Counselling in Goole

Photo of Tracey Lewis-Knowles - Women in Bloom Psychology, Psychologist, HCPC - Forensic Psych.
Women in Bloom Psychology
Psychologist, HCPC - Forensic Psych.
Goole DN14
Hi, I’m Tracey, I specialise in psychological assessment and therapy for women. Are you feeling overwhelmed? Are you struggling with anxiety, depression, relationships, pregnancy and motherhood, perimenopause/menopause, bereavements, traumas? As women, there can be many unique challenges and life transitions to face. Having a safe space to reflect on what's happening for you, to connect with the emotional impacts, and discover how you can learn to adapt is vital. It lets you build your sense of strength and resilience and ultimately, it encourages you to heal and continue to grow despite what life has thrown your way.
Hi, I’m Tracey, I specialise in psychological assessment and therapy for women. Are you feeling overwhelmed? Are you struggling with anxiety, depression, relationships, pregnancy and motherhood, perimenopause/menopause, bereavements, traumas? As women, there can be many unique challenges and life transitions to face. Having a safe space to reflect on what's happening for you, to connect with the emotional impacts, and discover how you can learn to adapt is vital. It lets you build your sense of strength and resilience and ultimately, it encourages you to heal and continue to grow despite what life has thrown your way.
01405 807488 View 01405 807488
Photo of Christine Ann Walsh - CBT-Chrissi Walsh, Psychotherapist, MBABCP
CBT-Chrissi Walsh
Psychotherapist, MBABCP
Goole DN14
Hi, I’m a Cognitive Behavioural Psychotherapist, fully accredited with the BABCP. I’m also a Registered Mental Health Nurse and have over 20 years of experience of working in the NHS Mental Health Services. I offer private CBT therapy to those clients who would prefer to be access therapy straightaway rather than being on a waiting list. My clinical expertise is working with adults ( 18+) who are struggling with Depression, Generalised Anxiety Disorder, Obsessive Compulsive Disorder and Low Self Esteem.
Hi, I’m a Cognitive Behavioural Psychotherapist, fully accredited with the BABCP. I’m also a Registered Mental Health Nurse and have over 20 years of experience of working in the NHS Mental Health Services. I offer private CBT therapy to those clients who would prefer to be access therapy straightaway rather than being on a waiting list. My clinical expertise is working with adults ( 18+) who are struggling with Depression, Generalised Anxiety Disorder, Obsessive Compulsive Disorder and Low Self Esteem.
01977 804692 View 01977 804692
Photo of Julie dimmack - JD Counselling Therapy and Supervision , Counsellor, DCounsPsych, MNCPS Acc.
JD Counselling Therapy and Supervision
Counsellor, DCounsPsych, MNCPS Acc.
Goole DN14
If you are feeling like things are getting you down and preventing you leading your life the way you would like to, perhaps you may feel anxious or depressed and feel you have lost your self-esteem and belief in yourself, this could be through difficult life events like stress, relationship, bereavement or something that happened to you in the past. Taking back control of your life and living the way you want to can be helped with therapy to gain a more positive happier future.
If you are feeling like things are getting you down and preventing you leading your life the way you would like to, perhaps you may feel anxious or depressed and feel you have lost your self-esteem and belief in yourself, this could be through difficult life events like stress, relationship, bereavement or something that happened to you in the past. Taking back control of your life and living the way you want to can be helped with therapy to gain a more positive happier future.
01405 807474 View 01405 807474
Photo of Gwynneth Sylvia Cartwrightt - Talking with Gwynne, Counsellor, MSc, MBACP
Talking with Gwynne
Counsellor, MSc, MBACP
Goole DN14
Are you puzzled why 'things' are not working out for you ? Do you feel 'stressed all the time ? Are you curious about why you are the person you are ? Why you live the life you do ? Is there a pattern you recognise about yourself, that you 'don't get' but seems unchangeable? Do you feel 'stuck' and unable to live the life you want? Does that desire to live the best life you can seem limited by illness or a potential or actual genetic blue print that isn't changeable ? If you have any of these thoughts or similar, then I can help you to find your answers. I have energy, experience, resources and commitment for this work with you.
Are you puzzled why 'things' are not working out for you ? Do you feel 'stressed all the time ? Are you curious about why you are the person you are ? Why you live the life you do ? Is there a pattern you recognise about yourself, that you 'don't get' but seems unchangeable? Do you feel 'stuck' and unable to live the life you want? Does that desire to live the best life you can seem limited by illness or a potential or actual genetic blue print that isn't changeable ? If you have any of these thoughts or similar, then I can help you to find your answers. I have energy, experience, resources and commitment for this work with you.
