Counselling in Hexham

Photo of Jamie Coulthard, Psychologist in Hexham, England
Jamie Coulthard
Psychologist, HCPC - Clin. Psych.
Verified Verified
Hexham NE46
Ideal client: Diverse individuals (children, adults, families) facing neuro-diversity, mental health challenges, or chronic pain. They seek support, understanding, and improved well-being, daily functioning, and resilience. Their goals include gaining self-acceptance, overcoming barriers, and living fulfilling lives. They desire an empathetic, knowledgeable therapist who values their uniqueness, collaborates on goals, and recognises their strengths and succsses.
Ideal client: Diverse individuals (children, adults, families) facing neuro-diversity, mental health challenges, or chronic pain. They seek support, understanding, and improved well-being, daily functioning, and resilience. Their goals include gaining self-acceptance, overcoming barriers, and living fulfilling lives. They desire an empathetic, knowledgeable therapist who values their uniqueness, collaborates on goals, and recognises their strengths and succsses.
01434 307713 View 01434 307713
Photo of Andrea Alder, Counsellor in Hexham, England
Andrea Alder
Counsellor, MBACP
Verified Verified
1 Endorsed
Hexham NE46
Counselling offers a confidential space to offload and gain helpful tools to make sense of the situation and find a way forward.
Counselling offers a confidential space to offload and gain helpful tools to make sense of the situation and find a way forward.
01434 693687 View 01434 693687
Photo of Dr Petra Carlsson Mitchell Inpsychology, Psychologist in Hexham, England
Dr Petra Carlsson Mitchell Inpsychology
Psychologist, HCPC - Clin. Psych.
Verified Verified
Hexham NE46
Waitlist for new clients
Do you feel that despite efforts to improve your life, the way you are feeling continues to have a negative impact on your mood, motivation, relationships and how you cope with everyday life? Perhaps you are experiencing a sense of hopelessness that things may never improve as a result of having felt this way for a long time? These could be signs that your mental health needs are enduring and deep-rooted. I am Petra Carlsson-Mitchell, a Clinical Psychologist and through my practice INPSYCHOLOGY, I specialise in psychological treatments for mental health concerns at the moderate to complex end of the mental health continuum.
Do you feel that despite efforts to improve your life, the way you are feeling continues to have a negative impact on your mood, motivation, relationships and how you cope with everyday life? Perhaps you are experiencing a sense of hopelessness that things may never improve as a result of having felt this way for a long time? These could be signs that your mental health needs are enduring and deep-rooted. I am Petra Carlsson-Mitchell, a Clinical Psychologist and through my practice INPSYCHOLOGY, I specialise in psychological treatments for mental health concerns at the moderate to complex end of the mental health continuum.
01434 408847 View 01434 408847
Photo of Dr Laura Sanger, Psychologist in Hexham, England
Dr Laura Sanger
Psychologist, HCPC - Clin. Psych.
Verified Verified
Hexham NE46  (Online Only)
I am a Clinical Psychologist with over 20 years' experience across the NHS, an international university and, since 2018, in my own independent practice. I am professionally regulated by the HCPC. I use my training and experience to help me empower you to understand better what's been going on for you, (as an individual and in relationship to others), what you value and why, and how to use this understanding to support the actions you want to take to make a difference in your life.
I am a Clinical Psychologist with over 20 years' experience across the NHS, an international university and, since 2018, in my own independent practice. I am professionally regulated by the HCPC. I use my training and experience to help me empower you to understand better what's been going on for you, (as an individual and in relationship to others), what you value and why, and how to use this understanding to support the actions you want to take to make a difference in your life.
View
Photo of Natalie Morton, Counsellor in Hexham, England
Natalie Morton
Counsellor, MSc, MBACP
Verified Verified
Hexham NE46  (Online Only)
Hello, I am Natalie, I am an Integrative Psychotherapist. Outside my private practice, I lead a Counselling Service in Northumberland for the ageing population. My private practice is an online and digital counselling service. I provide a completely remote counselling service, in which I facilitate telephone and online counselling. I specialise in support for those living with chronic illness. grief specialism, stress, anxiety, depression. I also provide specialist support in dealing with work place issues. We will look at what you want to achieve from therapy and how I can support you through this.
