Counselling in CH62

Photo of Louise Threlfall, Counsellor, BACP
Louise Threlfall
Counsellor, BACP
Wirral CH62
I believe everyone should be self-empowered and offer support in finding the person you want to be. You can explore your thoughts and feelings, gain insights into your behaviour, and develop strategies for positive change.
I believe everyone should be self-empowered and offer support in finding the person you want to be. You can explore your thoughts and feelings, gain insights into your behaviour, and develop strategies for positive change.
0151 453 9177 View 0151 453 9177
Photo of Katie Sands, Counsellor, MBACP
Katie Sands
Counsellor, MBACP
1 Endorsed
Wirral CH62
Finding the right therapist can feel daunting. You may feel overwhelmed by emotions, stuck in patterns, or disconnected from yourself and unsure why. I support adult clients with a range of presenting issues such as anxiety, depression, relationship struggles and low self-confidence. My deepest passions are working with adoptees and supporting neurodiverse individuals. Beside this, I am confident in holding space for grief, infertility and pregnancy loss. I hold a Diploma in Integrative Psychotherapeutic Counselling and offer a grounded, compassionate space where your story can unfold and be truly heard.
Finding the right therapist can feel daunting. You may feel overwhelmed by emotions, stuck in patterns, or disconnected from yourself and unsure why. I support adult clients with a range of presenting issues such as anxiety, depression, relationship struggles and low self-confidence. My deepest passions are working with adoptees and supporting neurodiverse individuals. Beside this, I am confident in holding space for grief, infertility and pregnancy loss. I hold a Diploma in Integrative Psychotherapeutic Counselling and offer a grounded, compassionate space where your story can unfold and be truly heard.
0151 453 4618 View 0151 453 4618
Photo of Victoria Lacey - Victoria Lacey | CBT Therapist | EMDR | GetCBT, Psychotherapist, MBABCP
Victoria Lacey | CBT Therapist | EMDR | GetCBT
Psychotherapist, MBABCP
3 Endorsed
Wirral CH62
During therapy, we’ll team up to combine your insight with proven approaches (CBT, EMDR, Third Wave CBT) for real, lasting change. I specialise in anxiety but support a wide range of issues: depression, self-esteem, panic, OCD, PTSD, phobias, social/health anxiety. My 7-Pillar Model blends compassion, evidence, empowerment, and flexibility—offering more depth, time, and continuity than standard NHS care. Clients often say they feel truly heard and equipped with tools to tackle any future issues. See our reviews for client experiences.
During therapy, we’ll team up to combine your insight with proven approaches (CBT, EMDR, Third Wave CBT) for real, lasting change. I specialise in anxiety but support a wide range of issues: depression, self-esteem, panic, OCD, PTSD, phobias, social/health anxiety. My 7-Pillar Model blends compassion, evidence, empowerment, and flexibility—offering more depth, time, and continuity than standard NHS care. Clients often say they feel truly heard and equipped with tools to tackle any future issues. See our reviews for client experiences.
0151 453 3877 View 0151 453 3877
Photo of Erin Regan, Psychotherapist, MBABCP
Erin Regan
Psychotherapist, MBABCP
Wirral CH62
I use my skills developed through my training in CBT and EMDR and significant career to help individuals with problems such as OCD, PTSD, Depression, Social Anxiety or Health Anxiety. Often individuals are aware of the difficulties but are not sure where to start. Having motivation and an open curiousness about the process supports the gains individuals can make in therapy. With my extensive skills I assess to find out what the main problems are, taking the view that the individual is an expert in what they are experiencing. I work in a collaborative way to find a solution to reduce the impact of the symptoms on their life.
I use my skills developed through my training in CBT and EMDR and significant career to help individuals with problems such as OCD, PTSD, Depression, Social Anxiety or Health Anxiety. Often individuals are aware of the difficulties but are not sure where to start. Having motivation and an open curiousness about the process supports the gains individuals can make in therapy. With my extensive skills I assess to find out what the main problems are, taking the view that the individual is an expert in what they are experiencing. I work in a collaborative way to find a solution to reduce the impact of the symptoms on their life.