01405 808207 View 01405 808207
Photo of James Bailey - Chestnut Counselling, Counsellor, MBACP
Chestnut Counselling
Counsellor, MBACP
Serves Area
Hello, my name is James. Sometimes life can feel uncertain, overwhelming, painful or isolating. Whatever you’re facing, you don’t have to face it alone. Chestnut Counselling offers a confidential, empathetic space where you can explore your thoughts, feelings, and emotions safely, without judgement, and at a pace that feels right for you. Many clients seek therapy to better understand themselves, navigate life’s challenges, or find relief from anxiety, stress, or low mood. Whatever your reasons, counselling can support you in gaining deeper clarity, building self-awareness, and moving towards a more fulfilling life.
Hello, my name is James. Sometimes life can feel uncertain, overwhelming, painful or isolating. Whatever you’re facing, you don’t have to face it alone. Chestnut Counselling offers a confidential, empathetic space where you can explore your thoughts, feelings, and emotions safely, without judgement, and at a pace that feels right for you. Many clients seek therapy to better understand themselves, navigate life’s challenges, or find relief from anxiety, stress, or low mood. Whatever your reasons, counselling can support you in gaining deeper clarity, building self-awareness, and moving towards a more fulfilling life.
01757 607063 View 01757 607063
Photo of Anna Doyle, Psychotherapist, MSc, UKCP Trainee
Anna Doyle
Psychotherapist, MSc, UKCP Trainee
Serves Area
Waitlist for new clients
Hi, my name is Anna. I work with long- and short-term clients dealing with a range of complex mental health problems. There is a myriad of reasons you might be seeking out therapy; Anxiety, depression, trauma, bereavement, relationship issues – or perhaps you’re not sure what the problem is, you just know that you’re unfulfilled and unhappy.
Hi, my name is Anna. I work with long- and short-term clients dealing with a range of complex mental health problems. There is a myriad of reasons you might be seeking out therapy; Anxiety, depression, trauma, bereavement, relationship issues – or perhaps you’re not sure what the problem is, you just know that you’re unfulfilled and unhappy.
01427 800498 View 01427 800498
Photo of Gareth Young, Counsellor, MBACP
Gareth Young
Counsellor, MBACP
Serves Area
A warm welcome to Rainbow Hearts Counselling my name is Gareth and I’m based in Doncaster. I offer a safe, non-judgmental space for you to explore your thoughts, feelings and experiences. I will walk by your side as you lead the way on your journey to find your rainbow again, no matter how big the storm may have been. Our lifestyles can be so busy and overwhelming, leaving us feeling drained, counselling offers you a break from this. You deserve to be heard, understood and accepted for who you are regardless of what you may have been through in life.
A warm welcome to Rainbow Hearts Counselling my name is Gareth and I’m based in Doncaster. I offer a safe, non-judgmental space for you to explore your thoughts, feelings and experiences. I will walk by your side as you lead the way on your journey to find your rainbow again, no matter how big the storm may have been. Our lifestyles can be so busy and overwhelming, leaving us feeling drained, counselling offers you a break from this. You deserve to be heard, understood and accepted for who you are regardless of what you may have been through in life.
01302 490585 View 01302 490585
Photo of Hilary Cartmel-Batty, Counsellor, MBACP
Hilary Cartmel-Batty
Counsellor, MBACP
Serves Area
People come to counselling a for a wide range of issues ranging from trauma, PTSD to making a decision that is proving difficult to navigate or simply needing a space to talk without judgement. You may have a goal in mind and are unsure how to achieve it or are in an unfulfilling relationship and need some guidance. I work pluralistically which means that I tailor therapy to your needs, for example you may like to work creatively or you may like to use traditional talking therapy, if it is within my training remit I am happy to give it a try!
People come to counselling a for a wide range of issues ranging from trauma, PTSD to making a decision that is proving difficult to navigate or simply needing a space to talk without judgement. You may have a goal in mind and are unsure how to achieve it or are in an unfulfilling relationship and need some guidance. I work pluralistically which means that I tailor therapy to your needs, for example you may like to work creatively or you may like to use traditional talking therapy, if it is within my training remit I am happy to give it a try!
01757 602058 View 01757 602058
Photo of Samantha Wilkinson, Counsellor, MBACP
Samantha Wilkinson
Counsellor, MBACP
Goole DN14
01405 800594 View 01405 800594