Hello, I am Natalie, I am an Integrative Psychotherapist. Outside my private practice, I lead a Counselling Service in Northumberland for the ageing population. My private practice is an online and digital counselling service. I provide a completely remote counselling service, in which I facilitate telephone and online counselling. I specialise in support for those living with chronic illness. grief specialism, stress, anxiety, depression. I also provide specialist support in dealing with work place issues. We will look at what you want to achieve from therapy and how I can support you through this.
01434 307697 View 01434 307697
Photo of Hannah Stocks, Counsellor in Hexham, England
Hannah Stocks
Counsellor, BACP
Verified Verified
Hexham NE47  (Online Only)
For me and my practice, it is really important to understand and acknowledge the complexity of every individuals experience. I endeavour to do this by holding an open mind and creating a safe boundaried space in which we can both get to know you better. I encorporate a range of theories and skills in order to best facilitate your individual process and needs. Within my practice I work with a range of issues such as anxiety & depression, sexual abuse, trauma, sexuality exploration, gender, anger, loss, illness and body image. I am currently working online.
For me and my practice, it is really important to understand and acknowledge the complexity of every individuals experience. I endeavour to do this by holding an open mind and creating a safe boundaried space in which we can both get to know you better. I encorporate a range of theories and skills in order to best facilitate your individual process and needs. Within my practice I work with a range of issues such as anxiety & depression, sexual abuse, trauma, sexuality exploration, gender, anger, loss, illness and body image. I am currently working online.
01273 099026 View 01273 099026
Photo of ImpactWellbeing Counselling, Supervision, Training in Hexham, England
ImpactWellbeing Counselling, Supervision, Training
DCounsPsych
Verified Verified
Hexham NE46
Any of us can feel stuck, sad, lost and seemingly unable to move forward. Making sense of these feelings is critical to our both physical and emotional wellbeing. Impact Wellbeing works with you :an individual, a group, a team to explore ways to positively impact your world. Something small can appear to have led to a spiralling out of control by you /someone you care for /work with; you may feel unable to understand why someone self harms ; making sense of why someone took or tried to take their life by suicide, and there are few places to go to; we are here to help you make sense. What impacts your wellbeing matters.
Any of us can feel stuck, sad, lost and seemingly unable to move forward. Making sense of these feelings is critical to our both physical and emotional wellbeing. Impact Wellbeing works with you :an individual, a group, a team to explore ways to positively impact your world. Something small can appear to have led to a spiralling out of control by you /someone you care for /work with; you may feel unable to understand why someone self harms ; making sense of why someone took or tried to take their life by suicide, and there are few places to go to; we are here to help you make sense. What impacts your wellbeing matters.
01892 352214 View 01892 352214
Photo of Gill Louise Stephenson, Psychotherapist in Hexham, England
Gill Louise Stephenson
Psychotherapist, UKCP Trainee
Verified Verified
Hexham NE47
Are you feeling challenged by something in the past or present, anxious and overwhelmed. Or are you struggling and finding it difficult to cope with life in general? As a trainee psychotherapist, I work in a relational and integrative way, which means that I look at different approaches to understand how your previous experiences might impact on current relationships, helping to relate to how you are in life. Helping you to explore and process your feelings. and helping you to work through past and present issues, which may relate to how you’re feeling both physically and mentally.
Are you feeling challenged by something in the past or present, anxious and overwhelmed. Or are you struggling and finding it difficult to cope with life in general? As a trainee psychotherapist, I work in a relational and integrative way, which means that I look at different approaches to understand how your previous experiences might impact on current relationships, helping to relate to how you are in life. Helping you to explore and process your feelings. and helping you to work through past and present issues, which may relate to how you’re feeling both physically and mentally.
01434 307708 View 01434 307708
Photo of Dr Clark Davison, Psychologist in Hexham, England
Dr Clark Davison
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Hexham NE46
My name is Dr Clark Davison and I am a Consultant Clinical Psychologist with experience working within the NHS and private sector at a senior level.
My name is Dr Clark Davison and I am a Consultant Clinical Psychologist with experience working within the NHS and private sector at a senior level.