0151 453 5546 View 0151 453 5546
Photo of Dr Amanda Marsden, Psychologist, HCPC - Clin. Psych.
Dr Amanda Marsden
Psychologist, HCPC - Clin. Psych.
Wirral CH62
I am a qualified Clinical Psychologist with 23 years experience in the NHS, 18 years in CAMHS. I am passionate about supporting children , young people and their families when facing challenges with their mental health . I consider myself a compassionate , caring therapist with empathy, acceptance and curiosity the building blocks of my approach.
I am a qualified Clinical Psychologist with 23 years experience in the NHS, 18 years in CAMHS. I am passionate about supporting children , young people and their families when facing challenges with their mental health . I consider myself a compassionate , caring therapist with empathy, acceptance and curiosity the building blocks of my approach.
View
Photo of Katie Keane - Wave Therapeutic Services , Counsellor, MNCPS Acc.
Wave Therapeutic Services
Counsellor, MNCPS Acc.
2 Endorsed
Wirral CH62
Hi I'm Katie. I’m an integrative therapist. I specialise in working with trauma and anxiety, along with extensive experience of working with clients with ADHD. I offer one to one therapy sessions from my therapy room on the Wirral , as well as providing online and telephone sessions, dependent on my clients needs . My work focuses on increasing emotional regulation, addressing trauma-related and anxiety based symptoms.
Hi I'm Katie. I’m an integrative therapist. I specialise in working with trauma and anxiety, along with extensive experience of working with clients with ADHD. I offer one to one therapy sessions from my therapy room on the Wirral , as well as providing online and telephone sessions, dependent on my clients needs . My work focuses on increasing emotional regulation, addressing trauma-related and anxiety based symptoms.
0151 453 5707 View 0151 453 5707
Photo of David John Dowell, Counsellor, MNCPS Acc.
David John Dowell
Counsellor, MNCPS Acc.
1 Endorsed
Wirral CH62
Hello, I am David, an experienced qualified Pluralistic counsellor. I believe no single counselling approach will fit every client and presenting issue. Person-centred and psychodynamic in outlook and attitude, I tailor my approach to each client, using the therapeutic approach that best addresses and resolves the client's problems. At the heart of my counselling style is the belief clients heal through exploring how their issues arose, where these come from, and crucially how to make the changes needed to feel at ease with themselves. I help clients do this by moving away from people-pleasing to being true to themselves.
Hello, I am David, an experienced qualified Pluralistic counsellor. I believe no single counselling approach will fit every client and presenting issue. Person-centred and psychodynamic in outlook and attitude, I tailor my approach to each client, using the therapeutic approach that best addresses and resolves the client's problems. At the heart of my counselling style is the belief clients heal through exploring how their issues arose, where these come from, and crucially how to make the changes needed to feel at ease with themselves. I help clients do this by moving away from people-pleasing to being true to themselves.
0151 453 5401 View 0151 453 5401
Photo of Carolyn McHale, Counsellor, DCounsPsych, MNCPS Acc.
Carolyn McHale
Counsellor, DCounsPsych, MNCPS Acc.
3 Endorsed
Serves Area
Hello, my name is Carolyn, but most people call me Cal. For the past 15 years I’ve been supporting people with mental health issues in their workplace through Remploy Ltd and Maximus UK. I have been able to use this experience of working with vulnerable and Neurodiverse adults, on a range of areas from trauma, stress, anxiety, depression, loss, ADHD, Autism and other neurodiverse conditions, to enhance my counselling practice.
Hello, my name is Carolyn, but most people call me Cal. For the past 15 years I’ve been supporting people with mental health issues in their workplace through Remploy Ltd and Maximus UK. I have been able to use this experience of working with vulnerable and Neurodiverse adults, on a range of areas from trauma, stress, anxiety, depression, loss, ADHD, Autism and other neurodiverse conditions, to enhance my counselling practice.