More Therapists Nearby

Photo of Annika Giles, Counsellor, MBACP
Annika Giles
Counsellor, MBACP
York YO30
Do you begin your day feeling anxious, low and lack of motivation, wondering your life is not going where you want to be?  Maybe you wake up during the night worrying and stressed about the day ahead? Are you wondering why you feel so lost and lonely, not fitting in whether it is relationship with your partner, family members, friends or even colleagues at work.  Maybe you are a couple feeling increasingly unhappy, fed up and tired with constant arguing or not talking about things?   You are worried about the future of your relationship?
Do you begin your day feeling anxious, low and lack of motivation, wondering your life is not going where you want to be?  Maybe you wake up during the night worrying and stressed about the day ahead? Are you wondering why you feel so lost and lonely, not fitting in whether it is relationship with your partner, family members, friends or even colleagues at work.  Maybe you are a couple feeling increasingly unhappy, fed up and tired with constant arguing or not talking about things?   You are worried about the future of your relationship?
01347 667207 View 01347 667207
Photo of Dr Eve da Silva, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Eve da Silva
Psychologist, PsychD, HCPC - Clin. Psych.
1 Endorsed
Leeds LS7
When we first meet, we will aim to get to know each other a little better to establish whether working with me feels like a good fit for you. I am committed to the continuous practice of developing cultural competence. This means that when you meet me, I will be interested in your background, and be open to honest conversations that help us build a safe, trusting relationship. My aim is to create an environment that allows you to share freely. I will explore with you in this session the information that seems most pertinent to the key changes you would hope to make in therapy.
When we first meet, we will aim to get to know each other a little better to establish whether working with me feels like a good fit for you. I am committed to the continuous practice of developing cultural competence. This means that when you meet me, I will be interested in your background, and be open to honest conversations that help us build a safe, trusting relationship. My aim is to create an environment that allows you to share freely. I will explore with you in this session the information that seems most pertinent to the key changes you would hope to make in therapy.
020 4572 9397 View 020 4572 9397
Photo of Jon Firth, Counsellor, PNCPS Acc.
Jon Firth
Counsellor, PNCPS Acc.
Serves Area
Most likely you are thinking about engaging with me because you are in pain/difficulty that has become too much to bear and you need relief and resolution, or to work at a deeper level to prevent a returning difficulty. People seek Therapy for many different reasons - we are all unique and that is OK Some presenting issues you will have heard of : Relationship / Couples Problems. Trauma / PTSD/CPTSD. Addiction. Anxiety. Depression. Self Worth. Anger / other Emotional Regulation. Online or In Person Available. (Clarification: Communities / Allied on Psychology Today - I have experience of Clients/people from within these groups)
Most likely you are thinking about engaging with me because you are in pain/difficulty that has become too much to bear and you need relief and resolution, or to work at a deeper level to prevent a returning difficulty. People seek Therapy for many different reasons - we are all unique and that is OK Some presenting issues you will have heard of : Relationship / Couples Problems. Trauma / PTSD/CPTSD. Addiction. Anxiety. Depression. Self Worth. Anger / other Emotional Regulation. Online or In Person Available. (Clarification: Communities / Allied on Psychology Today - I have experience of Clients/people from within these groups)
07723 425492 View 07723 425492
Photo of Momtaz Ali Shafi, Counsellor, MBACP
Momtaz Ali Shafi
Counsellor, MBACP
1 Endorsed
Leeds LS7
Hello and Welcome! My name is Momtaz, and I am a person-centred counsellor. With decades of experience working in various educational settings ranging from primary and secondary schools to university environments. I have had the privilege of motivating and empowering children and young people to achieve success. Throughout my career as an educator, I’ve had the opportunity to work with individuals from diverse backgrounds, which ultimately inspired my journey into counselling. I believe my ability to connect with people from all walks of life allows me to support them in reflecting, growing, and gaining autonomy.
