Photo of Jenna Marie Rutherford, Counsellor in Ely, England
Jenna Marie Rutherford
Counsellor, MBACP Accred
Verified Verified
Ely CB7
I have over 20 years of experience of working as a counsellor with adults, young people, adolescents and children. I work face to face as well as on-line. I believe that you have the answers to your difficulties and that I as your therapist will provide a safe space to explore your thoughts and feelings with the aim of gaining insight and understanding, so that you may live a happier and more authentic life. I use play therapy with children. Sometimes people come to therapy with specific difficulties, anxiety, depression, self harm, low self esteem and others with more generalised feelings of discontent. I am here to listen.
I have over 20 years of experience of working as a counsellor with adults, young people, adolescents and children. I work face to face as well as on-line. I believe that you have the answers to your difficulties and that I as your therapist will provide a safe space to explore your thoughts and feelings with the aim of gaining insight and understanding, so that you may live a happier and more authentic life. I use play therapy with children. Sometimes people come to therapy with specific difficulties, anxiety, depression, self harm, low self esteem and others with more generalised feelings of discontent. I am here to listen.
020 8138 0406 View 020 8138 0406
Photo of Linda Shedden, Counsellor in Ely, England
Linda Shedden
Counsellor, MNCPS Acc.
Verified Verified
Ely CB6
Hi, how are you? Are you feeling stressed, perhaps a little depressed/low mood, or suffering with low self esteem, fear or issues such as anxiety ( including generalised anxiety disorder) anger? Panic attacks, self-harming, it might be that life has been just difficult to manage: relationships, childhood trauma, bereavement. If any of this sounds familiar, I might be able to help.
Hi, how are you? Are you feeling stressed, perhaps a little depressed/low mood, or suffering with low self esteem, fear or issues such as anxiety ( including generalised anxiety disorder) anger? Panic attacks, self-harming, it might be that life has been just difficult to manage: relationships, childhood trauma, bereavement. If any of this sounds familiar, I might be able to help.
01353 883258 View 01353 883258
Photo of Erul Hassan, Counsellor in Ely, England
Erul Hassan
Counsellor, DCounsPsych, MBACP
Verified Verified
Ely CB6
As a highly skilled and compassionate Integrative Counsellor, I am dedicated to providing a tailored, holistic approach to mental health support. My central aim is to offer a safe, empathetic, and confidential environment which fosters openness and targets individual needs effectively. Drawing on an Integrative approach to counselling, I weave together different elements of specific therapies. This includes (but is not limited to) Cognitive Behavioral Therapy, Person-Centered Therapy, and Adlerian Therapy.
As a highly skilled and compassionate Integrative Counsellor, I am dedicated to providing a tailored, holistic approach to mental health support. My central aim is to offer a safe, empathetic, and confidential environment which fosters openness and targets individual needs effectively. Drawing on an Integrative approach to counselling, I weave together different elements of specific therapies. This includes (but is not limited to) Cognitive Behavioral Therapy, Person-Centered Therapy, and Adlerian Therapy.
01353 880946 View 01353 880946
Photo of Erica Jackson in Ely, England
Erica Jackson
Verified Verified
Ely CB6
Are you struggling with stress, feeling overwhelmed or unhappy? One of your loved ones finding life rather hard to cope with? Perhaps you are at the end of your tether with your partner and fearing the worst for the survival of your relationship. Or does it just needs a bit of TLC? If you are looking for some effective and compassionate help, for someone to listen and understand your difficulties, and help you find some relief and answers, then why not reach out and let's talk it through and see if I can help.
Are you struggling with stress, feeling overwhelmed or unhappy? One of your loved ones finding life rather hard to cope with? Perhaps you are at the end of your tether with your partner and fearing the worst for the survival of your relationship. Or does it just needs a bit of TLC? If you are looking for some effective and compassionate help, for someone to listen and understand your difficulties, and help you find some relief and answers, then why not reach out and let's talk it through and see if I can help.
01353 883244 View 01353 883244
Photo of Francesca Woolgar, Psychologist in Ely, England
Francesca Woolgar
Psychologist, HCPC - Clin. Psych.
Verified Verified
Ely CB7  (Online Only)
Hi, I’m Francesca, a Cambridgeshire-based Highly Specialised Clinical Psychologist, registered with the HCPC. I have worked in the NHS for the last 7 years, supporting people across the lifespan with mental health difficulties and/or neurodiversity. I have a particular interest in working with young people as well as family members and carers, ensuring they receive essential support so that they can continue to help their loved ones through their difficulties. I aim to co-create a safe, therapeutic space, whilst adopting a person-centred approach so that we can develop a shared understanding of your current difficulties.