0151 453 8025 View 0151 453 8025
Photo of Chris Cullen, Counsellor, PNCPS Acc.
Chris Cullen
Counsellor, PNCPS Acc.
Serves Area
You might be struggling with relationships or work stress, perhaps you have anxiety or depression, you could be going through life changes like a bereavement or retirement. Maybe you simply feel stuck in a rut and unfulfilled. Whatever you are going through I can offer a safe, warm space to express your feelings with someone who will understand. With my support you can explore how to make positive changes or adjust to life circumstances and move forward. The link between psychological stress and physical poor health is clear, so making your emotional well-being a priority has lasting benefits in preventing future health problems.
You might be struggling with relationships or work stress, perhaps you have anxiety or depression, you could be going through life changes like a bereavement or retirement. Maybe you simply feel stuck in a rut and unfulfilled. Whatever you are going through I can offer a safe, warm space to express your feelings with someone who will understand. With my support you can explore how to make positive changes or adjust to life circumstances and move forward. The link between psychological stress and physical poor health is clear, so making your emotional well-being a priority has lasting benefits in preventing future health problems.
0151 541 4482 View 0151 541 4482
Photo of Barry Ray Carruthers Accred - Beautiful Minds Talking Therapy Services, Psychotherapist, MBACP
Beautiful Minds Talking Therapy Services
Psychotherapist, MBACP
1 Endorsed
Serves Area
Beautiful Minds Talking Therapy Service has been providing counselling for many years. I understand that taking the first step can be scary and overwhelming. But if you can find the courage to take that first step, it can be life changing. Let me help you explore, understand, and unpick the things that are causing your difficulties in your life. I will help you to take back control of your life and take action to find solutions and resolutions that will empower you. I will help you gain a better understanding of your difficulties and develop your knowledge and awareness of your internal constructs. let me help you.
Beautiful Minds Talking Therapy Service has been providing counselling for many years. I understand that taking the first step can be scary and overwhelming. But if you can find the courage to take that first step, it can be life changing. Let me help you explore, understand, and unpick the things that are causing your difficulties in your life. I will help you to take back control of your life and take action to find solutions and resolutions that will empower you. I will help you gain a better understanding of your difficulties and develop your knowledge and awareness of your internal constructs. let me help you.
07403 250051 View 07403 250051
Photo of Michael Ryan Delaney - Delamere Health Ltd, Counsellor, MBACP
Delamere Health Ltd
Counsellor, MBACP
Serves Area
People stay with us when alcohol, drugs, prescription drugs or addictive behaviour have become a problem in life. We believe that with the right support anyone can permanently break the addictive cycle and grow beyond addiction.
People stay with us when alcohol, drugs, prescription drugs or addictive behaviour have become a problem in life. We believe that with the right support anyone can permanently break the addictive cycle and grow beyond addiction.
0330 058 1956 View 0330 058 1956
Photo of Jennifer Shaw - Jen Shaw @ Perseverance Counselling Services, Counsellor, MBACP
Jen Shaw @ Perseverance Counselling Services
Counsellor, MBACP
Serves Area
Hello my name is Jen and I am a fully qualified counsellor. I have lots of experience working with neurodiverse adults, young people and children so find it easy to adapt my style to suit my clients needs. I have a genuine passion for the work I do, as i enjoy helping people feel better about themselves.
Hello my name is Jen and I am a fully qualified counsellor. I have lots of experience working with neurodiverse adults, young people and children so find it easy to adapt my style to suit my clients needs. I have a genuine passion for the work I do, as i enjoy helping people feel better about themselves.