01434 307702 View 01434 307702
Photo of Wendy Anderson, Counsellor in Hexham, England
Wendy Anderson
Counsellor, MBACP
Verified Verified
Hexham NE46
Waitlist for new clients
Hi, I'm Wendy. How are you doing? Having taken the courageous step to look for help, I'm guessing the answer to that is: 'Not great'. Are you feeling like your life has lost direction, suffering a loss in your life, or struggling with emotions that the current pandemic situation has brought to the forefront of your mind? I believe that we all have the innate ability to realise our full potential and live our best life. With the right help, you can take back control of your life.
Hi, I'm Wendy. How are you doing? Having taken the courageous step to look for help, I'm guessing the answer to that is: 'Not great'. Are you feeling like your life has lost direction, suffering a loss in your life, or struggling with emotions that the current pandemic situation has brought to the forefront of your mind? I believe that we all have the innate ability to realise our full potential and live our best life. With the right help, you can take back control of your life.
01661 525181 View 01661 525181
Photo of Loveday Elisabeth Koranteng, Psychotherapist in Hexham, England
Loveday Elisabeth Koranteng
Psychotherapist, MUKCP
Verified Verified
Hexham NE46
Are you stressed, depressed, anxious, sad or just not feeling yourself? Then counselling might be something that can help you, whether it is a new concern or a long held one. Sometimes emotional pain or life events can temporarily cloud your ability to see possible solutions, leaving you feeling stuck, confused, unhappy, anxious, sad or even shut down. The process of talking about this can gradually make things seem clearer as you make sense of your feelings and your thoughts become more ordered. You can feel change taking place, sometimes to your own surprise and so start to find a way forward that feels right for you.
Are you stressed, depressed, anxious, sad or just not feeling yourself? Then counselling might be something that can help you, whether it is a new concern or a long held one. Sometimes emotional pain or life events can temporarily cloud your ability to see possible solutions, leaving you feeling stuck, confused, unhappy, anxious, sad or even shut down. The process of talking about this can gradually make things seem clearer as you make sense of your feelings and your thoughts become more ordered. You can feel change taking place, sometimes to your own surprise and so start to find a way forward that feels right for you.
01434 307992 View 01434 307992
Photo of NHassett Counselling, Counsellor in Hexham, England
NHassett Counselling
Counsellor, MBACP
Verified Verified
1 Endorsed
Hexham NE46
Not accepting new clients
Are you feeling overwhelmed, experiencing low mood or self esteem, or generally just struggling with life at the moment? Do your feelings, thoughts and emotions feel all mixed up, like a tangled ball of wool? We can work together to untangle it. I provide a safe, non judgemental space for you to explore your thoughts feelings and emotions, together w find a way to see a clearer path for what you want and need out of life. I work with both adults and teenagers. I have over 4 years experience of counselling and run a successful private practice. I am now offering Menopause and Bereavement coaching.
Are you feeling overwhelmed, experiencing low mood or self esteem, or generally just struggling with life at the moment? Do your feelings, thoughts and emotions feel all mixed up, like a tangled ball of wool? We can work together to untangle it. I provide a safe, non judgemental space for you to explore your thoughts feelings and emotions, together w find a way to see a clearer path for what you want and need out of life. I work with both adults and teenagers. I have over 4 years experience of counselling and run a successful private practice. I am now offering Menopause and Bereavement coaching.
01661 525177 View 01661 525177
Photo of Paul George Madden, Counsellor in Hexham, England
Paul George Madden
Counsellor, MSc, BACP
Verified Verified
Hexham NE46
There are many reasons why you may be seeking out a therapist to help with the issues you face in your life. You may be experiencing distressing feelings; you may be approaching important crossroads in life and you’re faced with uncertainty; you may feel like your confidence or self-esteem is low. It may also be something more difficult to put your finger on – you may have an unnameable sense that something just isn’t right with your internal world and you want to make a change. You may be wondering what it is that I can do to help, so let's start there...
