Counselling in BR8

Photo of Dr Nikita Amin, Psychotherapist, DCounsPsych, MUKCP
Dr Nikita Amin
Psychotherapist, DCounsPsych, MUKCP
Swanley BR8
You may find yourself feeling emotionally overwhelmed, anxious, lonely, trapped and even feeling a huge sense of loss with day to day life. You may have been struggling for some time and not got around to addressing it and now that something may be feeling a little bigger right now. Counselling can help by offering you a confidential space to explore the struggles you are facing and the impact they may be having on your relationships, work-life and wellbeing.
You may find yourself feeling emotionally overwhelmed, anxious, lonely, trapped and even feeling a huge sense of loss with day to day life. You may have been struggling for some time and not got around to addressing it and now that something may be feeling a little bigger right now. Counselling can help by offering you a confidential space to explore the struggles you are facing and the impact they may be having on your relationships, work-life and wellbeing.
01322 936407 View 01322 936407
Photo of Lorna Ashley, Counsellor, MBACP Accred
Lorna Ashley
Counsellor, MBACP Accred
Swanley BR8
Life can sometimes becomes overwhelming, what you thought you had a handle on can suddenly feel incredibly unbearable. Conflicting emotions or unhealthy behaviours can arise from self-expectations, family or peer pressure and the never ending demands of a 24/7 world. Whatever your age, background, race or culture, being heard and talking freely in a safe, confidential, non-judgemental space can be incredibly empowering in understanding who you are and making sense of the thoughts and feelings that arise. As an integrative counsellor, I am flexible in working with the best possible approach to achieve the best outcome for you.
Life can sometimes becomes overwhelming, what you thought you had a handle on can suddenly feel incredibly unbearable. Conflicting emotions or unhealthy behaviours can arise from self-expectations, family or peer pressure and the never ending demands of a 24/7 world. Whatever your age, background, race or culture, being heard and talking freely in a safe, confidential, non-judgemental space can be incredibly empowering in understanding who you are and making sense of the thoughts and feelings that arise. As an integrative counsellor, I am flexible in working with the best possible approach to achieve the best outcome for you.
01322 923862 View 01322 923862
Photo of Danni Mirkovic, Counsellor, MBACP
Danni Mirkovic
Counsellor, MBACP
1 Endorsed
Swanley BR8
Does life feel overwhelming? Are you feeling low, anxious, or stuck and unable to understand why? You are not alone. Sometimes our emotions and experiences can feel too much to handle on our own. At my Swanley practice or online, I offer a safe, welcoming space to explore what’s going on for you. Together, we can work towards helping you feel more grounded, supported, and ready to move forward. I have experience working with clients from the age of 16+, supporting challenges such as: Anxiety and stress Grief and bereavement Depression and low mood Traumatic life events Addiction Autism and ADHD
Does life feel overwhelming? Are you feeling low, anxious, or stuck and unable to understand why? You are not alone. Sometimes our emotions and experiences can feel too much to handle on our own. At my Swanley practice or online, I offer a safe, welcoming space to explore what’s going on for you. Together, we can work towards helping you feel more grounded, supported, and ready to move forward. I have experience working with clients from the age of 16+, supporting challenges such as: Anxiety and stress Grief and bereavement Depression and low mood Traumatic life events Addiction Autism and ADHD
01322 936730 View 01322 936730
Photo of Louise Garner, Counsellor, MBACP
Louise Garner
Counsellor, MBACP
3 Endorsed
Serves Area
Hi, I'm Louise, Integrative Therapist MBACP (level 6) based in Dartford. Do you find yourself lying in bed awake at night worrying, re-running conversations you've had that day? Have you found yourself cancelling or turning down plans with friends as you'd rather be at home, but find that doesn't ease your anxiety or mood? Sometimes in life we all may find ourselves needing help or someone to talk to. Struggling with relationships, the past, the future? I aim to reply to all enquiries within 24 hours. I believe everyone deserves an hour a week to focus on themselves.
Hi, I'm Louise, Integrative Therapist MBACP (level 6) based in Dartford. Do you find yourself lying in bed awake at night worrying, re-running conversations you've had that day? Have you found yourself cancelling or turning down plans with friends as you'd rather be at home, but find that doesn't ease your anxiety or mood? Sometimes in life we all may find ourselves needing help or someone to talk to. Struggling with relationships, the past, the future? I aim to reply to all enquiries within 24 hours. I believe everyone deserves an hour a week to focus on themselves.
