Counselling in BT18

Photo of Maggie Barton- Grief and Loss Therapist , Counsellor in BT18, Northern Ireland
Maggie Barton- Grief and Loss Therapist
Counsellor, MBACP
Verified
Are you struggling to cope with your grief and loss of a loved one? Has the death of someone near and dear to you left you feeling like you cannot go on? Has life become so difficult that your daily routines have stopped ? Do you feel like this? Do you awaken in the morning or throughout the night with thoughts racing, images flashing of what was, or what could have been? Does it feel like you have hit a brick wall, or want to curl up and hide away ? If so, I understand how you feel. I too have experienced clear loss. Or maybe it is another type of loss, like the loss of a relationship? A job? Your direction in life, Your identity ?
Are you struggling to cope with your grief and loss of a loved one? Has the death of someone near and dear to you left you feeling like you cannot go on? Has life become so difficult that your daily routines have stopped ? Do you feel like this? Do you awaken in the morning or throughout the night with thoughts racing, images flashing of what was, or what could have been? Does it feel like you have hit a brick wall, or want to curl up and hide away ? If so, I understand how you feel. I too have experienced clear loss. Or maybe it is another type of loss, like the loss of a relationship? A job? Your direction in life, Your identity ?
028 9694 3448 View 028 9694 3448
Photo of Clarity Counselling Holywood, Psychotherapist in BT18, Northern Ireland
Clarity Counselling Holywood
Psychotherapist, MSc, MNCPS Acc.
Verified
My approach to counselling is tailored to you depending on your needs . The core of our work together is based on a safe, trusting, non judgemental space where we can get an understanding of how it is for you in your world and from there help you find a way to progess. I have been taught at Post Graduate level by expert tutors in their counselling approach, Person Centred, Psychodynamic and CBT. This has equipped me with my unique integrative style of working with my clients. As an integrative therapist working in private practice I am an accredited member of the National Counselling Society.
My approach to counselling is tailored to you depending on your needs . The core of our work together is based on a safe, trusting, non judgemental space where we can get an understanding of how it is for you in your world and from there help you find a way to progess. I have been taught at Post Graduate level by expert tutors in their counselling approach, Person Centred, Psychodynamic and CBT. This has equipped me with my unique integrative style of working with my clients. As an integrative therapist working in private practice I am an accredited member of the National Counselling Society.
028 9694 3079 View 028 9694 3079
Photo of Rosa Stevens, Counsellor in BT18, Northern Ireland
Rosa Stevens
Counsellor, MNCPS Acc.
Verified
Waitlist for new clients
Hi my name is Rosa and I love to tailor a therapy for my clients, my holistic approach does not merely focus exclusively on your thinking style. Working with me will allow you to reconnect your mind body and soul so it becomes easier to understand unhelpful thinking styles which may be triggering anxiety and in turn lower your physical and emotional well-being.
Hi my name is Rosa and I love to tailor a therapy for my clients, my holistic approach does not merely focus exclusively on your thinking style. Working with me will allow you to reconnect your mind body and soul so it becomes easier to understand unhelpful thinking styles which may be triggering anxiety and in turn lower your physical and emotional well-being.
028 9692 8101 View 028 9692 8101
Photo of Room Psychotherapy, Psychotherapist in BT18, Northern Ireland
Room Psychotherapy
Psychotherapist, MBACP
Verified
Do you feel depressed, overwhelmed, anxious or stuck regarding how things change? I love working with people and offering space, expertise and empathy to find clarity in a moment when everything seems out of control or overwhelming. At your pace, we explore how you currently feel and begin to understand and make sense of your current experience. With knowledge of your past & in becoming aware of how current thoughts, emotions and behaviour interact and how difficulties are maintained, we'll uncover what needs to change. I then hope to empower and give you the confidence and method to make these changes.
Do you feel depressed, overwhelmed, anxious or stuck regarding how things change? I love working with people and offering space, expertise and empathy to find clarity in a moment when everything seems out of control or overwhelming. At your pace, we explore how you currently feel and begin to understand and make sense of your current experience. With knowledge of your past & in becoming aware of how current thoughts, emotions and behaviour interact and how difficulties are maintained, we'll uncover what needs to change. I then hope to empower and give you the confidence and method to make these changes.
