Therapists in V2R

Photo of Pam Paquet, Counsellor, CCC, MEd, BA
Pam Paquet
Counsellor, CCC, MEd, BA
Chilliwack, BC V2R
Before I try to impress you with credentials, accomplishments and experience, I want to introduce myself on a personal level. I love change. I love helping people create their change. I am passionate about seeing people make good decisions from well thought out options and choices. Helping people see the same, sometimes long term, problem in a different light or from a different angle is exciting for me. New, different and out of the ordinary usually leads to feeling, thinking and acting “another way”. When people stop doing what does not work or make adjustments of any size and level, then improvement is inevitable.
Before I try to impress you with credentials, accomplishments and experience, I want to introduce myself on a personal level. I love change. I love helping people create their change. I am passionate about seeing people make good decisions from well thought out options and choices. Helping people see the same, sometimes long term, problem in a different light or from a different angle is exciting for me. New, different and out of the ordinary usually leads to feeling, thinking and acting “another way”. When people stop doing what does not work or make adjustments of any size and level, then improvement is inevitable.
(778) 766-4539 View (778) 766-4539
Photo of Whitney Regan, Counsellor, MA, RCC
Whitney Regan
Counsellor, MA, RCC
Chilliwack, BC V2R
I’ve always had a deep curiosity towards people and a desire to discuss what is real, even if it’s uncomfortable or hard. With close to 10 years of counselling experience, I support people who have experienced relational / developmental trauma (C-PTSD), and struggle with relationships, emotional distress, authenticity & self-esteem, life transitions, as well as faith deconstruction. My goal is to offer you a safe & supportive relationship from which you can process the past, so that you can show up more authentically in the present, and explore what a meaningful life looks like moving forward.
I’ve always had a deep curiosity towards people and a desire to discuss what is real, even if it’s uncomfortable or hard. With close to 10 years of counselling experience, I support people who have experienced relational / developmental trauma (C-PTSD), and struggle with relationships, emotional distress, authenticity & self-esteem, life transitions, as well as faith deconstruction. My goal is to offer you a safe & supportive relationship from which you can process the past, so that you can show up more authentically in the present, and explore what a meaningful life looks like moving forward.
(778) 718-5429 View (778) 718-5429
Photo of Jen Larush, Psychologist, MA, R Psych
Jen Larush
Psychologist, MA, R Psych
1 Endorsed
Chilliwack, BC V2R
I chose counselling as I love helping people. Together with my clients, we choose which research-based therapies to use depending on the individual characteristics of the client and the area we are working on. I use a variety of therapies, including EMDR, CBT, DBT, and the Gottman marriage method. I work with individuals age 14 and older, couples and families. This allows me to use skills from couples and families with individuals e.g. improving communication. My background in working for federal corrections, as well as my training through First Responder Health, gives me valuable insight into working with first responders.
I chose counselling as I love helping people. Together with my clients, we choose which research-based therapies to use depending on the individual characteristics of the client and the area we are working on. I use a variety of therapies, including EMDR, CBT, DBT, and the Gottman marriage method. I work with individuals age 14 and older, couples and families. This allows me to use skills from couples and families with individuals e.g. improving communication. My background in working for federal corrections, as well as my training through First Responder Health, gives me valuable insight into working with first responders.
(506) 702-8361 View (506) 702-8361
Photo of Julia Martin, Counsellor, MA, CCC
Julia Martin
Counsellor, MA, CCC
9 Endorsed
Chilliwack, BC V2R
Something brought you here. Maybe a feeling you can't quite name, or one you've named too many times without it shifting. Modern life moves fast and asks a lot. Much of what brings people to therapy isn't personal failing. It's the weight of systems that don't leave much room for being human. We can't always change those systems, but we can find where you have more agency than you think. My approach is existential and IFS-informed, with a systemic lens. We'll slow down, look at the whole picture, and explore what's underneath with curiosity rather than judgment.