01322 952096 View 01322 952096
Photo of Annie McLain, Counsellor, MBACP Accred
Annie McLain
Counsellor, MBACP Accred
Serves Area
Thank you for considering an option other than betterhelp! Having passed the shortest day and made it into a new year, hopefully we can start to look forward to some positive changes to come. The question is where to begin and how to overcome those old anxieties, new worries and generally overwhelming feelings. Would you like to feel more positive and find some strategies that will help you to overcome the feelings that are holding you back? Working out what can be done to improve how you are feeling can seem like a difficult task. Whatever your reason for having clicked on this link, I would like to help you - you can feel better.
Thank you for considering an option other than betterhelp! Having passed the shortest day and made it into a new year, hopefully we can start to look forward to some positive changes to come. The question is where to begin and how to overcome those old anxieties, new worries and generally overwhelming feelings. Would you like to feel more positive and find some strategies that will help you to overcome the feelings that are holding you back? Working out what can be done to improve how you are feeling can seem like a difficult task. Whatever your reason for having clicked on this link, I would like to help you - you can feel better.
01959 422051 View 01959 422051
Photo of Nicola Kiely, Counsellor, MBACP
Nicola Kiely
Counsellor, MBACP
Serves Area
I have been practising as a Counsellor for over 18 years and I am a Registered Member of the BACP. There are times in our lives when we feel unable to cope. Problems may arise and we may need help and space to think through ways of moving forward. It may be painful memories from the past, events in the present or worries about the future. I can help you to make sense of how you're feeling in a safe, confidential and non judgemental environment.
I have been practising as a Counsellor for over 18 years and I am a Registered Member of the BACP. There are times in our lives when we feel unable to cope. Problems may arise and we may need help and space to think through ways of moving forward. It may be painful memories from the past, events in the present or worries about the future. I can help you to make sense of how you're feeling in a safe, confidential and non judgemental environment.
01322 918482 View 01322 918482
Photo of Frances Taylor, Psychotherapist, MBACP
Frances Taylor
Psychotherapist, MBACP
1 Endorsed
Serves Area
Hi there, thanks for stopping by. I'm an experienced Counsellor and Supervisor working with clients of all ages - Adults, Children and Adolescents, providing the space you need, your way. I'm a trained Bereavement Counsellor, School Counsellor and Addictions Practitioner. I have extensive experience of working with common and complex mental health issues, trauma, suicide, complex loss, transitions, anxiety, depression, addictions, problems at school or work, family matters, cultural and disability diversity, ADHD and ASD. My own lived experiences mean I can relate to issues people bring to therapy with.
Hi there, thanks for stopping by. I'm an experienced Counsellor and Supervisor working with clients of all ages - Adults, Children and Adolescents, providing the space you need, your way. I'm a trained Bereavement Counsellor, School Counsellor and Addictions Practitioner. I have extensive experience of working with common and complex mental health issues, trauma, suicide, complex loss, transitions, anxiety, depression, addictions, problems at school or work, family matters, cultural and disability diversity, ADHD and ASD. My own lived experiences mean I can relate to issues people bring to therapy with.
01959 588885 View 01959 588885
Photo of Clive Fisher, Counsellor, MBACP
Clive Fisher
Counsellor, MBACP
Serves Area
My own experiences of living with anxiety and depression allows me to be able to relate to how you might be suffering, counselling enabled me to build self awareness and better strategies to cope with daily life. I can help you do this too. Whatever you're going through, we can explore together the best way for you to move forward.
My own experiences of living with anxiety and depression allows me to be able to relate to how you might be suffering, counselling enabled me to build self awareness and better strategies to cope with daily life. I can help you do this too. Whatever you're going through, we can explore together the best way for you to move forward.
01322 946772 View 01322 946772
Photo of Jennifer Fenn - Fenns Counseling , Counsellor, BACP
Fenns Counseling
Counsellor, BACP
Serves Area
Hi , Are you experiencing a feeling of being stuck or lost in a moment, exhaustion from felt pressures or maybe struggling with feelings that can, are, or have become Overwhelming for you ? It may feel difficult to express or share these feelings with those around us. I provide group work or 1 on 1, in issues such as understanding your anger, grief depression and anxiety.