028 9124 8254 View 028 9124 8254
Photo of Jean McMinn, Counsellor in BT18, Northern Ireland
Jean McMinn
Counsellor, MSc, MBACP Snr. Accred
Verified
Please check out my website - www.jeanmcminntherapy.co.uk - I believe that it is important for the client to feel secure and able to talk about whatever issues are troubling them. I aim to provide a supportive and responsive environment in which we can make sense of your particular difficulties. Understanding the impact of past experience on the present helps to increase self esteem and allows you to make important positive changes in your life. Counselling can help you to free yourself from limiting self beliefs, so you are free to move on in life and have more fulfilling relationships and satisfaction, health and strength.
Please check out my website - www.jeanmcminntherapy.co.uk - I believe that it is important for the client to feel secure and able to talk about whatever issues are troubling them. I aim to provide a supportive and responsive environment in which we can make sense of your particular difficulties. Understanding the impact of past experience on the present helps to increase self esteem and allows you to make important positive changes in your life. Counselling can help you to free yourself from limiting self beliefs, so you are free to move on in life and have more fulfilling relationships and satisfaction, health and strength.
028 2502 2731 View 028 2502 2731
Photo of Soraya McMurray, Counsellor in BT18, Northern Ireland
Soraya McMurray
Counsellor, MBACP Accred
Verified
Holywood BT18  (Online Only)
Hi there and welcome to the first step in making a positive change. My name is Soraya McMurray I am a professional counsellor and life coach with 12 years of working with people from all cultures and backgrounds. In the past, in a variety of settings such as a GP’s surgery ,community centers and private practice. I have experience in working with a wide range of concerns and mental health issues, but a few examples are presenting issues such as developmental trauma, depression, anxiety, Asperger’s syndrome, self-harm, relationship and family issues, PTSD, self-esteem and self-identity issues, and life changes.
Hi there and welcome to the first step in making a positive change. My name is Soraya McMurray I am a professional counsellor and life coach with 12 years of working with people from all cultures and backgrounds. In the past, in a variety of settings such as a GP’s surgery ,community centers and private practice. I have experience in working with a wide range of concerns and mental health issues, but a few examples are presenting issues such as developmental trauma, depression, anxiety, Asperger’s syndrome, self-harm, relationship and family issues, PTSD, self-esteem and self-identity issues, and life changes.
028 9163 8587 View 028 9163 8587
Photo of Steadfast Therapy, Counsellor in BT18, Northern Ireland
Steadfast Therapy
Counsellor, MSc, MBACP Accred
Verified
It has become increasingly apparent in recent years that talking to somebody outside of your family or friendship circle can bring a refreshing perspective to difficult life issues. By providing a therapy space where you can feel heard and accepted without bias, you are encouraged to share and explore those detrimental issues that have prevented you from totally embracing life.
It has become increasingly apparent in recent years that talking to somebody outside of your family or friendship circle can bring a refreshing perspective to difficult life issues. By providing a therapy space where you can feel heard and accepted without bias, you are encouraged to share and explore those detrimental issues that have prevented you from totally embracing life.
028 2502 2466 View 028 2502 2466
Photo of Roberta Richmond, Counsellor in BT18, Northern Ireland
Roberta Richmond
Counsellor, MBACP Snr. Accred
Verified
Hello, my name is Roberta Richmond I am a BACP Senior Accredited Counsellor with years of experience as a therapist, and managing one of Belfast's largest counselling charities. I am committed to providing counselling and coaching in a safe, confidential and non-judgemental environment. Many of us have times in our lives when things seem too much, and we feel overwhelmed, with difficulty coping. If you’re reading this, you may be at that point yourself, and thinking about having some counselling. You may have hit a difficult patch in your relationship and are looking for someone to help you and your partner sort things out,
Hello, my name is Roberta Richmond I am a BACP Senior Accredited Counsellor with years of experience as a therapist, and managing one of Belfast's largest counselling charities. I am committed to providing counselling and coaching in a safe, confidential and non-judgemental environment. Many of us have times in our lives when things seem too much, and we feel overwhelmed, with difficulty coping. If you’re reading this, you may be at that point yourself, and thinking about having some counselling. You may have hit a difficult patch in your relationship and are looking for someone to help you and your partner sort things out,
