Counselling in Barton Seagrave

Photo of Jackie Sawford - Jackie Sawford Counselling, Counsellor, ACC-AC
Jackie Sawford Counselling
Counsellor, ACC-AC
Verified Verified
You may have visited this webpage because you, or a friend or loved one, is feeling unhappy, overwhelmed by life, struggling with a particular life event, or emotional issue, or simply feeling ‘stuck’. You may want support to explore those things that matter most to you, or to go deeper, with help, to enable healing from past or present experiences or hurts. My name is Jackie and I am a registered and accredited person centred counsellor in private practice with over 17 years experience in a role I am passionate about. I am here to walk alongside you in your journey of therapeutic discovery back to wellbeing and health.
You may have visited this webpage because you, or a friend or loved one, is feeling unhappy, overwhelmed by life, struggling with a particular life event, or emotional issue, or simply feeling ‘stuck’. You may want support to explore those things that matter most to you, or to go deeper, with help, to enable healing from past or present experiences or hurts. My name is Jackie and I am a registered and accredited person centred counsellor in private practice with over 17 years experience in a role I am passionate about. I am here to walk alongside you in your journey of therapeutic discovery back to wellbeing and health.
01536 907356 View 01536 907356

More Therapists Nearby

Photo of Anya Amrith, Psychotherapist, MA, UKCP Trainee
Anya Amrith
Psychotherapist, MA, UKCP Trainee
Verified Verified
7 Endorsed
Turweston NN13
Life can be challenging. It may feel like something is holding you back or perhaps you can’t feel yourself really living. You may have developed coping mechanisms that are negatively impacting your life. Parts of you may feel lost, disconnected or numb whilst you function through your daily life. Talking can be hard to do, even with those around you. I work with adults and young people in a trauma-informed way that is safe, gentle and compassionate to work towards real change. I specialise in eating disorders, sexual abuse, self-esteem, panic attacks, anxiety, depression, autism, ADHD, relationship issues, PTSD/CPTSD and identity.
Life can be challenging. It may feel like something is holding you back or perhaps you can’t feel yourself really living. You may have developed coping mechanisms that are negatively impacting your life. Parts of you may feel lost, disconnected or numb whilst you function through your daily life. Talking can be hard to do, even with those around you. I work with adults and young people in a trauma-informed way that is safe, gentle and compassionate to work towards real change. I specialise in eating disorders, sexual abuse, self-esteem, panic attacks, anxiety, depression, autism, ADHD, relationship issues, PTSD/CPTSD and identity.
01280 733127 View 01280 733127
Photo of Georgina Simmons - Georgie Simmons, Psychotherapist, MNCPS Acc.
Georgie Simmons
Psychotherapist, MNCPS Acc.
Verified Verified
Serves Area
I am a professional psychotherapist specialising in supporting both adults and children/young people. Whether you're dealing with excessive worry, emotional challenges, experiencing difficult life events, mental health difficulties or personal struggles, I’m here for you. I provide a warm, inclusive, and calm space where I am fully committed to supporting you on your personal journey. I prioritise your needs and empower you to lead sessions, exploring what matters most to you. Together, we’ll help you better understand yourself, uncover solutions, gain clarity, make meaningful changes, or develop healthier coping strategies.
I am a professional psychotherapist specialising in supporting both adults and children/young people. Whether you're dealing with excessive worry, emotional challenges, experiencing difficult life events, mental health difficulties or personal struggles, I’m here for you. I provide a warm, inclusive, and calm space where I am fully committed to supporting you on your personal journey. I prioritise your needs and empower you to lead sessions, exploring what matters most to you. Together, we’ll help you better understand yourself, uncover solutions, gain clarity, make meaningful changes, or develop healthier coping strategies.
01275 402807 View 01275 402807
Photo of Ian Stockbridge - Hope Therapy & Counselling Services, Counsellor, MBACP Accred
Hope Therapy & Counselling Services
Counsellor, MBACP Accred
Verified Verified
Serves Area
I am a skilled Counsellor specialising in Cognitive Behavioural Therapy (CBT) and Counseling Supervision. With a Bachelor's degree in CBT, a Diploma in Counselling, and a Level 7 Postgraduate qualification in Counselling Supervision, I am dedicated to providing personalised support for challenges such as anxiety, depression, anger management, relationship issues, self-confidence, and self-esteem. Qualifications: BSc in Cognitive Behavioural Therapy (CBT): My academic foundation equips me with principles and techniques for addressing cognitive and behavioural patterns linked to mental health concerns.