Something brought you here. Maybe a feeling you can't quite name, or one you've named too many times without it shifting. Modern life moves fast and asks a lot. Much of what brings people to therapy isn't personal failing. It's the weight of systems that don't leave much room for being human. We can't always change those systems, but we can find where you have more agency than you think. My approach is existential and IFS-informed, with a systemic lens. We'll slow down, look at the whole picture, and explore what's underneath with curiosity rather than judgment.
(867) 677-1003 View (867) 677-1003
Photo of Lianne Radmore - LJS Counselling and Consulting Services Inc, Counsellor, BGS, MC
Welcome to LJS Counseling and Consulting, where compassionate conversations and a wealth of knowledge in harm reduction come together. I am a registered clinical counsellor who has dedicated over 25 years to supporting individuals. I specialize in navigating substance use and addiction challenges using a harm reduction framework. With over 25 plus years in the public sector, 17 of those years working directly in Fraser Health's substance use and harm reduction services, I can bring a unique perspective to this work. If you’re concerned or even just curious about your own or someone else's relationship with substances, reach out.
Welcome to LJS Counseling and Consulting, where compassionate conversations and a wealth of knowledge in harm reduction come together. I am a registered clinical counsellor who has dedicated over 25 years to supporting individuals. I specialize in navigating substance use and addiction challenges using a harm reduction framework. With over 25 plus years in the public sector, 17 of those years working directly in Fraser Health's substance use and harm reduction services, I can bring a unique perspective to this work. If you’re concerned or even just curious about your own or someone else's relationship with substances, reach out.
(782) 828-9079 View (782) 828-9079
Photo of Amanda Sarich, Counsellor, MEd, CCC
Amanda Sarich
Counsellor, MEd, CCC
Chilliwack, BC V2R
With over a decade of counselling experience and advanced training, I help people heal from trauma, PTSD, and anxiety. I specialize in Eye Movement Desensitization and Reprocessing (EMDR)—an evidence-based approach that helps the brain process painful memories so they no longer feel overwhelming. EMDR is highly effective for trauma, PTSD, anxiety, phobias, depression, and challenges with self-worth. If you’re living with the lasting impact of trauma, feeling stuck in cycles of anxiety, or caught in patterns that hold you back, I offer a safe, supportive space where we can get to the root of your pain and create lasting change.
With over a decade of counselling experience and advanced training, I help people heal from trauma, PTSD, and anxiety. I specialize in Eye Movement Desensitization and Reprocessing (EMDR)—an evidence-based approach that helps the brain process painful memories so they no longer feel overwhelming. EMDR is highly effective for trauma, PTSD, anxiety, phobias, depression, and challenges with self-worth. If you’re living with the lasting impact of trauma, feeling stuck in cycles of anxiety, or caught in patterns that hold you back, I offer a safe, supportive space where we can get to the root of your pain and create lasting change.
(365) 617-1862 View (365) 617-1862
Photo of Ryan Jones, Counsellor, RCC, MACP, BSc
Ryan Jones
Counsellor, RCC, MACP, BSc
1 Endorsed
Chilliwack, BC V2R
I work with youth, young adults, and adults facing a wide range of challenges including trauma, substance use, sexual abuse, anxiety, depression, self-esteem concerns, and life transitions. My experience supporting Indigenous youth has given me a deep appreciation for the importance of culture, identity, connection, and creating a space where people feel seen, heard, and respected. I also understand the unique pressures that athletes face. Performance expectations, confidence, identity, injuries, team dynamics, and balancing sport with everyday life can all impact mental well-being. I enjoy helping athletes build confidence
I work with youth, young adults, and adults facing a wide range of challenges including trauma, substance use, sexual abuse, anxiety, depression, self-esteem concerns, and life transitions. My experience supporting Indigenous youth has given me a deep appreciation for the importance of culture, identity, connection, and creating a space where people feel seen, heard, and respected. I also understand the unique pressures that athletes face. Performance expectations, confidence, identity, injuries, team dynamics, and balancing sport with everyday life can all impact mental well-being. I enjoy helping athletes build confidence
(431) 441-7526 View (431) 441-7526
Photo of Jenny Sawatzky, Counsellor, MC, RCC
Jenny Sawatzky
Counsellor, MC, RCC
1 Endorsed
Chilliwack, BC V2R