028 9692 8099 View 028 9692 8099
Photo of Robert Prentice (Woodcraft Therapy), Counsellor in BT18, Northern Ireland
Robert Prentice (Woodcraft Therapy)
Counsellor, MBACP
Verified
Life can be stressful and busy and at times we can lose focus on ourselves and what is important. I offer a confidential safe space to discuss and support working through these concerns. I use a person-centred approach to support my clients to look at the areas of their lives they choose to. I offer guidance and insight where needed to help my clients navigate these difficult times.
Life can be stressful and busy and at times we can lose focus on ourselves and what is important. I offer a confidential safe space to discuss and support working through these concerns. I use a person-centred approach to support my clients to look at the areas of their lives they choose to. I offer guidance and insight where needed to help my clients navigate these difficult times.
028 9694 3536 View 028 9694 3536
Photo of Helen Ross Mckelvey, Counsellor in BT18, Northern Ireland
Helen Ross Mckelvey
Counsellor, MSc, SNCPS Acc.
Verified
Clients I work most successfully with have a desire to sort out relationship(s), present or past. They will be open to discover their own needs, issues and aspirations and to own these and, if a present relationship, to enter into mutual understanding of what each can bring to and gain from that relationship. They will find the possibilities of change from attitudes and thought patterns created by or brought into the relationship. Other clients will bring an openness to discover why and how their issues, grief, fear, loneliness, low self worth or anxiety/depression have formed and engage in the journey to wholeness.
Clients I work most successfully with have a desire to sort out relationship(s), present or past. They will be open to discover their own needs, issues and aspirations and to own these and, if a present relationship, to enter into mutual understanding of what each can bring to and gain from that relationship. They will find the possibilities of change from attitudes and thought patterns created by or brought into the relationship. Other clients will bring an openness to discover why and how their issues, grief, fear, loneliness, low self worth or anxiety/depression have formed and engage in the journey to wholeness.
028 9692 8170 View 028 9692 8170
Photo of Belfast Psychology Services Ltd, Psychologist in BT18, Northern Ireland
Belfast Psychology Services Ltd
Psychologist, PsychD, HCPC - Clin. Psych.
Verified
Welcome to Belfast Psychology Services. Please visit www.belfastpsychologyservices.com, go to the "book a consultation" page and schedule a date and time for your 15 minute call. Our therapists offer psychological support for a range of difficulties including stress, anxiety, depression, panic attacks, anger, phobias, obsessive compulsive disorder (OCD) and trauma. Support is also offered for neurodevelopmental disorders including Tourette Syndrome (TS) and vocal and motor tics. ​ In addition, the service offers diagnostic assessments for Autism Spectrum Disorder (ASD) using the Autism Diagnostic Observation Schedule - 2 (ADOS-2).
Welcome to Belfast Psychology Services. Please visit www.belfastpsychologyservices.com, go to the "book a consultation" page and schedule a date and time for your 15 minute call. Our therapists offer psychological support for a range of difficulties including stress, anxiety, depression, panic attacks, anger, phobias, obsessive compulsive disorder (OCD) and trauma. Support is also offered for neurodevelopmental disorders including Tourette Syndrome (TS) and vocal and motor tics. ​ In addition, the service offers diagnostic assessments for Autism Spectrum Disorder (ASD) using the Autism Diagnostic Observation Schedule - 2 (ADOS-2).
028 3829 8069 View 028 3829 8069
Photo of Cara Swanston, Counsellor in BT18, Northern Ireland
Cara Swanston
Counsellor, MBACP
Verified
I am an experienced therapist, using talking, sand play, CBT and horses ( Equine Facilitated Psychotherapist) to work with anxiety, depression and all mental health challenges with years of experience working with neuordiversity. Sometimes in life, we are thrown a curve ball, and our challenges become to tough for us to handle alone. These are the times that counselling can help. Counselling can provide a safe, totally non-judgmental, and confidential space for you to explore and work through these challenges. Improving your sense of emotional contentment, physical health and connection to the world.
I am an experienced therapist, using talking, sand play, CBT and horses ( Equine Facilitated Psychotherapist) to work with anxiety, depression and all mental health challenges with years of experience working with neuordiversity. Sometimes in life, we are thrown a curve ball, and our challenges become to tough for us to handle alone. These are the times that counselling can help. Counselling can provide a safe, totally non-judgmental, and confidential space for you to explore and work through these challenges. Improving your sense of emotional contentment, physical health and connection to the world.
