonton, AB T5K
No matter what you’re going through, The Family Centre is here for you. Our mental health therapists are experienced in a broad range of issues. We can help you understand your situation better and figure out ways to move successfully through it. We are here to support you as you navigate depression, anxiety, stress, relationship challenges, including separation and divorce, grief and loss, parenting challenges and conflict, child and adolescent development and behaviour, domestic abuse prevention, trauma and change, alcohol or substance abuse, and more.
No matter what you’re going through, The Family Centre is here for you. Our mental health therapists are experienced in a broad range of issues. We can help you understand your situation better and figure out ways to move successfully through it. We are here to support you as you navigate depression, anxiety, stress, relationship challenges, including separation and divorce, grief and loss, parenting challenges and conflict, child and adolescent development and behaviour, domestic abuse prevention, trauma and change, alcohol or substance abuse, and more.
(825) 508-5126 View (825) 508-5126
Photo of Samuel Arthur Platts, Psychologist in T5K, AB
Samuel Arthur Platts
Psychologist, MA, RPsych, CSAT
Verified Verified
3 Endorsed
Edmonton, AB T5K
Waitlist for new clients
Individual clients come to see me when there is recognition of loss of control of their moods and behaviors. Difficulty with boundaries, honesty and building secure attachments create a lonely and isolated life. Depression and anxiety can be so overwhelming and we often don't want to feel like a burden to friends or family so we keep it to ourselves. I help my clients find themselves and find hope. I work with couples who are experiencing breakdowns in communication, loss of trust due to infidelity or other secrets and help them navigate the way through the repair process.
Individual clients come to see me when there is recognition of loss of control of their moods and behaviors. Difficulty with boundaries, honesty and building secure attachments create a lonely and isolated life. Depression and anxiety can be so overwhelming and we often don't want to feel like a burden to friends or family so we keep it to ourselves. I help my clients find themselves and find hope. I work with couples who are experiencing breakdowns in communication, loss of trust due to infidelity or other secrets and help them navigate the way through the repair process.
(587) 410-5932 View (587) 410-5932
Photo of Kelly Polanski, Jungian Analyst, Counsellor in T5K, AB
Kelly Polanski, Jungian Analyst
Counsellor, DipPhil, MAPPC, BCom
Verified Verified
Edmonton, AB T5K
Dreams symbolically describe both our individuating struggles and the authentic way to effect lasting change in the interest of our wholeness. But consciousness of dream content is not accomplished alone or without an analyst's capacity to recognize your particular psyche's unconscious objectivity. Carl Jung said, 'One does not become enlightened by imagining figures of light, but by making the darkness conscious.' I welcome a companioned exploration where the flow of your life has been interrupted--a pivotal moment that challenges our usual ways of coping. Yet, this is precisely when conscious transformation is made possible.
Dreams symbolically describe both our individuating struggles and the authentic way to effect lasting change in the interest of our wholeness. But consciousness of dream content is not accomplished alone or without an analyst's capacity to recognize your particular psyche's unconscious objectivity. Carl Jung said, 'One does not become enlightened by imagining figures of light, but by making the darkness conscious.' I welcome a companioned exploration where the flow of your life has been interrupted--a pivotal moment that challenges our usual ways of coping. Yet, this is precisely when conscious transformation is made possible.
(587) 806-5702 View (587) 806-5702

See more therapy options for T5K

How does your Counsellor compare?

Number of Counsellors in T5K

100+

Average cost per session

$220

Counsellors in T5K who prioritize treating:

89% Anxiety
87% Depression
86% Trauma and PTSD
81% Self Esteem
78% Relationship Issues
72% Grief
70% Stress

Average years in practice

11 Years

Top 3 insurances accepted

64% Alberta Blue Cross
63% Canada Life | Great-West Life
54% Green Shield Canada

How Counsellors in T5K see their clients

89% In Person and Online
11% Online Only

Gender breakdown

76% Female
23% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in T5K?

Search for nearby therapists or counsellors by inputting your city, postal code, or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or postal code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

Most Counsellors and Psychotherapists listed in the directory are certified by one of the main professional associations, mainly the Canadian Counselling and Psychotherapy Association (CCPA), and will have a Certified Canadian Counsellor (CCC) designation with their name. Social Workers listed in the directory must be registered members of the college specific to their province. To be listed in the directory, Psychologists must be registered with the psychological college specific to their province or territory.

Providers whose professional membership or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Given the considerable variation in professional regulation and prerequisites across Canadian provinces, some providers may possess significant professional qualifications without necessarily holding professional memberships or being obliged to acquire them. As a result, they may be selectively included without the "Verified" seal.

What’s the difference between a psychologist, a therapist, and a counsellor?

Psychologists, counsellors, psychotherapists and social workers can all provide counselling or talking therapy and have credentials and supervised, practical experience that enable them to do so in Canada.

Psychologists have a master's and/or doctoral degree and have passed both written and oral exams. Psychologists are able to complete mental health assessments and provide diagnostic information to clients as well as provide counselling therapy or psychotherapy. Counsellors and psychotherapists are expected to have a master's or doctoral degree in counselling psychology, social work, or a related mental health discipline and certification by a professional association, such as the Canadian Counselling and Psychotherapy Association. Registered Social Workers possess a Bachelor's or Master's degree in Social Work and where possible must be licensed or certified by the provincial government and/or regulatory college.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, the cost of a therapy session in Canada could be between $100 and $200. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

If you are struggling to access therapy due to budget constraints, you could also consider public funded mental health services. Some types of outpatient mental health services are covered by Medicare, provided these are performed by a licensed mental health professional in the provinces or territory you reside in and who accepts the assignment.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your postal code.

Are therapy sessions confidential?

Professionals licensed by regulatory colleges and those certified by associations such as the Canadian Counselling and Psychotherapy Association are obligated to uphold client confidentiality unless there is a legal reason that requires them to disclose information. Confidentiality is a crucial part of the therapeutic relationship and only under specific circumstances, such as when there is the potential or known harm to the client or others, or a court order, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.