Jenny, a Registered Clinical Counsellor (RCC 10525) has a warm, genuine, and engaging approach as she joins each individual on their journey, striving for emotional health and harmonious relationships. She views counselling as a "partnership" with each person to ensure her flexible therapeutic approach fits their needs and unique circumstances. Jenny collaborates with both individuals and families to address anxiety, depression, emotional regulation, family and marital relationship challenges, trauma, grief and loss, among other issues. She has specialized training in EMDR, DBT, and Expressive Arts (Play) Therapy.
Jenny, a Registered Clinical Counsellor (RCC 10525) has a warm, genuine, and engaging approach as she joins each individual on their journey, striving for emotional health and harmonious relationships. She views counselling as a "partnership" with each person to ensure her flexible therapeutic approach fits their needs and unique circumstances. Jenny collaborates with both individuals and families to address anxiety, depression, emotional regulation, family and marital relationship challenges, trauma, grief and loss, among other issues. She has specialized training in EMDR, DBT, and Expressive Arts (Play) Therapy.
(226) 780-6352 View (226) 780-6352
Photo of Leslie Fahr, Counsellor, RCC
Leslie Fahr
Counsellor, RCC
Chilliwack, BC V2R
There are times when life can be overwhelming, challenging and even exhausting. People can find themselves in despair and reaching for support and comfort.
There are times when life can be overwhelming, challenging and even exhausting. People can find themselves in despair and reaching for support and comfort.
(579) 401-0086 View (579) 401-0086
Photo of Brad Klok, Counsellor, MA
Brad Klok
Counsellor, MA
1 Endorsed
Chilliwack, BC V2R
Feeling Overwhelmed? Struggling with Anxiety, Depression, or a Life Crisis? Life’s challenges can feel daunting, whether you're grappling with persistent anxiety, facing the weight of depression, navigating a crisis, or simply feeling overwhelmed by the demands placed on you. Sometimes, it can be hard to pinpoint the source of your stress or know where to begin.
Feeling Overwhelmed? Struggling with Anxiety, Depression, or a Life Crisis? Life’s challenges can feel daunting, whether you're grappling with persistent anxiety, facing the weight of depression, navigating a crisis, or simply feeling overwhelmed by the demands placed on you. Sometimes, it can be hard to pinpoint the source of your stress or know where to begin.
(431) 532-5482 View (431) 532-5482
Photo of Jessica Hilton, Counsellor, MC, RCC
Jessica Hilton
Counsellor, MC, RCC
5 Endorsed
Chilliwack, BC V2R
You're self-aware, you've likely done therapy before, and understand yourself well, yet something still feels stuck. Not in your thoughts, but in your body and nervous system, the way you brace, shut down, or push through when life feels overwhelming & hard. You may be navigating chronic stress, burnout, complex trauma, chronic pain or relationship issues, often while appearing to hold it all together on the outside. If talking about it hasn't been enough, and you sense there is a deeper layer waiting to be reached, you may be ready for a different kind of work. One that works with your whole self, not just your mind.
You're self-aware, you've likely done therapy before, and understand yourself well, yet something still feels stuck. Not in your thoughts, but in your body and nervous system, the way you brace, shut down, or push through when life feels overwhelming & hard. You may be navigating chronic stress, burnout, complex trauma, chronic pain or relationship issues, often while appearing to hold it all together on the outside. If talking about it hasn't been enough, and you sense there is a deeper layer waiting to be reached, you may be ready for a different kind of work. One that works with your whole self, not just your mind.
(778) 860-0680 View (778) 860-0680
Photo of Korey Smith, Counsellor, MPCC-P
Korey Smith
Counsellor, MPCC-P
3 Endorsed
Chilliwack, BC V2R
Sometimes, something may not quite feel right. We're unsure what it is and could use some help to figure it out. But, the perceived stigma of seeking out or asking for assistance can deter us. It takes courage to start looking, so I commend you on that, you are most of the way there. Whether it be anxiety, communication with family, setting boundaries, or work-related issues, this is where I would like to offer assistance. By having a safe place to talk about what's different or changed for you, we can explore your thoughts and ideas, then, together, build on your inner strengths and work to improve your overall well-being.
Sometimes, something may not quite feel right. We're unsure what it is and could use some help to figure it out. But, the perceived stigma of seeking out or asking for assistance can deter us. It takes courage to start looking, so I commend you on that, you are most of the way there. Whether it be anxiety, communication with family, setting boundaries, or work-related issues, this is where I would like to offer assistance. By having a safe place to talk about what's different or changed for you, we can explore your thoughts and ideas, then, together, build on your inner strengths and work to improve your overall well-being.