0151 453 0647 View 0151 453 0647
Photo of Julia Baker - Julia Baker
Julia Baker
Verified Verified
Online Only
My name is Julia Baker; Neuro Diverse therapy nurse. I have been working in a range of health, social care and therapeutic settings for adults/children, for over 28 years. I have been a registered MH nurse for nearly 10 years, I have over 17 years child and adolescent mental health (CAMHS) experience. l am trained in a range of psychological therapies and PGcert in counselling which enhances my specialist skills in neurodiversity/mental health. The therapy you receive will be regulated as I'm a registered MH nurse and follow an evidence base, but most importantly it will be person centred, safe & effective to meet individual needs
My name is Julia Baker; Neuro Diverse therapy nurse. I have been working in a range of health, social care and therapeutic settings for adults/children, for over 28 years. I have been a registered MH nurse for nearly 10 years, I have over 17 years child and adolescent mental health (CAMHS) experience. l am trained in a range of psychological therapies and PGcert in counselling which enhances my specialist skills in neurodiversity/mental health. The therapy you receive will be regulated as I'm a registered MH nurse and follow an evidence base, but most importantly it will be person centred, safe & effective to meet individual needs
0151 453 9784 x44 View 0151 453 9784 x44
Photo of Paul Gilland - ClearMind CBT, Psychotherapist, MBABCP
ClearMind CBT
Psychotherapist, MBABCP
Online Only
Therapeutic Approach and Specialism - Trauma, anxiety, and emotional overwhelm can affect every part of life - leaving you feeling stuck, disconnected, or struggling with low self-worth. I specialise in helping people process and recover from post-traumatic stress disorder (PTSD), complex and attachment-related trauma, OCD, generalised anxiety, and emotional dysregulation. My work integrates two highly effective, evidence-based approaches: Eye Movement Desensitisation and Reprocessing (EMDR) and Cognitive Behavioural Therapy (CBT). I also incorporate Compassion-Focused Therapy (CFT) to support clients in building emotional resilienc
Therapeutic Approach and Specialism - Trauma, anxiety, and emotional overwhelm can affect every part of life - leaving you feeling stuck, disconnected, or struggling with low self-worth. I specialise in helping people process and recover from post-traumatic stress disorder (PTSD), complex and attachment-related trauma, OCD, generalised anxiety, and emotional dysregulation. My work integrates two highly effective, evidence-based approaches: Eye Movement Desensitisation and Reprocessing (EMDR) and Cognitive Behavioural Therapy (CBT). I also incorporate Compassion-Focused Therapy (CFT) to support clients in building emotional resilienc
01777 801572 View 01777 801572
Photo of Leeanne Fowler - Independent Counselling & Psychotherapy Services, Psychotherapist, MSc, MUKCP
Independent Counselling & Psychotherapy Services
Psychotherapist, MSc, MUKCP
Serves Area
Not accepting new clients
I aim to offer a professional yet down to earth relationship in which you can explore your personal difficulties whatever they may be. Sessions are offered weekly or fortnightly, usually in an open ended way until you're feeling more like yourself again. Some people come for a few sessions, some for a few months and others decide to come longer term. Many people are now starting to use therapy over time and re-access support at times when it is needed most with someone who they trust to know them and their life well. I take a firm stance on challenging stigma surrounding mental health.
I aim to offer a professional yet down to earth relationship in which you can explore your personal difficulties whatever they may be. Sessions are offered weekly or fortnightly, usually in an open ended way until you're feeling more like yourself again. Some people come for a few sessions, some for a few months and others decide to come longer term. Many people are now starting to use therapy over time and re-access support at times when it is needed most with someone who they trust to know them and their life well. I take a firm stance on challenging stigma surrounding mental health.
0151 317 9265 View 0151 317 9265