Hi , Are you experiencing a feeling of being stuck or lost in a moment, exhaustion from felt pressures or maybe struggling with feelings that can, are, or have become Overwhelming for you ? It may feel difficult to express or share these feelings with those around us. I provide group work or 1 on 1, in issues such as understanding your anger, grief depression and anxiety.
01732 441086 View 01732 441086
Photo of Claire Messenger - Talk Therapy with Claire, Counsellor, DCounsPsych, MNCPS Acc.
Talk Therapy with Claire
Counsellor, DCounsPsych, MNCPS Acc.
2 Endorsed
Serves Area
I work with clients experiencing anxious thoughts, relationship attachment issues, psychosis or complex mental health matters and neurodivergence (whether diagnosed or not) in a trauma informed with a gentle, compassionate approach offering emotional regulation skills if wanted. Whether you come to therapy for the first time feeling that something is not right or needs to change, or have had previous therapy, positively or not, I offer a steady, reflective and respectful space for you at a pace that feels manageable.
I work with clients experiencing anxious thoughts, relationship attachment issues, psychosis or complex mental health matters and neurodivergence (whether diagnosed or not) in a trauma informed with a gentle, compassionate approach offering emotional regulation skills if wanted. Whether you come to therapy for the first time feeling that something is not right or needs to change, or have had previous therapy, positively or not, I offer a steady, reflective and respectful space for you at a pace that feels manageable.
01689 661261 View 01689 661261
Photo of Claire Golding, Counsellor, MBACP
Claire Golding
Counsellor, MBACP
1 Endorsed
Serves Area
I consider myself to be highly empathic, intuitive and compassionate, I try to fully understand what my client is experiencing and feeling. My aim as your counsellor is to give you a "safe" space to talk openly and honestly with out fear of judgement. I have experience working with anxiety, depression, ocd, eating disorders to name a few examples. And I have had specific training to work with client's who self harm, suffer with addiction and those who have suicidal or intrusive thoughts.
I consider myself to be highly empathic, intuitive and compassionate, I try to fully understand what my client is experiencing and feeling. My aim as your counsellor is to give you a "safe" space to talk openly and honestly with out fear of judgement. I have experience working with anxiety, depression, ocd, eating disorders to name a few examples. And I have had specific training to work with client's who self harm, suffer with addiction and those who have suicidal or intrusive thoughts.
020 3984 9222 View 020 3984 9222
Photo of Samantha Joyce - Sidcup Counselling, Counsellor, MBACP Accred
Sidcup Counselling
Counsellor, MBACP Accred
Serves Area
Welcome! Looking for a way forward, a chance to be listened and helped. During this time I am offering counselling via Whats App video call. telephone counselling or in person. I am a BACP Accredited Integrative Counsellor with 19 years' experience of working with adults and children in private practice and schools.
Welcome! Looking for a way forward, a chance to be listened and helped. During this time I am offering counselling via Whats App video call. telephone counselling or in person. I am a BACP Accredited Integrative Counsellor with 19 years' experience of working with adults and children in private practice and schools.
01959 588882 View 01959 588882
Photo of Wendy Borrett, Psychotherapist, MBACP Accred
Wendy Borrett
Psychotherapist, MBACP Accred
Serves Area
Hello, and a warm welcome. I’m Wendy, a therapist with many year's experience and have been a member of the British Association for Counselling and Psychotherapy (BACP) for over 25 years, with BACP Accredited status for almost 20. My work is rooted in genuine care, understanding, and a deep belief in your ability to heal and grow. I offer counselling to individuals and couples, creating a safe, respectful, and confidential space where you can explore what’s going on for you — whether you’re feeling overwhelmed, stuck, or just need someone to talk to who will truly listen.
Hello, and a warm welcome. I’m Wendy, a therapist with many year's experience and have been a member of the British Association for Counselling and Psychotherapy (BACP) for over 25 years, with BACP Accredited status for almost 20. My work is rooted in genuine care, understanding, and a deep belief in your ability to heal and grow. I offer counselling to individuals and couples, creating a safe, respectful, and confidential space where you can explore what’s going on for you — whether you’re feeling overwhelmed, stuck, or just need someone to talk to who will truly listen.
01322 927706 View 01322 927706