I am a skilled Counsellor specialising in Cognitive Behavioural Therapy (CBT) and Counseling Supervision. With a Bachelor's degree in CBT, a Diploma in Counselling, and a Level 7 Postgraduate qualification in Counselling Supervision, I am dedicated to providing personalised support for challenges such as anxiety, depression, anger management, relationship issues, self-confidence, and self-esteem. Qualifications: BSc in Cognitive Behavioural Therapy (CBT): My academic foundation equips me with principles and techniques for addressing cognitive and behavioural patterns linked to mental health concerns.
07480 559808 View 07480 559808
Photo of Kevin Powell - Insight Northampton, Counsellor, MBACP
Insight Northampton
Counsellor, MBACP
Verified Verified
Hello; my name is Kevin and thank you for visiting my profile. How does it make you feel when attempting to share your thoughts and feelings with others when they respond by saying: I know how you feel, sort yourself out, Man up, you should do it this way, pull yourself together, you will get over it. You are a unique individual, your feelings are unique to you and deserve to be accepted and valued.
Hello; my name is Kevin and thank you for visiting my profile. How does it make you feel when attempting to share your thoughts and feelings with others when they respond by saying: I know how you feel, sort yourself out, Man up, you should do it this way, pull yourself together, you will get over it. You are a unique individual, your feelings are unique to you and deserve to be accepted and valued.
01604 420654 View 01604 420654
Photo of John Bernath, Psychotherapist, MSc, MUKCP
John Bernath
Psychotherapist, MSc, MUKCP
Verified Verified
Serves Area
You’re Here for a Reason. Let’s Get to Work. Life is messy. Therapy doesn’t need to be. You probably don’t want another spiel about ‘safe spaces’ or vague promises about ‘finding clarity’—you’ve read enough of that already. No doubt they’re important, but let’s focus on what matters most: understanding what’s holding you back and working on it. I won’t give you platitudes. Instead, we move into action. Whether it’s breaking old habits, managing stress, or just feeling like yourself again, we’ll take it one step at a time.
You’re Here for a Reason. Let’s Get to Work. Life is messy. Therapy doesn’t need to be. You probably don’t want another spiel about ‘safe spaces’ or vague promises about ‘finding clarity’—you’ve read enough of that already. No doubt they’re important, but let’s focus on what matters most: understanding what’s holding you back and working on it. I won’t give you platitudes. Instead, we move into action. Whether it’s breaking old habits, managing stress, or just feeling like yourself again, we’ll take it one step at a time.
0115 697 1143 View 0115 697 1143
Photo of Nimisha Marrum, Counsellor, MSc, MBACP
Nimisha Marrum
Counsellor, MSc, MBACP
Verified Verified
I am a BACP registered independent therapist with a special interest in women’s mental health and young adults. I have worked with a broad spectrum of people over the last 25 years both privately and for the public sector including the NHS and higher education. I have also volunteered at Rape Crisis and a Women’s Centre and retain a strong interest in women’s issues. Working in corporate and legal environments has also given me a unique insight into the demands corporate life places on people, both in terms of their physical and mental wellbeing. I am particularly experienced with helping people to manage anxiety.
I am a BACP registered independent therapist with a special interest in women’s mental health and young adults. I have worked with a broad spectrum of people over the last 25 years both privately and for the public sector including the NHS and higher education. I have also volunteered at Rape Crisis and a Women’s Centre and retain a strong interest in women’s issues. Working in corporate and legal environments has also given me a unique insight into the demands corporate life places on people, both in terms of their physical and mental wellbeing. I am particularly experienced with helping people to manage anxiety.
07778 969934 View 07778 969934
Photo of Dr Lisa Dvorjetz, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Lisa Dvorjetz
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
1 Endorsed
Sometimes we struggle with things in our lives that we don't feel we can (or want to) talk to those closest to us about. Sometimes we feel lost, ashamed or want to gain more insight into something. This is where seeing a therapist can help you.
Sometimes we struggle with things in our lives that we don't feel we can (or want to) talk to those closest to us about. Sometimes we feel lost, ashamed or want to gain more insight into something. This is where seeing a therapist can help you.