028 9694 3956 View 028 9694 3956
Photo of Dr Liam Reilly, Psychologist in BT18, Northern Ireland
Dr Liam Reilly
Psychologist, PsychD, HCPC - Clin. Psych.
Verified
I am a Chartered Clinical Psychologist and former British Psychology Society NI representative for the Children, Young People, and Families faculty. I have over ten years of experience providing psychological support and care to clients. The therapy sessions I offer are both person-centred and collaborative to encourage your self-expression and self-development. I use various psychotherapy treatment techniques and provide effective strategies to help you to cope with many of life’s various obstacles. The core of my therapeutic work is non-judgemental acceptance, understanding, and support for all experiences and difficulties.
I am a Chartered Clinical Psychologist and former British Psychology Society NI representative for the Children, Young People, and Families faculty. I have over ten years of experience providing psychological support and care to clients. The therapy sessions I offer are both person-centred and collaborative to encourage your self-expression and self-development. I use various psychotherapy treatment techniques and provide effective strategies to help you to cope with many of life’s various obstacles. The core of my therapeutic work is non-judgemental acceptance, understanding, and support for all experiences and difficulties.
028 2003 2166 View 028 2003 2166
Photo of Jemma Wemyss, Counsellor in BT18, Northern Ireland
Jemma Wemyss
Counsellor, MA, MBACP
Verified
Through a container of sand we are transported to a world with endless possibilities, a world in which our deepest inner story can be welcomed into the light. Often children and young people find it difficult to express their innermost feelings verbally. In SandStory Therapy, the sand and symbols are the voice of the young person, giving them a safe space to express their feelings. With the help of a supportive therapist sand trays are explored and feelings are processed in a way that is deeply nurturing and healing.
Through a container of sand we are transported to a world with endless possibilities, a world in which our deepest inner story can be welcomed into the light. Often children and young people find it difficult to express their innermost feelings verbally. In SandStory Therapy, the sand and symbols are the voice of the young person, giving them a safe space to express their feelings. With the help of a supportive therapist sand trays are explored and feelings are processed in a way that is deeply nurturing and healing.
028 9694 3573 View 028 9694 3573
Photo of Ceara Clarke, Psychologist in BT18, Northern Ireland
Ceara Clarke
Psychologist, PsychD, HCPC - Clin. Psych.
Verified
I am an experienced Clinical Psychologist and I work collaboratively with my clients, helping them to understand their difficulties, make sense of their experiences, develop ways of coping and live with more ease. My work is informed by a range of psychological theories and models, choosing the most helpful approach to suit the individual e.g. Compassion Focussed Therapy (CFT), Acceptance and Commitment Therapy (ACT). Cognitive Behaviour Therapy (CBT) and Family Therapy/Systemic informed work.
I am an experienced Clinical Psychologist and I work collaboratively with my clients, helping them to understand their difficulties, make sense of their experiences, develop ways of coping and live with more ease. My work is informed by a range of psychological theories and models, choosing the most helpful approach to suit the individual e.g. Compassion Focussed Therapy (CFT), Acceptance and Commitment Therapy (ACT). Cognitive Behaviour Therapy (CBT) and Family Therapy/Systemic informed work.
View
Photo of Justin Bradley, Counsellor in BT18, Northern Ireland
Justin Bradley
Counsellor, MBACP Accred
Verified
Hi. Thanks for taking a moment to look at my page. I am a qualified integrative counsellor and an accredited member of the BACP. I am an integrative therapist which caters for the individual needs of each client I work with. I am also an EMDR practitioner which is a highly effective treatment which enables the client to reconcile the maladaptive thoughts and feelings connected to trauma. I firmly believe a strong therapeutic relationship between client and counsellor can pave the way to successful and rewarding therapeutic change. Feel free to visit my website, justinbradleytherapy.com
Hi. Thanks for taking a moment to look at my page. I am a qualified integrative counsellor and an accredited member of the BACP. I am an integrative therapist which caters for the individual needs of each client I work with. I am also an EMDR practitioner which is a highly effective treatment which enables the client to reconcile the maladaptive thoughts and feelings connected to trauma. I firmly believe a strong therapeutic relationship between client and counsellor can pave the way to successful and rewarding therapeutic change. Feel free to visit my website, justinbradleytherapy.com