Photo of Insiya Maonah, Counsellor, MBACP
Insiya Maonah
Counsellor, MBACP
Online Only
You may be feeling overwhelmed, stuck, or unsure of who you are. Anxiety, low mood, past trauma, or relationship challenges might be leaving you disconnected from yourself. Or you could be navigating career or life changes and seeking clarity and confidence. I provide a warm, safe, trauma-informed space to gently explore what’s holding you back, untangle unhelpful patterns, and take practical steps toward a grounded, meaningful, and authentic life.
You may be feeling overwhelmed, stuck, or unsure of who you are. Anxiety, low mood, past trauma, or relationship challenges might be leaving you disconnected from yourself. Or you could be navigating career or life changes and seeking clarity and confidence. I provide a warm, safe, trauma-informed space to gently explore what’s holding you back, untangle unhelpful patterns, and take practical steps toward a grounded, meaningful, and authentic life.
01322 952435 View 01322 952435
Photo of Rebecca Chalmers—Woods, Psychotherapist, MUKCP
Rebecca Chalmers—Woods
Psychotherapist, MUKCP
Online Only
Therapy is one of the greatest gifts we can give ourselves, a courageous undertaking often time-consuming, financially demanding, and at times emotionally painful. My passion is to support people in reconnecting with their autonomy and taking ownership of their lives. I use a collaborative approach that helps us explore thoughts and feelings with curiosity rather than judgment. We begin with a genogram to gain insight into early life experiences and the relationships that shaped us. From there, we identify patterns in how we relate to ourselves and others, so we can begin to make meaningful and lasting change
Therapy is one of the greatest gifts we can give ourselves, a courageous undertaking often time-consuming, financially demanding, and at times emotionally painful. My passion is to support people in reconnecting with their autonomy and taking ownership of their lives. I use a collaborative approach that helps us explore thoughts and feelings with curiosity rather than judgment. We begin with a genogram to gain insight into early life experiences and the relationships that shaped us. From there, we identify patterns in how we relate to ourselves and others, so we can begin to make meaningful and lasting change
01322 936521 View 01322 936521
Photo of Dr Tahlia Corrodus, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Tahlia Corrodus
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Online Only
Hello, thank you for stopping by my page! Many of us often face difficult times or may not feel supported by the people or systems around us. You may be struggling with issues such as anxiety, depression, loss, bereavement, relationship issues, self-harm, trauma, or abuse. Therapy is an opportunity to focus on immediate/past issues, whilst also strengthening your own identity and self-worth. I aim to offer a safe, non-judgmental, confidential, therapeutic space and encourage people of different ethnicities and socioeconomic backgrounds to enquire.
Hello, thank you for stopping by my page! Many of us often face difficult times or may not feel supported by the people or systems around us. You may be struggling with issues such as anxiety, depression, loss, bereavement, relationship issues, self-harm, trauma, or abuse. Therapy is an opportunity to focus on immediate/past issues, whilst also strengthening your own identity and self-worth. I aim to offer a safe, non-judgmental, confidential, therapeutic space and encourage people of different ethnicities and socioeconomic backgrounds to enquire.
020 4538 0625 View 020 4538 0625
Photo of Stuart Pack, Psychotherapist, MBABCP
Stuart Pack
Psychotherapist, MBABCP
Online Only
When you're seeking therapy you are likely already traveling a difficult journey. I hope to be able to come along side you and be finding some new skills and fine tuning some existing ones, start to make the journey easier and shift the direction to one that is more meaningful and rewarding. It's important to consider all that makes up you, including neurodiversity, LGBTQ+, ethnicity, etc, to shape therapy so that it the best fit it can be for you. So whether this is for Depression, Anxiety, Trauma, OCD or however you define your difficulty, I hope to make therapy the best fit it can be for you.
When you're seeking therapy you are likely already traveling a difficult journey. I hope to be able to come along side you and be finding some new skills and fine tuning some existing ones, start to make the journey easier and shift the direction to one that is more meaningful and rewarding. It's important to consider all that makes up you, including neurodiversity, LGBTQ+, ethnicity, etc, to shape therapy so that it the best fit it can be for you. So whether this is for Depression, Anxiety, Trauma, OCD or however you define your difficulty, I hope to make therapy the best fit it can be for you.
01322 952844 View 01322 952844