Hi, I’m Francesca, a Cambridgeshire-based Highly Specialised Clinical Psychologist, registered with the HCPC. I have worked in the NHS for the last 7 years, supporting people across the lifespan with mental health difficulties and/or neurodiversity. I have a particular interest in working with young people as well as family members and carers, ensuring they receive essential support so that they can continue to help their loved ones through their difficulties. I aim to co-create a safe, therapeutic space, whilst adopting a person-centred approach so that we can develop a shared understanding of your current difficulties.
View
Photo of Lesley Gordon Mncps Accred, Counsellor in Ely, England
Lesley Gordon Mncps Accred
Counsellor
Verified Verified
Ely CB6
Are you a bit worried about how you're feeling at the moment? Perhaps you feel you might be suffering with anxiety or depression, suffering in silence or feeling very overwhelmed. I offer caring, non judgemental, confidential counselling. Why not give me a call for a chat or drop me an email to see how I can help? Every person I help is different with a unique set of challenges, I tailor my therapy sessions to suit each client. Working in a ‘person centred’ way means I am warm, compassionate and empathetic and will understand. I also draw on my skills and knowledge from other areas of counselling to help you to find ways to cope.
Are you a bit worried about how you're feeling at the moment? Perhaps you feel you might be suffering with anxiety or depression, suffering in silence or feeling very overwhelmed. I offer caring, non judgemental, confidential counselling. Why not give me a call for a chat or drop me an email to see how I can help? Every person I help is different with a unique set of challenges, I tailor my therapy sessions to suit each client. Working in a ‘person centred’ way means I am warm, compassionate and empathetic and will understand. I also draw on my skills and knowledge from other areas of counselling to help you to find ways to cope.
01353 888769 View 01353 888769
Photo of Amanda Burns, Counsellor in Ely, England
Amanda Burns
Counsellor, MBACP
Verified Verified
Ely CB6
The search for a counsellor can feel overwhelming and it can be difficult to know where to start. I believe that successful counselling is largely determined by the rapport between the client and counsellor. If you would like to message me, we can arrange an initial consultation to discuss your reasons for thinking about counselling, what you hope to achieve and to see how well we are suited to working together.
The search for a counsellor can feel overwhelming and it can be difficult to know where to start. I believe that successful counselling is largely determined by the rapport between the client and counsellor. If you would like to message me, we can arrange an initial consultation to discuss your reasons for thinking about counselling, what you hope to achieve and to see how well we are suited to working together.
01353 885167 View 01353 885167
Photo of Helen Jennifer Johnston, Psychotherapist in Ely, England
Helen Jennifer Johnston
Psychotherapist, MBACP Accred
Verified Verified
Ely CB6
Not accepting new clients
Are you looking for support to make some changes to your mental health and wellbeing? Sometimes life throws difficulties that are hard to navigate on your own and are perhaps too difficult to share with others in your life. I offer you a warm, non-judgemental, supportive and confidential style of therapy that will give you the opportunity to untangle difficulties affecting you. I can support you to explore what is going on for you in more depth and give you insights and tools to make adjustments and transitions.
Are you looking for support to make some changes to your mental health and wellbeing? Sometimes life throws difficulties that are hard to navigate on your own and are perhaps too difficult to share with others in your life. I offer you a warm, non-judgemental, supportive and confidential style of therapy that will give you the opportunity to untangle difficulties affecting you. I can support you to explore what is going on for you in more depth and give you insights and tools to make adjustments and transitions.
01353 888772 View 01353 888772
Photo of Jess’ Hypnotherapy & Health in Ely, England
Jess’ Hypnotherapy & Health
Verified Verified
Ely CB7
I'm passionate about freeing people suffering with anxiety, depression, weight & self esteem issues. I believe a lot of us get conditioned in our life at a very young age based on our environment and the people around us. We come up with irrational ideas of ourselves that we are not good enough or different or lack something, which causes pain within. Once you have an understanding of what your mind is trying to do for you then it becomes much easier to change a behaviour, belief or habit.