(365) 363-8412 View (365) 363-8412
Photo of Dean Pilkey, Counsellor, CD, MA, RCC
Dean Pilkey
Counsellor, CD, MA, RCC
Chilliwack, BC V2R
I'm a Registered Clinical Counsellor with BCACC (#17609).
I'm a Registered Clinical Counsellor with BCACC (#17609).
(579) 805-5261 View (579) 805-5261
Photo of Justin VanWinkoop, Counsellor, MA, CCC
Justin VanWinkoop
Counsellor, MA, CCC
6 Endorsed
Chilliwack, BC V2R
Hi, I am Justin. If you are feeling lost, stuck, or anxious, you are not alone. I bring my genuine self into my counselling sessions providing warmth, empathy, and a grounded approach. I want to ensure my clients feel safe, seen, heard, and understood. I provide support to clients of all ages, and on a variety of topics. Some examples include trauma, stress, anger management, adult ADHD, internet addiction and more. I am especially passionate about working with youth/young adults ages 12–30. For over 10 years, I have supported youth/young adults navigating emotional challenges, identity development, and major life transitions.
Hi, I am Justin. If you are feeling lost, stuck, or anxious, you are not alone. I bring my genuine self into my counselling sessions providing warmth, empathy, and a grounded approach. I want to ensure my clients feel safe, seen, heard, and understood. I provide support to clients of all ages, and on a variety of topics. Some examples include trauma, stress, anger management, adult ADHD, internet addiction and more. I am especially passionate about working with youth/young adults ages 12–30. For over 10 years, I have supported youth/young adults navigating emotional challenges, identity development, and major life transitions.
(705) 996-6147 View (705) 996-6147
Photo of Alisa Olsen, Counsellor, BA, MA, RCC
Alisa Olsen
Counsellor, BA, MA, RCC
1 Endorsed
Chilliwack, BC V2R
I offer relational counselling, which means I believe the connection between us really matters. The therapeutic relationship itself can open up new pathways to healing. Sometimes just being truly seen and understood can shift things in powerful ways. You don’t have to have it all figured out. We’ll make sense of it, together.
I offer relational counselling, which means I believe the connection between us really matters. The therapeutic relationship itself can open up new pathways to healing. Sometimes just being truly seen and understood can shift things in powerful ways. You don’t have to have it all figured out. We’ll make sense of it, together.
(506) 308-0764 View (506) 308-0764
Photo of Andrew Jarvis, Counsellor, CD, MA, RCC
Andrew Jarvis
Counsellor, CD, MA, RCC
1 Endorsed
Chilliwack, BC V2R
Life can feel overwhelming, and stress, anxiety, or self-doubt can make it hard to see the way forward. Maybe you’ve been carrying more than your share for a long time, pushing through because that’s what’s always been expected of you. But lately, it’s taking a toll—on your relationships, your work, or your sense of self. Sometimes, we develop patterns of coping that once served us but no longer do. Self-criticism, burnout, or feeling disconnected from what really matters can be signs that it’s time for something to change. You don’t have to figure it out alone.
Life can feel overwhelming, and stress, anxiety, or self-doubt can make it hard to see the way forward. Maybe you’ve been carrying more than your share for a long time, pushing through because that’s what’s always been expected of you. But lately, it’s taking a toll—on your relationships, your work, or your sense of self. Sometimes, we develop patterns of coping that once served us but no longer do. Self-criticism, burnout, or feeling disconnected from what really matters can be signs that it’s time for something to change. You don’t have to figure it out alone.
(587) 507-8741 View (587) 507-8741
Photo of Henk Klaassen, Counsellor, MACP, RCC
Henk Klaassen
Counsellor, MACP, RCC
2 Endorsed
Chilliwack, BC V2R
Hi there, I’m Henk. I am a Registered Clinical Counsellor, and I am passionate about helping people build healthy relationships and find hope in challenging circumstances. Life is a path not meant to be walked alone. My goal as a counsellor is to help you better understand and navigate the journey you are on. I know that it takes courage and vulnerability to seek counselling, and I approach my clients with warmth, respect, and compassion.
Hi there, I’m Henk. I am a Registered Clinical Counsellor, and I am passionate about helping people build healthy relationships and find hope in challenging circumstances. Life is a path not meant to be walked alone. My goal as a counsellor is to help you better understand and navigate the journey you are on. I know that it takes courage and vulnerability to seek counselling, and I approach my clients with warmth, respect, and compassion.