More Therapists Nearby

Photo of Helen Taylor - Fertility, Miscarriage & Menopause - Helen Taylor, Counsellor, MBACP
Fertility, Miscarriage & Menopause - Helen Taylor
Counsellor, MBACP
5 Endorsed
Serves Area
Are you feeling confused, lost and alone? A smile masks the sadness and fear inside. You feel stuck in an endless cycle of thinking “This is all going to go wrong”. I can help you feel seen and heard, finding calmness, discover ways forward and regain hope. I am based in Horsham, West Sussex, offering in person, online and telephone counselling UK wide. In our work together, I offer a compassionate, creative space to explore your emotions and gently find your way forward. Through counselling and if you wish, hypnotherapy, we’ll uncover patterns, nurture self-trust, and reconnect you with your sense of hope, purpose,
Are you feeling confused, lost and alone? A smile masks the sadness and fear inside. You feel stuck in an endless cycle of thinking “This is all going to go wrong”. I can help you feel seen and heard, finding calmness, discover ways forward and regain hope. I am based in Horsham, West Sussex, offering in person, online and telephone counselling UK wide. In our work together, I offer a compassionate, creative space to explore your emotions and gently find your way forward. Through counselling and if you wish, hypnotherapy, we’ll uncover patterns, nurture self-trust, and reconnect you with your sense of hope, purpose,
01403 332429 View 01403 332429
Photo of LORNA Aher, Counsellor, MBACP
LORNA Aher
Counsellor, MBACP
London N17
As a person-centred counsellor based in north London, I believe that talking can help us feel less isolated with our problems and thoughts.    Sometimes it’s difficult to talk to family and friends; you may not wish to cause worry or distress or you may not want their advice and opinion. I provide an understanding ,  non-judgemental and safe space where you will be heard and where you can bring issues and concerns that may be preventing you from being who you want to be and where you want to be in your life. I offer an initial assessment, which will enable us to see if we connect and whether you feel comfortable within the counsel
As a person-centred counsellor based in north London, I believe that talking can help us feel less isolated with our problems and thoughts.    Sometimes it’s difficult to talk to family and friends; you may not wish to cause worry or distress or you may not want their advice and opinion. I provide an understanding ,  non-judgemental and safe space where you will be heard and where you can bring issues and concerns that may be preventing you from being who you want to be and where you want to be in your life. I offer an initial assessment, which will enable us to see if we connect and whether you feel comfortable within the counsel
020 8106 2102 View 020 8106 2102
Photo of Janelle Fairweather, Counsellor, MBACP
Janelle Fairweather
Counsellor, MBACP
1 Endorsed
London SE16
Have you ever considered what possibilities could unfold if you gave yourself permission to heal and grow? What it would feel like to give yourself the care and attention you so often give to others. Our early experiences often shape the way we see ourselves, others, and the world. At your own pace, we’ll gently explore how those experiences may still be influencing your life today. Therapy isn’t about “fixing” you because you aren’t broken. Instead, it’s about creating a space where you feel safe, understood, and supported—so you can start untangling the things holding you back and reconnect with a new version of yourself.
Have you ever considered what possibilities could unfold if you gave yourself permission to heal and grow? What it would feel like to give yourself the care and attention you so often give to others. Our early experiences often shape the way we see ourselves, others, and the world. At your own pace, we’ll gently explore how those experiences may still be influencing your life today. Therapy isn’t about “fixing” you because you aren’t broken. Instead, it’s about creating a space where you feel safe, understood, and supported—so you can start untangling the things holding you back and reconnect with a new version of yourself.
020 3535 6637 View 020 3535 6637