028 9590 8935 View 028 9590 8935
Photo of Susan Ann Burgess, Counsellor in BT18, Northern Ireland
Susan Ann Burgess
Counsellor, DCounsPsych, MNCPS Acc.
Verified
Hello my name is Susan and I have been a practicing Counsellor for 25 years also a practicing Supervisor and trainer. My focus is to support you to gain strength in challenging areas of your life, whilst in a relaxed and confidential environment. I work creatively, sometimes incorporating art materials and sensory objects. Trained Mindfulness coach working. Working face to face, phone and video call can be arranged.
Hello my name is Susan and I have been a practicing Counsellor for 25 years also a practicing Supervisor and trainer. My focus is to support you to gain strength in challenging areas of your life, whilst in a relaxed and confidential environment. I work creatively, sometimes incorporating art materials and sensory objects. Trained Mindfulness coach working. Working face to face, phone and video call can be arranged.
07815 095391 View 07815 095391
Photo of Martyn Thomas Henry, Counsellor in BT18, Northern Ireland
Martyn Thomas Henry
Counsellor, BACP
Verified
Choosing counselling is a big step and has the potential to create the change you want. Having been there myself I understand. I offer an open, non-judgemental and down-to-earth approach with a calming presence. Have you been struggling recently? Do you need help with anxiety or anger issues? Perhaps you feel that you're not good enough or lack motivation? My passion is helping people discover their inner resources, ability to progress goals and seeing the change in the way they think and feel about themselves and the world. Contact me today for a free consultation and we’ll get started on your journey together!
Choosing counselling is a big step and has the potential to create the change you want. Having been there myself I understand. I offer an open, non-judgemental and down-to-earth approach with a calming presence. Have you been struggling recently? Do you need help with anxiety or anger issues? Perhaps you feel that you're not good enough or lack motivation? My passion is helping people discover their inner resources, ability to progress goals and seeing the change in the way they think and feel about themselves and the world. Contact me today for a free consultation and we’ll get started on your journey together!
View
Photo of Dr Andrew Mc Gibbon, Psychotherapist in BT18, Northern Ireland
Dr Andrew Mc Gibbon
Psychotherapist, PsychD, ACP
Verified
I work therapeutically with Children, Adolescents, Parents and Young People up to 25. I help with a range of difficulties, including but not limited to Anxiety, Depression, Developmental trauma disorder, Body dysmorphic disorder complex bereavement & post-adoption. I offer a contained, compassionate environment to help explore and work through, at a safe emotional pace, the underlying issues that are causing distress. My experience includes 15 years in the NHS within therapeutic services for Children, Adolescents, and Parents. I also offer Clinical Supervision to professionals
I work therapeutically with Children, Adolescents, Parents and Young People up to 25. I help with a range of difficulties, including but not limited to Anxiety, Depression, Developmental trauma disorder, Body dysmorphic disorder complex bereavement & post-adoption. I offer a contained, compassionate environment to help explore and work through, at a safe emotional pace, the underlying issues that are causing distress. My experience includes 15 years in the NHS within therapeutic services for Children, Adolescents, and Parents. I also offer Clinical Supervision to professionals
028 9694 3369 View 028 9694 3369
Photo of KGH Counselling, Counsellor in BT18, Northern Ireland
KGH Counselling
Counsellor, MNCPS Acc.
Verified
KGH Counselling "Because talking is important" Life can be a journey and at times challenging when our feelings and thoughts can be overwhelming and confusing. Let me go on your journey with you.
KGH Counselling "Because talking is important" Life can be a journey and at times challenging when our feelings and thoughts can be overwhelming and confusing. Let me go on your journey with you.
028 9344 7232 View 028 9344 7232

See more therapy options for BT18

How does your Counsellor compare?

Number of Counsellors in BT18

30+

Average cost per session

£50

Counsellors in BT18 who prioritize treating:

94% Depression
91% Anxiety
91% Self Esteem
82% Stress
79% Bereavement
76% Relationship Issues
67% Divorce

Average years in practice

12 Years

Top 3 insurances accepted

50% Vitality
42% Aviva
25% AXA PPP

How Counsellors in BT18 see their clients

85% In Person and Online
15% Online Only

Gender breakdown

60% Female
40% Male

FAQs - About Therapy and Counselling

How can I find a therapist in BT18?

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.