(819) 809-3561 View (819) 809-3561
Photo of Eryn Wicker, Counsellor, MA, RCC
Eryn Wicker
Counsellor, MA, RCC
Chilliwack, BC V2R
As a counsellor I hope to model grace, courage, and genuineness to my clients while I come along side them, and act as a resource for positive change in their lives. I have a warm, engaging, and professional demeanour that helps clients feel at ease, supported, and able to embrace the delicate balance between risk, hope, and trust. Most importantly, I want my clients to know that it is an absolute privilege that they invite me into their lives to share on their journey with them. This may include helping my clients with concerns relating to their personal growth, wellness, relationships, mental health, and/or psychological distress.
As a counsellor I hope to model grace, courage, and genuineness to my clients while I come along side them, and act as a resource for positive change in their lives. I have a warm, engaging, and professional demeanour that helps clients feel at ease, supported, and able to embrace the delicate balance between risk, hope, and trust. Most importantly, I want my clients to know that it is an absolute privilege that they invite me into their lives to share on their journey with them. This may include helping my clients with concerns relating to their personal growth, wellness, relationships, mental health, and/or psychological distress.
(604) 757-4659 View (604) 757-4659
Photo of Kathryn Fehr, Counsellor, MACP, RCC
Kathryn Fehr
Counsellor, MACP, RCC
3 Endorsed
Chilliwack, BC V2R
I offer a compassionate, grounding space for healing and self-discovery. I draw on extensive experience supporting those navigating anxiety and life’s challenges. I take a holistic approach to counselling, honouring the connection between the physical, emotional, mental, and spiritual aspects of wellbeing. For the past 15 years I have supported children, youth and families in the Fraser Valley area, and have felt grateful to witness their immense strength, courage, and resiliency. I am excited to engage in a journey alongside my clients, to help them achieve a rich, and meaningful life.
I offer a compassionate, grounding space for healing and self-discovery. I draw on extensive experience supporting those navigating anxiety and life’s challenges. I take a holistic approach to counselling, honouring the connection between the physical, emotional, mental, and spiritual aspects of wellbeing. For the past 15 years I have supported children, youth and families in the Fraser Valley area, and have felt grateful to witness their immense strength, courage, and resiliency. I am excited to engage in a journey alongside my clients, to help them achieve a rich, and meaningful life.
(579) 589-2060 View (579) 589-2060
Photo of Jenny Sudermann - Jenny Sudermann Renew Counsellng EMDR Therapy , Registered Social Worker, EMDR, MSW, RSW
Jenny Sudermann Renew Counsellng EMDR Therapy
Registered Social Worker, EMDR, MSW, RSW
1 Endorsed
Chilliwack, BC V2R
Choosing counseling is an act of courage. I offer a supportive, trauma-informed space where you can feel safe, respected, and understood. I know how vulnerable it can be to begin therapy, especially with someone new, and I prioritize building trust at your pace. My work is grounded in compassion, evidence-based approaches, and deep respect for each person’s unique story. I’m honored to walk alongside clients as they heal, grow, and reconnect with themselves. Please use the jane app website linked in this bio to book your sessions.
Choosing counseling is an act of courage. I offer a supportive, trauma-informed space where you can feel safe, respected, and understood. I know how vulnerable it can be to begin therapy, especially with someone new, and I prioritize building trust at your pace. My work is grounded in compassion, evidence-based approaches, and deep respect for each person’s unique story. I’m honored to walk alongside clients as they heal, grow, and reconnect with themselves. Please use the jane app website linked in this bio to book your sessions.
(778) 400-1565 View (778) 400-1565

See more therapy options for V2R

How does your Counsellor compare?

Number of Counsellors in V2R

100+

Average cost per session

$150

Counsellors in V2R who prioritize treating:

86% Anxiety
86% Social Anxiety
86% Health Anxiety
86% Driving Anxiety
78% Stress
77% Depression
76% Relationship Issues

Average years in practice

8 Years

Top 3 insurances accepted

55% CVAP | Crime Victim
49% Pacific Blue Cross
44% Green Shield Canada

How Counsellors in V2R see their clients

85% In Person and Online
15% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counselling

How can I find a therapist in V2R?

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.