How does your Counsellor compare?

Number of Counsellors in BR8

10+

Average cost per session

£60

Counsellors in BR8 who prioritize treating:

94% Anxiety
88% Depression
88% Self Esteem
76% Relationship Issues
76% Bereavement
76% Stress
65% Family Conflict

Average years in practice

10 Years

Top 3 insurances accepted

100% Aviva
100% AXA PPP
67% Bupa

How Counsellors in BR8 see their clients

76% In Person and Online
24% Online Only

Gender breakdown

87% Female
13% Male
FAQs - About Therapy and Counselling

How can I find a therapist in BR8?

Search for nearby therapists or counsellors by inputting your city, postcode, 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 postcode into the search bar.

Learn more about how to find a therapist

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

Counsellors and Psychotherapists listed in the directory are members of the main professional associations, mainly the British Association for Counselling and Psychotherapy (BACP) and the UK Council for Psychotherapy (UKCP). Most Psychologists in the directory are accredited members of the British Psychological Society (BPS) and/or are registered in the Health and Care Professions Council (HPCP).

Providers whose professional membership or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Given that professional memberships are not a statutory requirement for psychotherapists and counsellors in the UK, certain qualified professionals or organisations may choose not to maintain such memberships despite possessing the necessary qualifications. They may be selectively included without the “Verified” seal.

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

Counsellors, psychotherapists and psychologists can all provide counselling or talking therapy and have credentials and experience that enable them to do so in the UK. Psychologists have earned a degree in psychology and many are members of the British Psychological Society (BPS) and have completed a postgraduate qualification in a specialism. Counsellors and Psychotherapists are not required to have a psychology degree, but to belong to a professional organisation such as the BACP or UKCP, they are required to have completed a training course as well as clinical and supervision hours.

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, a therapy session in the UK could be between £30 - £60 when seeing a counsellor and £60 - £150 and up when seeing a clinical psychologist. If you have private insurance, your plan may cover some if not all of your sessions. You should contact your insurance provider to determine if they provide coverage for therapy sessions and to determine what, if any, requirements they might have in order for your sessions to be covered, such as a referral from your GP or medical specialist.

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. The NHS Talking therapies programme offers free of charge counselling for common mental health problems like anxiety and depression. The service is available to anyone registered with a GP, though you do not necessarily need to be referred by your GP and can refer yourself directly to a Talking therapies service. The service will provide different solutions, including group and individual therapy, for a limited number of sessions which are generally up to six.

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 postcode.

Are therapy sessions confidential?

Therapists who are part of a professional organisation such as the BACP, the UKCP, or BPS are bound by an ethical framework that requires them to uphold a confidentiality agreement. Confidentiality is a crucial part of the therapeutic relationship and only under specific circumstances, such as when there has been participation in a criminal act or act of terror, or if there is potential or known harm to the client or others, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.