I'm passionate about freeing people suffering with anxiety, depression, weight & self esteem issues. I believe a lot of us get conditioned in our life at a very young age based on our environment and the people around us. We come up with irrational ideas of ourselves that we are not good enough or different or lack something, which causes pain within. Once you have an understanding of what your mind is trying to do for you then it becomes much easier to change a behaviour, belief or habit.
01353 880911 View 01353 880911
Photo of DKS Wellbeing Services, Counsellor in Ely, England
DKS Wellbeing Services
Counsellor, MHGI
Verified Verified
Ely CB6
There are a variety of reasons why people come to counselling or psychotherapy. We all throughout our lives face difficult and challenging times and for some having additional support is all that is needed. I offer a safe place for you to unburden those concerns, voice your fears, anger, or frustration, at your own pace in a confidential, non-judgemental, and relaxed environment. My aim is to help you make sense of your feelings and help you move on in your life. The thought of having therapy can feel a bit daunting at first, fear of the unknown, but it is the first step to moving forward on your journey. One step at a time!
There are a variety of reasons why people come to counselling or psychotherapy. We all throughout our lives face difficult and challenging times and for some having additional support is all that is needed. I offer a safe place for you to unburden those concerns, voice your fears, anger, or frustration, at your own pace in a confidential, non-judgemental, and relaxed environment. My aim is to help you make sense of your feelings and help you move on in your life. The thought of having therapy can feel a bit daunting at first, fear of the unknown, but it is the first step to moving forward on your journey. One step at a time!
01366 312329 View 01366 312329
Photo of Michelle Cobb, Counsellor in Ely, England
Michelle Cobb
Counsellor, MNCPS Acc.
Verified Verified
Ely CB6
Hi, are you finding it difficult to cope, struggling with anxiety, overwhelmed with uncomfortable feelings or thoughts? Maybe you feel numb, confused, alone, and isolated, like nobody understands what you are going through and feel now is the time to reach out for support? I am a warm and caring counsellor, sensitive to your individual needs who can support you to find insight and understanding of what is happening for you. We'll work side by side in a trusting and caring environment where you will feel safe and secure. Giving rise to the possibility of positive changes and a more hopeful, stable, and happier future.
Hi, are you finding it difficult to cope, struggling with anxiety, overwhelmed with uncomfortable feelings or thoughts? Maybe you feel numb, confused, alone, and isolated, like nobody understands what you are going through and feel now is the time to reach out for support? I am a warm and caring counsellor, sensitive to your individual needs who can support you to find insight and understanding of what is happening for you. We'll work side by side in a trusting and caring environment where you will feel safe and secure. Giving rise to the possibility of positive changes and a more hopeful, stable, and happier future.
01354 704641 View 01354 704641
Photo of Anthony John Browne, Counsellor in Ely, England
Anthony John Browne
Counsellor, BACP
Verified Verified
Ely CB7
Hello, I’m Anthony and I offer face to face counselling sessions to individuals aged 16+ in the Wisbech, Ely and surroundings areas. My training, supported by my life experiences provide calm, gentle, focused sessions to help you get through whats going on for you. Even if you just dont feel right and want an unjudgemental ear to talk to about whats happening in your life. I am also a highly experienced Leadership and business coach.
Hello, I’m Anthony and I offer face to face counselling sessions to individuals aged 16+ in the Wisbech, Ely and surroundings areas. My training, supported by my life experiences provide calm, gentle, focused sessions to help you get through whats going on for you. Even if you just dont feel right and want an unjudgemental ear to talk to about whats happening in your life. I am also a highly experienced Leadership and business coach.
01353 880925 View 01353 880925
Photo of Kathy Rose, Counsellor in Ely, England
Kathy Rose
Counsellor, MA, MBACP Accred
Verified Verified
Ely CB6
I am an integrative Therapist with over 24 years of experience and an MA in Psychotherapy and counselling and am an accredited member of the BACP. I am passionate about the healing power of counselling, psychotherapy and the capacity of the human psyche to heal, develop and grow. This belief, coupled with my training and experience, underpins how I work with adults one-to-one. I can help with many areas of mental health and associated physical symptoms of: anxiety disorders, depression; underlying causes of emotional pain or distress. The process of counselling or psychotherapy can be life changing and enriching.