020 4530 8485 View 020 4530 8485
Photo of Amy Brennan, Counsellor, MSc, BACP
Amy Brennan
Counsellor, MSc, BACP
Verified Verified
Online Only
Do you feel completely overwhelmed, as if life is a constant battle? Do you question whether you are a good enough mum, and feel as though everyone else knows some secret that you don’t? You never thought being a mum would be this hard, why do you feel so upset caring for those you love? You endlessly strive to do more, to be more, but it never feels enough? You search for the answers, for some magic to make things easier, but rather than finding answers you feel more confused and overwhelmed.
Do you feel completely overwhelmed, as if life is a constant battle? Do you question whether you are a good enough mum, and feel as though everyone else knows some secret that you don’t? You never thought being a mum would be this hard, why do you feel so upset caring for those you love? You endlessly strive to do more, to be more, but it never feels enough? You search for the answers, for some magic to make things easier, but rather than finding answers you feel more confused and overwhelmed.
01536 907226 View 01536 907226
Photo of Jasmer Chauhan, Psychotherapist, MA, BACP
Jasmer Chauhan
Psychotherapist, MA, BACP
Verified Verified
Thank you for taking the time to read my profile among the many others on this site. I understand that finding the right therapist for your needs can be challenging. My name is Jasmer Chauhan, and I am a qualified integrative psychotherapist.  Choosing the right therapist is crucial in embarking on a journey toward personal growth and healing. That is why I offer a free initial consultation. This provides an opportunity for you to discuss your concerns and ask any questions about therapy, my approach, and my practice.
Thank you for taking the time to read my profile among the many others on this site. I understand that finding the right therapist for your needs can be challenging. My name is Jasmer Chauhan, and I am a qualified integrative psychotherapist.  Choosing the right therapist is crucial in embarking on a journey toward personal growth and healing. That is why I offer a free initial consultation. This provides an opportunity for you to discuss your concerns and ask any questions about therapy, my approach, and my practice.
01908 103162 View 01908 103162
Photo of Dr Jean-François Jacques, Psychotherapist, PhD, HCPC-Drama Therap.
Dr Jean-François Jacques
Psychotherapist, PhD, HCPC-Drama Therap.
Verified Verified
Bedford MK41
You may be facing some personal difficulties or struggles that you wish could be resolved. These may be a persistent low mood, a recurrent anxiety, a recent or past traumatic experience, a lack of meaning or direction in life, an anger issue, the loss of a loved one, a relationship breakdown, a feeling of guilt or shame, a difficult life transition, or a more enduring and chronic mental health difficulty. You may want to seek ways of working through these personal challenges, of alleviating their burden, and of leading a more fulfilling life. Or you may be feeling the psychological and physical impact of long term health conditions.
You may be facing some personal difficulties or struggles that you wish could be resolved. These may be a persistent low mood, a recurrent anxiety, a recent or past traumatic experience, a lack of meaning or direction in life, an anger issue, the loss of a loved one, a relationship breakdown, a feeling of guilt or shame, a difficult life transition, or a more enduring and chronic mental health difficulty. You may want to seek ways of working through these personal challenges, of alleviating their burden, and of leading a more fulfilling life. Or you may be feeling the psychological and physical impact of long term health conditions.
01234 866306 View 01234 866306
Photo of Roshmi Shraboni Lovatt - BodhiSpace Ltd, Psychotherapist, MA
BodhiSpace Ltd
Psychotherapist, MA
Verified Verified
Olney MK46
Welcome to BodhiSpace. When modern life takes its toll on our emotional and mental health, you or someone you care about may experience symptoms of anxiety, depression, stress, trauma or other distress. These may be new symptoms which have suddenly emerged or they may be familiar symptoms originating in past experiences. Our services cater for adults, children, young people and families, and our therapists offer a range of different techniques to suit individual needs. If reaching out feels difficult and costly, our free initial phone consultation will allow you to explore what you need at your own pace and make an informed choice.
Welcome to BodhiSpace. When modern life takes its toll on our emotional and mental health, you or someone you care about may experience symptoms of anxiety, depression, stress, trauma or other distress. These may be new symptoms which have suddenly emerged or they may be familiar symptoms originating in past experiences. Our services cater for adults, children, young people and families, and our therapists offer a range of different techniques to suit individual needs. If reaching out feels difficult and costly, our free initial phone consultation will allow you to explore what you need at your own pace and make an informed choice.