Hello and Welcome! My name is Momtaz, and I am a person-centred counsellor. With decades of experience working in various educational settings ranging from primary and secondary schools to university environments. I have had the privilege of motivating and empowering children and young people to achieve success. Throughout my career as an educator, I’ve had the opportunity to work with individuals from diverse backgrounds, which ultimately inspired my journey into counselling. I believe my ability to connect with people from all walks of life allows me to support them in reflecting, growing, and gaining autonomy.
0113 519 8748 View 0113 519 8748
Photo of Sue Rourke, Counsellor, MBACP
Sue Rourke
Counsellor, MBACP
York YO30
I am an experienced couples and individuals counsellor. If you are reading this, I imagine you are experiencing some difficult issues in your life. It may be life has recently changed, new challenges have appeared, or you may have always felt life was difficult, and you need to explore issues that are causing you pain and making you feel unhappy. It takes great strength to realise that life’s issues are becoming overwhelming, and together, we can explore your situation and help you understand yourself. I do an immense amount of work with couples regarding relationship issues and goals as well.
I am an experienced couples and individuals counsellor. If you are reading this, I imagine you are experiencing some difficult issues in your life. It may be life has recently changed, new challenges have appeared, or you may have always felt life was difficult, and you need to explore issues that are causing you pain and making you feel unhappy. It takes great strength to realise that life’s issues are becoming overwhelming, and together, we can explore your situation and help you understand yourself. I do an immense amount of work with couples regarding relationship issues and goals as well.
01751 201706 View 01751 201706
Photo of Sally Loaring, Counsellor, MA, MBACP
Sally Loaring
Counsellor, MA, MBACP
York YO24
I believe that when people talk change can happen. If you have been the victim of Domestic abuse and violence, are coming to terms with childhood abuse and making sense of how this has impacted you now, are looking at loss and bereavement or making sense of your time at Boarding School, I may be a good fit for you.
I believe that when people talk change can happen. If you have been the victim of Domestic abuse and violence, are coming to terms with childhood abuse and making sense of how this has impacted you now, are looking at loss and bereavement or making sense of your time at Boarding School, I may be a good fit for you.
01904 917515 View 01904 917515
Photo of Dr Sally Conway, Psychologist, HCPC - Clin. Psych.
Dr Sally Conway
Psychologist, HCPC - Clin. Psych.
Serves Area
Waitlist for new clients
Gentle therapy and coaching to nurture healing and reconnect you with your true self. Do you feel overwhelmed by stress, stuck in overthinking, or weighed down by painful memories? Perhaps you’ve fallen into people-pleasing, perfectionism, or exhaustion, and lost touch with who you are. If you identify as highly sensitive or feel deeply affected by life’s challenges, you’re not alone — and change is possible. In our work together, you’ll be supported to explore what’s holding you back, while learning practical ways to find calm, set healthy boundaries, and heal old wounds. Discover the freedom to be yourself.
Gentle therapy and coaching to nurture healing and reconnect you with your true self. Do you feel overwhelmed by stress, stuck in overthinking, or weighed down by painful memories? Perhaps you’ve fallen into people-pleasing, perfectionism, or exhaustion, and lost touch with who you are. If you identify as highly sensitive or feel deeply affected by life’s challenges, you’re not alone — and change is possible. In our work together, you’ll be supported to explore what’s holding you back, while learning practical ways to find calm, set healthy boundaries, and heal old wounds. Discover the freedom to be yourself.
01642 130004 View 01642 130004
Photo of Rachel Ambrose, Counsellor, MBACP
Rachel Ambrose
Counsellor, MBACP
Online Only
Hi, I’m Rachel welcome to my profile. I work with individuals across the UK aged 18 and over who are experiencing a range of mental health issues including anxiety, depression, bereavement, relational difficulties, problems relating to confidence and self-esteem. Perhaps you are feeling burnout? Feeling frustrated with fatigue and managing energy levels with chronic illness ? Feeling not good enough? Worried about becoming a burden to friends and family or them seeing you that way? Feeling overwhelmed by a world that doesn’t suit the neurodivergent brain? I am here to help you on your therapeutic journey.