I am an integrative Therapist with over 24 years of experience and an MA in Psychotherapy and counselling and am an accredited member of the BACP. I am passionate about the healing power of counselling, psychotherapy and the capacity of the human psyche to heal, develop and grow. This belief, coupled with my training and experience, underpins how I work with adults one-to-one. I can help with many areas of mental health and associated physical symptoms of: anxiety disorders, depression; underlying causes of emotional pain or distress. The process of counselling or psychotherapy can be life changing and enriching.
01223 857031 View 01223 857031
Photo of Jean-Mary Myers, Counsellor in Ely, England
Jean-Mary Myers
Counsellor, BACP
Verified Verified
Ely CB6
When you are overwhelmed with challenges in life, feel stuck, or deal with mental health issues, devastating loss or trauma, it is helpful to talk with someone who can guide and support you. Counselling can help you sort through the things in your life that are important to you. When you feel understood and cared for, hopelessness leaves the room. You can then grow in courage to walk your journey without being alone.
When you are overwhelmed with challenges in life, feel stuck, or deal with mental health issues, devastating loss or trauma, it is helpful to talk with someone who can guide and support you. Counselling can help you sort through the things in your life that are important to you. When you feel understood and cared for, hopelessness leaves the room. You can then grow in courage to walk your journey without being alone.
01638 596528 View 01638 596528
Photo of Esther Mordant, Counsellor in Ely, England
Esther Mordant
Counsellor, PhD, MBACP
Verified Verified
1 Endorsed
Ely CB6
As a psychodynamic counsellor and hypnotherapist, my approach to working with clients is rooted in psychodynamic theory, which emphasises the exploration of unconscious processes and the influence of past experiences on a person's current thoughts, feelings, and actions. Here's a general outline of how I work with my clients: I shall meet with you, listen to you and together with you establish our therapeutic relationship.A safe and trusting working relationship. Once we have this we shall be ready to start exploring deep and often sensitive issues. I shall help you explore your unconscious thoughts, feelings, and conflicts.
As a psychodynamic counsellor and hypnotherapist, my approach to working with clients is rooted in psychodynamic theory, which emphasises the exploration of unconscious processes and the influence of past experiences on a person's current thoughts, feelings, and actions. Here's a general outline of how I work with my clients: I shall meet with you, listen to you and together with you establish our therapeutic relationship.A safe and trusting working relationship. Once we have this we shall be ready to start exploring deep and often sensitive issues. I shall help you explore your unconscious thoughts, feelings, and conflicts.
01354 701264 View 01354 701264
Photo of Dr Joseph Barker, Psychologist in Ely, England
Dr Joseph Barker
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Ely CB6
I’m one of the few dual qualified chartered Clinical Psychologists in the UK with over 10 years of training and experience in the NHS. I specialise in neurodiversity, trauma, anxiety, depression, and anger. I’m passionate about treating people as individuals and providing psychological therapies that recognise our unique individual differences. My work aims to help people manage their most difficult feelings and experiences and reconnect people with the most meaningful parts of their lives. I work with young people, adults, and couples from our beautiful locations in Newmarket, Cambridge, and online.
I’m one of the few dual qualified chartered Clinical Psychologists in the UK with over 10 years of training and experience in the NHS. I specialise in neurodiversity, trauma, anxiety, depression, and anger. I’m passionate about treating people as individuals and providing psychological therapies that recognise our unique individual differences. My work aims to help people manage their most difficult feelings and experiences and reconnect people with the most meaningful parts of their lives. I work with young people, adults, and couples from our beautiful locations in Newmarket, Cambridge, and online.
01638 598216 View 01638 598216
Photo of Anne L Ryan, Psychotherapist in Ely, England
Anne L Ryan
Psychotherapist, UKCP Trainee
Verified Verified
Ely CB6
My work centres around trauma, developmental trauma, emotional neglect, the highly sensitive person and the capacity to understand and express feelings and emotions. Through working with body awareness, somatically and with mindfulness breathing, you will come to understand how these feelings arise and why your body responds and behaves in the way it does; why you say things and act as you do. As you become aware of the effect of this on yourself and others, you can make informed decisions and choices on how to change this so that you live your life fully and authentically to reach its full potential.