07723 445038 View 07723 445038
Photo of Carly Brown, Counsellor, DCounsPsych, BACP
Carly Brown
Counsellor, DCounsPsych, BACP
Verified Verified
Olney MK46
There are many reasons why you might reach out for counselling such as a challenging life event, transitional periods, seeking self -discovery or wanting to manage anxiety. Finding the right counsellor to share difficult thoughts and feelings with can be incredibly daunting. Studies show that the most important factor in the success of your treatment is your relationship with your therapist and the experience of feeling felt and heard. I provide a safe and compassionate environment that helps guide you towards your goals.
There are many reasons why you might reach out for counselling such as a challenging life event, transitional periods, seeking self -discovery or wanting to manage anxiety. Finding the right counsellor to share difficult thoughts and feelings with can be incredibly daunting. Studies show that the most important factor in the success of your treatment is your relationship with your therapist and the experience of feeling felt and heard. I provide a safe and compassionate environment that helps guide you towards your goals.
01234 860927 View 01234 860927
Photo of Nicole Keep, Psychotherapist, MA, MBACP
Nicole Keep
Psychotherapist, MA, MBACP
Verified Verified
Im a counsellor and psychotherapist and have been supporting people for ten years. I work with adults (individuals and couples) and offer a safe, confidential, and compassionate space to support you. I support with anxiety and depression, couples/relationship problems including divorce/separation, codependency, narcissism, family issues, inner child work, trauma, adults with childhood trauma, postnatal depression and birth trauma, nervous system and somatic therapy, IFS, bereavement, and much more. I tailor my approach to your needs so I can ensure you get the best possible support. Please get in touch.
Im a counsellor and psychotherapist and have been supporting people for ten years. I work with adults (individuals and couples) and offer a safe, confidential, and compassionate space to support you. I support with anxiety and depression, couples/relationship problems including divorce/separation, codependency, narcissism, family issues, inner child work, trauma, adults with childhood trauma, postnatal depression and birth trauma, nervous system and somatic therapy, IFS, bereavement, and much more. I tailor my approach to your needs so I can ensure you get the best possible support. Please get in touch.
01858 435169 View 01858 435169
Photo of Claire Leonard - Enhancing Futures Ltd, Psychologist, HCPC - Clin. Psych.
Enhancing Futures Ltd
Psychologist, HCPC - Clin. Psych.
Verified Verified
Rugby CV21
With over 10 years NHS expertise in mental health, specifically working with people with Autism, Learning Disabilities and other Special Educational Needs, Dr Claire Leonard of Enhancing Futures Ltd offers a person-centred, compassionate support service. Her specialist interests include complex genetic health presentations, attachment difficulties, and supporting siblings. She uses an integrative approach to understanding presentations, building on systemic, compassion-focussed, acceptance-commitment, behavioural and attachment based therapies.
With over 10 years NHS expertise in mental health, specifically working with people with Autism, Learning Disabilities and other Special Educational Needs, Dr Claire Leonard of Enhancing Futures Ltd offers a person-centred, compassionate support service. Her specialist interests include complex genetic health presentations, attachment difficulties, and supporting siblings. She uses an integrative approach to understanding presentations, building on systemic, compassion-focussed, acceptance-commitment, behavioural and attachment based therapies.
01788 229710 View 01788 229710
Photo of Yvonne Walker, Psychotherapist, MSc, MBACP
Yvonne Walker
Psychotherapist, MSc, MBACP
Verified Verified
Bedford MK40
I am an experienced, BACP registered psychodynamic psychotherapist working with adults in Bedford and Milton Keynes and online. I help individuals explore unconscious thoughts, processes and feelings to work towards a greater understanding of themselves and their lives. I work with a wide range of issues, including anxiety, stress, codependency and relationship issues. Therapy provides a safe and confidential space to explore difficult emotions and feelings, resulting from past experiences or traumas.