Hi, I’m Rachel welcome to my profile. I work with individuals across the UK aged 18 and over who are experiencing a range of mental health issues including anxiety, depression, bereavement, relational difficulties, problems relating to confidence and self-esteem. Perhaps you are feeling burnout? Feeling frustrated with fatigue and managing energy levels with chronic illness ? Feeling not good enough? Worried about becoming a burden to friends and family or them seeing you that way? Feeling overwhelmed by a world that doesn’t suit the neurodivergent brain? I am here to help you on your therapeutic journey.
01484 598911 View 01484 598911
Photo of Nicola Smith, Psychotherapist, MBACP Accred
Nicola Smith
Psychotherapist, MBACP Accred
Leeds LS1
Feeling overwhelmed, anxious, or stuck? You might be struggling with perfectionism, overthinking, low self-confidence, or relationship difficulties. You may also be navigating a loss or life change that has left you feeling unsettled or uncertain. I offer therapy to individuals who want to manage stress, ease anxiety, and build confidence and self-esteem. I provide a supportive space where you can: >Explore and make sense of your experiences >Feel heard and understood >Reconnect with your strengths and values >Build greater self-acceptance and self-compassion >Grow in confidence and find direction
Feeling overwhelmed, anxious, or stuck? You might be struggling with perfectionism, overthinking, low self-confidence, or relationship difficulties. You may also be navigating a loss or life change that has left you feeling unsettled or uncertain. I offer therapy to individuals who want to manage stress, ease anxiety, and build confidence and self-esteem. I provide a supportive space where you can: >Explore and make sense of your experiences >Feel heard and understood >Reconnect with your strengths and values >Build greater self-acceptance and self-compassion >Grow in confidence and find direction
View
Photo of Carl Ellis, Counsellor, PNCPS Acc.
Carl Ellis
Counsellor, PNCPS Acc.
Serves Area
Hello and welcome to my profile. I am a fully qualified Counsellor on the accredited Professional Register with NCPS, PNCPS Accr. (Accred).Registered member with the BACP. My private practice is close to Bradford , Leeds, Huddersfield and Wakefield. I offer a welcoming, safe, non judgmental space where we can talk confidentially. I will do my absolute best to offer you a relationship where you will feel accepted in your entirety and valued as a human being, where we can work together for as long as you feel it to be helpful and worthwhile.
Hello and welcome to my profile. I am a fully qualified Counsellor on the accredited Professional Register with NCPS, PNCPS Accr. (Accred).Registered member with the BACP. My private practice is close to Bradford , Leeds, Huddersfield and Wakefield. I offer a welcoming, safe, non judgmental space where we can talk confidentially. I will do my absolute best to offer you a relationship where you will feel accepted in your entirety and valued as a human being, where we can work together for as long as you feel it to be helpful and worthwhile.
01274 015634 View 01274 015634
Photo of Jo Brown, Counsellor, MBACP
Jo Brown
Counsellor, MBACP
1 Endorsed
Serves Area
Hi, I'm Jo – how are you feeling today? Whatever is bringing you to counselling, you're welcome here. I offer a warm, supportive, and confidential space where you can explore what’s going on in your life — whether that’s anxiety, depression, stress, trauma, grief, or something you’re not quite sure how to name yet. You may be feeling overwhelmed, stuck, or simply in need of a space to pause and reflect. Counselling is your time — away from the noise and demands of daily life — to be truly heard, without judgement.
Hi, I'm Jo – how are you feeling today? Whatever is bringing you to counselling, you're welcome here. I offer a warm, supportive, and confidential space where you can explore what’s going on in your life — whether that’s anxiety, depression, stress, trauma, grief, or something you’re not quite sure how to name yet. You may be feeling overwhelmed, stuck, or simply in need of a space to pause and reflect. Counselling is your time — away from the noise and demands of daily life — to be truly heard, without judgement.
01223 867117 View 01223 867117

How does your Counsellor compare?

Number of Counsellors in Goole

< 10

Counsellors in Goole who prioritize treating:

89% Depression
89% Anxiety
78% Relationship Issues
78% Self Esteem
78% Stress
78% Life Transitions
67% Family Conflict

Average years in practice

8 Years

Top 3 insurances accepted

50% Cigna and Evernorth
50% Aviva
50% Bupa

How Counsellors in Goole see their clients

100% In Person and Online

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Goole?

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.