My work centres around trauma, developmental trauma, emotional neglect, the highly sensitive person and the capacity to understand and express feelings and emotions. Through working with body awareness, somatically and with mindfulness breathing, you will come to understand how these feelings arise and why your body responds and behaves in the way it does; why you say things and act as you do. As you become aware of the effect of this on yourself and others, you can make informed decisions and choices on how to change this so that you live your life fully and authentically to reach its full potential.
01223 658145 View 01223 658145
Photo of Beatriz Serrano, Psychotherapist in Ely, England
Beatriz Serrano
Psychotherapist, MA, MUKCP
Verified Verified
1 Endorsed
Ely CB6
Hi, I am a Psychologist, Psychotherapist and a Mindfulness teacher. My training is based in Mindfulness and this could offer you a way to connect with yourself more fully and to develop practical skills for self-listening. This can be helpful if you find yourself disconnected from your feelings or having difficulties in understanding, communicating and/or relating with others.
Hi, I am a Psychologist, Psychotherapist and a Mindfulness teacher. My training is based in Mindfulness and this could offer you a way to connect with yourself more fully and to develop practical skills for self-listening. This can be helpful if you find yourself disconnected from your feelings or having difficulties in understanding, communicating and/or relating with others.
01223 869572 View 01223 869572
Photo of Fanni Frances Korany, Counsellor in Ely, England
Fanni Frances Korany
Counsellor, MBACP
Verified Verified
Ely CB7
In order to fly, all one must do is simply miss the ground - writes Douglas Adams. You will find an attuned, compassionate, therapeutic environment, where there is warmth, empathy, an active interest in your needs and strengths, as well as acceptance of, all of your experiences. I seek to provide containment for pain and distress that you may be going through so that you feel safe to open up and explore options for your complex life challenges. I am an experienced, BACP-registered Relationship Counsellor, working for Relate Cambridge, as an Individual, Couple and Family Counsellor, as well as a Psychosexual Therapist.
In order to fly, all one must do is simply miss the ground - writes Douglas Adams. You will find an attuned, compassionate, therapeutic environment, where there is warmth, empathy, an active interest in your needs and strengths, as well as acceptance of, all of your experiences. I seek to provide containment for pain and distress that you may be going through so that you feel safe to open up and explore options for your complex life challenges. I am an experienced, BACP-registered Relationship Counsellor, working for Relate Cambridge, as an Individual, Couple and Family Counsellor, as well as a Psychosexual Therapist.
01223 658037 View 01223 658037
Photo of Caroline Crane, Counsellor in Ely, England
Caroline Crane
Counsellor, MBACP
Verified Verified
Ely CB7  (Online Only)
Has something happened and your world’s been turned upside down? Do you feel lost? It’s common for everyone to experience bumps in the road of life; but what happens when you just don’t know how to deal with those bumps? Perhaps you talk to family, friends or colleagues, maybe you just keep it all in, cross your fingers and hope for the best. Talking things over is known to help, especially when you are really listened to by someone who doesn’t judge you or tell you what to do, all in confidence. You might not realise it yet, but you are the expert on your own life and counselling can give you the keys to unlock that expertise.
Has something happened and your world’s been turned upside down? Do you feel lost? It’s common for everyone to experience bumps in the road of life; but what happens when you just don’t know how to deal with those bumps? Perhaps you talk to family, friends or colleagues, maybe you just keep it all in, cross your fingers and hope for the best. Talking things over is known to help, especially when you are really listened to by someone who doesn’t judge you or tell you what to do, all in confidence. You might not realise it yet, but you are the expert on your own life and counselling can give you the keys to unlock that expertise.
07830 354586 View 07830 354586

See more therapy options for Ely

How does your Counsellor compare?

Number of Counsellors in Ely

20+

Average cost per session

£57

Counsellors in Ely who prioritize treating:

95% Anxiety
91% Depression
86% Relationship Issues
82% Self Esteem
77% Stress
73% Family Conflict
68% Trauma and PTSD

Average years in practice

14 Years

Top 3 insurances accepted

67% Aviva
33% Cigna and Evernorth
33% AXA PPP

How Counsellors in Ely see their clients

91% In Person and Online
9% Online Only

Gender breakdown

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

How can I find a therapist in Ely?

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.