I am an experienced, BACP registered psychodynamic psychotherapist working with adults in Bedford and Milton Keynes and online. I help individuals explore unconscious thoughts, processes and feelings to work towards a greater understanding of themselves and their lives. I work with a wide range of issues, including anxiety, stress, codependency and relationship issues. Therapy provides a safe and confidential space to explore difficult emotions and feelings, resulting from past experiences or traumas.
01234 230198 View 01234 230198
Photo of Kate O'Donnell, Counsellor, MBACP
Kate O'Donnell
Counsellor, MBACP
Verified Verified
Hello I’m Kate, I know that taking the first step to come to therapy can be daunting but my aim is to offer you a safe space where you can truly be yourself.
Hello I’m Kate, I know that taking the first step to come to therapy can be daunting but my aim is to offer you a safe space where you can truly be yourself.
01295 237366 View 01295 237366
Photo of Dr Luke Ward, Counsellor, PhD, MBACP Accred
Dr Luke Ward
Counsellor, PhD, MBACP Accred
Verified Verified
Online Only
Are you looking for a counsellor who is affirming of gender, sexual, and relationship diversity so you can bring your whole self without the worry of having to educate them about your identities? Have you experienced some kind of trauma and want to ensure your counsellor is informed, experienced, and practising within European trauma protocol? I bring a wealth of experience in both of these areas from my previous work, my research, and my studies.
Are you looking for a counsellor who is affirming of gender, sexual, and relationship diversity so you can bring your whole self without the worry of having to educate them about your identities? Have you experienced some kind of trauma and want to ensure your counsellor is informed, experienced, and practising within European trauma protocol? I bring a wealth of experience in both of these areas from my previous work, my research, and my studies.
View
Photo of Kate Darbon - Imprint of Life - Holistic Wellbeing , Counsellor, MA, MBACP
Imprint of Life - Holistic Wellbeing
Counsellor, MA, MBACP
Verified Verified
Are you ready to connect with yourself and heal from within?  Reaching out for support can feel overwhelming and maybe a little scary. It can be hard to know what to expect and it can seem as though the hill that you are climbing is so steep and you have no idea how therapy can change how you feel about yourself and your world. I felt the same many years ago. But, for me, therapy changed everything. We are made up of years of experiences; some sad, some happy, some testing, some traumatic, and some even devastating. There is a reason for everything that we do, think, and feel. We are informed by our experiences.
Are you ready to connect with yourself and heal from within?  Reaching out for support can feel overwhelming and maybe a little scary. It can be hard to know what to expect and it can seem as though the hill that you are climbing is so steep and you have no idea how therapy can change how you feel about yourself and your world. I felt the same many years ago. But, for me, therapy changed everything. We are made up of years of experiences; some sad, some happy, some testing, some traumatic, and some even devastating. There is a reason for everything that we do, think, and feel. We are informed by our experiences.
01327 228524 View 01327 228524
Photo of Paula Davenport, Counsellor, MSc, MBACP
Paula Davenport
Counsellor, MSc, MBACP
Verified Verified
Online Only
Hi I'm Paula, thank you for taking the time to read my profile. Looking for a counsellor can be a daunting experience and finding the right counsellor for you is a very important decision. One of the most important parts is finding a counsellor you 'click' with. My approach to therapy is to be a calm, compassionate presence, down to earth but also practical. We often want practical tools and knowledge to help make changes or face life's ups and downs. I aim to help you learn about yourself, process how you feel, cope better and find new ways to move forward.
Hi I'm Paula, thank you for taking the time to read my profile. Looking for a counsellor can be a daunting experience and finding the right counsellor for you is a very important decision. One of the most important parts is finding a counsellor you 'click' with. My approach to therapy is to be a calm, compassionate presence, down to earth but also practical. We often want practical tools and knowledge to help make changes or face life's ups and downs. I aim to help you learn about yourself, process how you feel, cope better and find new ways to move forward.
01536 907233 View 01536 907233

How does your Counsellor compare?

Number of Counsellors in Barton Seagrave

< 10

Counsellors in Barton Seagrave who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% ADHD
100% Eating Disorders
100% Infertility
100% Bereavement

Average years in practice

21 Years

Gender breakdown

100% Female

How Counsellors in Barton Seagrave see their clients

100% In Person and Online
FAQs - About Therapy and Counselling

How can I find a therapist in Barton Seagrave?

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.