More Therapists Nearby

Jo Edwards
Psychotherapist, MA, MUKCP
I am an Integrative Psychotherapist and Counsellor. I believe we are all unique and therefore one size doesn't fit all so I will use a range of skills to suit where you are at this time in your life. The skills I use will vary as you move on your journey so the skills I will use will accompany you. I have been working with people 26 years having qualified in 1997 and I am passionate about the work I do. It is gratifying to be part of a person's journey from troubled or stuck to open and free to be themselves.
I am an Integrative Psychotherapist and Counsellor. I believe we are all unique and therefore one size doesn't fit all so I will use a range of skills to suit where you are at this time in your life. The skills I use will vary as you move on your journey so the skills I will use will accompany you. I have been working with people 26 years having qualified in 1997 and I am passionate about the work I do. It is gratifying to be part of a person's journey from troubled or stuck to open and free to be themselves.
01767 667232 View 01767 667232
Photo of Nicola Hladky - Therapy with Nicola (Psychotherapist & Coach), Counsellor, MSc, MNCPS Acc.
Therapy with Nicola (Psychotherapist & Coach)
Counsellor, MSc, MNCPS Acc.
Serves Area
Is stress, anxiety, or burnout impacting your performance or personal life? Hi I’m Nicola Hladky, an accredited psychotherapist and high performance coach, I specialise in supporting professionals, entrepreneurs and leaders who might look like they’ve got it all together but feel like things are spiralling inside. Does any of this sound familiar? • Feeling overwhelmed with leadership responsibilities? • Struggling to balance work and life? • Battling perfectionism, self-doubt, or imposter syndrome? • Feeling burnt out or dealing with stress, anxiety, or even ADHD? Are you Ready to overcome your barriers & feel calmer?
Is stress, anxiety, or burnout impacting your performance or personal life? Hi I’m Nicola Hladky, an accredited psychotherapist and high performance coach, I specialise in supporting professionals, entrepreneurs and leaders who might look like they’ve got it all together but feel like things are spiralling inside. Does any of this sound familiar? • Feeling overwhelmed with leadership responsibilities? • Struggling to balance work and life? • Battling perfectionism, self-doubt, or imposter syndrome? • Feeling burnt out or dealing with stress, anxiety, or even ADHD? Are you Ready to overcome your barriers & feel calmer?
0161 524 2454 View 0161 524 2454
Photo of Tamala Twigg, Psychotherapist, MBACP
Tamala Twigg
Psychotherapist, MBACP
In our therapeutic relationship, my priority is to listen deeply and understand you fully. I will always safeguard your vulnerabilities, creating a safe and non-judgemental space where you feel accepted exactly as you are. Together, we will make sense of your past, navigate your present, and look ahead to your future. My passion for this work enables me to build strong, supportive relationships with my clients. With genuine curiosity and openness, we will explore your inner concerns at your pace. Your experiences are unique, and I am committed to honouring and respecting them as we work collaboratively toward your healing.
In our therapeutic relationship, my priority is to listen deeply and understand you fully. I will always safeguard your vulnerabilities, creating a safe and non-judgemental space where you feel accepted exactly as you are. Together, we will make sense of your past, navigate your present, and look ahead to your future. My passion for this work enables me to build strong, supportive relationships with my clients. With genuine curiosity and openness, we will explore your inner concerns at your pace. Your experiences are unique, and I am committed to honouring and respecting them as we work collaboratively toward your healing.
01942 559549 View 01942 559549
Photo of Rachel Perry, Counsellor, DCounsPsych, MBACP
Rachel Perry
Counsellor, DCounsPsych, MBACP
Wirral CH60
Hello and thanks for stopping. I love what I do. 'Extremely easy to talk to'...'turned things around for me'...'helped save my life' being just a few client comments. I've been qualified since 2013; during that time I've worked with serving police officers and civilian staff at Merseyside Police, those supported by Victim Support Homicide Service, VI Form students, Occupational Health & EAP clients. I know that being a counsellor was always meant for me because I have an affinity with people and being able to be 'with' them. This and my life experience gives me the most perfect grounding to be the best that I can be for my clients.
Hello and thanks for stopping. I love what I do. 'Extremely easy to talk to'...'turned things around for me'...'helped save my life' being just a few client comments. I've been qualified since 2013; during that time I've worked with serving police officers and civilian staff at Merseyside Police, those supported by Victim Support Homicide Service, VI Form students, Occupational Health & EAP clients. I know that being a counsellor was always meant for me because I have an affinity with people and being able to be 'with' them. This and my life experience gives me the most perfect grounding to be the best that I can be for my clients.
0151 317 5014 View 0151 317 5014
Photo of Bernadette Blasbery, Counsellor, MNCPS Acc.
Bernadette Blasbery
Counsellor, MNCPS Acc.
1 Endorsed
I am a person-centred counsellor. I offer one-to-one counselling in a warm and welcoming setting where you can freely explore your thoughts. My approach creates a safe space to help you find clarity and a fresh perspective on what you are going through. I understand that life can sometimes feel overwhelming, and processing emotions can be tough to do alone. My goal is to provide a friendly and judgment-free environment where you can truly be heard and supported.
I am a person-centred counsellor. I offer one-to-one counselling in a warm and welcoming setting where you can freely explore your thoughts. My approach creates a safe space to help you find clarity and a fresh perspective on what you are going through. I understand that life can sometimes feel overwhelming, and processing emotions can be tough to do alone. My goal is to provide a friendly and judgment-free environment where you can truly be heard and supported.
0151 453 3520 View 0151 453 3520

How does your Counsellor compare?

Number of Counsellors in CH62

10+

Average cost per session

£52

Counsellors in CH62 who prioritize treating:

93% Anxiety
87% Self Esteem
73% Depression
73% Trauma and PTSD
60% Coping Skills
60% Stress
53% Relationship Issues

Average years in practice

9 Years

Top 3 insurances accepted

50% Other
50% Bupa
25% Any/Out-of-network Insurance

How Counsellors in CH62 see their clients

87% In Person and Online
13% Online Only

Gender breakdown

77% Female
23% Male
FAQs - About Therapy and Counselling

How can I find a therapist in CH62?

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.