There are many reasons why you may be seeking out a therapist to help with the issues you face in your life. You may be experiencing distressing feelings; you may be approaching important crossroads in life and you’re faced with uncertainty; you may feel like your confidence or self-esteem is low. It may also be something more difficult to put your finger on – you may have an unnameable sense that something just isn’t right with your internal world and you want to make a change. You may be wondering what it is that I can do to help, so let's start there...
07395 938772 View 07395 938772
Photo of Laura Reside-Robb, Psychotherapist in Hexham, England
Laura Reside-Robb
Psychotherapist, MBACP Accred
Verified Verified
Hexham NE46
Hello, and thanks for visiting. I'm Laura and I'm trained as an Integrative Psychotherapist. I'm a firm believer that each person is uniquely individual, and any therapeutic help they receive should be tailored to them, and their needs.​ Being Integrative means I'm not set on one school of thought, and work with you to find what approach fits best for you. You're in control of the sessions, you can bring whatever issues you'd like to discuss, , we go at a pace you're comfortable with. We'll look at working together to set realistic goals, based on what you'd like to achieve.
Hello, and thanks for visiting. I'm Laura and I'm trained as an Integrative Psychotherapist. I'm a firm believer that each person is uniquely individual, and any therapeutic help they receive should be tailored to them, and their needs.​ Being Integrative means I'm not set on one school of thought, and work with you to find what approach fits best for you. You're in control of the sessions, you can bring whatever issues you'd like to discuss, , we go at a pace you're comfortable with. We'll look at working together to set realistic goals, based on what you'd like to achieve.
View
Photo of James Bowness Clarke, Psychologist in Hexham, England
James Bowness Clarke
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Hexham NE46
I share my time between private practice and working as a Consultant Clinical Psychologist in the NHS. Whilst I typically work with clients who are experiencing anxiety or low mood, I have a special interest in Post-Traumatic Stress Disorder (PTSD), Obsessive Compulsive Disorder (OCD) and Emotionally Unstable Personality Disorder (EUPD). I have extensive experience working in adult mental health and I am qualified in Cognitive Behavior Therapy (CBT), Dialectic Behavior Therapy (DBT) and Eye Movement Desensitization and Reprocessing Therapy (EMDR). I hold clinics in the evenings in Jesmond.
I share my time between private practice and working as a Consultant Clinical Psychologist in the NHS. Whilst I typically work with clients who are experiencing anxiety or low mood, I have a special interest in Post-Traumatic Stress Disorder (PTSD), Obsessive Compulsive Disorder (OCD) and Emotionally Unstable Personality Disorder (EUPD). I have extensive experience working in adult mental health and I am qualified in Cognitive Behavior Therapy (CBT), Dialectic Behavior Therapy (DBT) and Eye Movement Desensitization and Reprocessing Therapy (EMDR). I hold clinics in the evenings in Jesmond.
01434 307703 View 01434 307703
Photo of Select Psychology, Psychologist in Hexham, England
Select Psychology
Psychologist, CPsychol
Verified Verified
Hexham NE46
Welcome to Select Psychology, where our team of dedicated psychologists, CBT therapists, and counselors are committed to supporting individuals, couples, and families facing a wide range of difficulties. From common mental health concerns like anxiety and depression to more complex issues such as trauma and eating disorders, we're here to assist you in your journey towards healing and growth. At Select Psychology, we prioritize collaboration and understanding. We'll work closely with you to develop a comprehensive understanding of your challenges and tailor a treatment plan that meets your specific needs.
Welcome to Select Psychology, where our team of dedicated psychologists, CBT therapists, and counselors are committed to supporting individuals, couples, and families facing a wide range of difficulties. From common mental health concerns like anxiety and depression to more complex issues such as trauma and eating disorders, we're here to assist you in your journey towards healing and growth. At Select Psychology, we prioritize collaboration and understanding. We'll work closely with you to develop a comprehensive understanding of your challenges and tailor a treatment plan that meets your specific needs.
0191 743 0236 View 0191 743 0236
Photo of Amanda Fox, Psychotherapist in Hexham, England
Amanda Fox
Psychotherapist, MUKCP
Verified Verified
1 Endorsed
Hexham NE46
Hiya, I'm Amanda a therapist dedicated to empowering adults on their path to recovery from trauma. If you've landed here, you may have frequent anxiety, depression, complex emotions, or challenges in your relationships. Traumatic events and abusive relationships at any age can effect your identity and leave you feeling stuck in the past. If life feels like it keeps repeating the same cycles, it may be time for change.
Hiya, I'm Amanda a therapist dedicated to empowering adults on their path to recovery from trauma. If you've landed here, you may have frequent anxiety, depression, complex emotions, or challenges in your relationships. Traumatic events and abusive relationships at any age can effect your identity and leave you feeling stuck in the past. If life feels like it keeps repeating the same cycles, it may be time for change.
01388 311147 View 01388 311147
Photo of Susie Warburton Brown, Counsellor in Hexham, England
Susie Warburton Brown
Counsellor, MA, MBACP
Verified Verified
2 Endorsed
Hexham NE46
Whether you feel depressed, angry, stuck, anxious, fearful, overwhelmed, stressed, ​self-critical, disconnected or numb, I can lovingly support you to ​feel better, get clarity, increase self-acceptance, and empower yourself to heal and grow​. ​Hello, my name is Susie and I live with my husband and two teenage daughters in Newcastle. ​I have developed my deeply healing, compassionate, spiritual and mindful therapy through two decades of personal healing and inner work and over 10 years of empowering hundreds of therapy clients to change and grow.
Whether you feel depressed, angry, stuck, anxious, fearful, overwhelmed, stressed, ​self-critical, disconnected or numb, I can lovingly support you to ​feel better, get clarity, increase self-acceptance, and empower yourself to heal and grow​. ​Hello, my name is Susie and I live with my husband and two teenage daughters in Newcastle. ​I have developed my deeply healing, compassionate, spiritual and mindful therapy through two decades of personal healing and inner work and over 10 years of empowering hundreds of therapy clients to change and grow.
0191 917 9318 View 0191 917 9318
Photo of Louisa Waite in Hexham, England
Louisa Waite
Verified Verified
1 Endorsed
Hexham NE46
Waitlist for new clients
Are you an adult or teen struggling with anxiety or self doubt? Do you struggle with feelings of inadequacy, worthlessness, loneliness, imposter syndrome, low self-esteem or worry about being judged or rejected by others? Or perhaps you've experienced trauma or challenging life transitions? If so, are you looking for an empowering and client-centred therapist to help you achieve your true potential, who can support you to develop the tools, skills and strategies you need to cultivate confidence and reignite your sense of passion and purpose? If this sounds like you, if any of this resonates, I would LOVE to work with you!
Are you an adult or teen struggling with anxiety or self doubt? Do you struggle with feelings of inadequacy, worthlessness, loneliness, imposter syndrome, low self-esteem or worry about being judged or rejected by others? Or perhaps you've experienced trauma or challenging life transitions? If so, are you looking for an empowering and client-centred therapist to help you achieve your true potential, who can support you to develop the tools, skills and strategies you need to cultivate confidence and reignite your sense of passion and purpose? If this sounds like you, if any of this resonates, I would LOVE to work with you!
0117 463 1732 View 0117 463 1732
Photo of Phil Hurwood, Psychotherapist in Hexham, England
Phil Hurwood
Psychotherapist, MBABCP
Verified Verified
Hexham NE47  (Online Only)
Thank you for taking the time to consider me to support you through your current difficulties. I am an accredited Cognitive Behavioural Psychotherapist, having over 15 years experience working with individuals experiencing a range of mental health difficulties. I am also a qualified EMDR therapist, CBT Supervisor and Psychological Wellbeing Practitioner Supervisor. I look forward to hearing from you and I'm happy to offer a consultation call or answer any questions you may have regarding our sessions together.
Thank you for taking the time to consider me to support you through your current difficulties. I am an accredited Cognitive Behavioural Psychotherapist, having over 15 years experience working with individuals experiencing a range of mental health difficulties. I am also a qualified EMDR therapist, CBT Supervisor and Psychological Wellbeing Practitioner Supervisor. I look forward to hearing from you and I'm happy to offer a consultation call or answer any questions you may have regarding our sessions together.
01287 551432 View 01287 551432

See more therapy options for Hexham

How does your Counsellor compare?

Number of Counsellors in Hexham

20+

Average cost per session

£65

Counsellors in Hexham who prioritize treating:

91% Anxiety
83% Depression
83% Self Esteem
78% Relationship Issues
74% Trauma and PTSD
70% Stress
61% Bereavement

Average years in practice

11 Years

Top 3 insurances accepted

83% Aviva
67% Bupa
50% Cigna and Evernorth

How Counsellors in Hexham see their clients

83% In Person and Online
17% Online Only

Gender breakdown

72% Female
24% Male
4% Non-Binary

FAQs - About Therapy and Counselling

How can I find a therapist in Hexham?

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.