Counselling in Hyde

Photo of Jay Lever-King, Psychologist in Hyde, England
Jay Lever-King
Psychologist, MSc, GMBPsS
Verified
3 Endorsed
Hyde SK14  (Online Only)
I’m Jay, a counsellor and coach dedicated to helping you with your anxiety, self-limiting beliefs and realise your true potential. As a gay man with AuDHD, I understand the struggles that come with being part of a diverse community. I have experienced first-hand how it feels to be held back by debilitating anxiety, fear of abandonment, rejection and low self-worth as a result of the messages that are all-too-often received as an individual living with diversity.
I’m Jay, a counsellor and coach dedicated to helping you with your anxiety, self-limiting beliefs and realise your true potential. As a gay man with AuDHD, I understand the struggles that come with being part of a diverse community. I have experienced first-hand how it feels to be held back by debilitating anxiety, fear of abandonment, rejection and low self-worth as a result of the messages that are all-too-often received as an individual living with diversity.
01457 601794 View 01457 601794
Photo of Robina Kausar, Counsellor in Hyde, England
Robina Kausar
Counsellor, MBACP
Verified
Hyde SK14
Hello and welcome! How are you feeling? Not your usual self? Anxious? Low mood? Overwhelmed? Stuck? You may come to therapy with a specific problem or with a more general unease or desire for something to change. Life can sometimes leave you with feelings and emotions that you may not always understand. This can sometimes play out in repeating patterns with people who are close to you, or within your own thoughts and feelings. There's nothing too big or small for us to talk about. Collaboratively, we will explore what you bring, identify unhelpful patterns, heal emotional wounds and trauma, and grow towards your potential.
Hello and welcome! How are you feeling? Not your usual self? Anxious? Low mood? Overwhelmed? Stuck? You may come to therapy with a specific problem or with a more general unease or desire for something to change. Life can sometimes leave you with feelings and emotions that you may not always understand. This can sometimes play out in repeating patterns with people who are close to you, or within your own thoughts and feelings. There's nothing too big or small for us to talk about. Collaboratively, we will explore what you bring, identify unhelpful patterns, heal emotional wounds and trauma, and grow towards your potential.
01457 601811 View 01457 601811
Photo of Genesis Counselling Services, Counsellor in Hyde, England
Genesis Counselling Services
Counsellor, MBACP
Verified
Hyde SK14
I'm a fully qualified Integrative Therapist, registered with the BACP. I specialise in one to one adult therapy. I offer a safe space for the individual to learn about themselves, explore past and current issues and promote positive change
I'm a fully qualified Integrative Therapist, registered with the BACP. I specialise in one to one adult therapy. I offer a safe space for the individual to learn about themselves, explore past and current issues and promote positive change
0161 524 8437 View 0161 524 8437
Photo of Julie Embrey-Jones, Counsellor in Hyde, England
Julie Embrey-Jones
Counsellor, BACP
Verified
Hyde SK14
Are you struggling right now? Maybe with panic, fear, general anxiety? Maybe your teenager is having difficulties. Are you struggling with Domestic Abuse? Would you like to explore the root of your problems and be in a better place? If so, I may be the counsellor you are looking for. Sometimes in life we all struggle, and it is important to recognise this and seek some self-care. Life for a teenager can be particularly difficult but an area I have worked in for 35 years. Counselling can seem like a very daunting experience and leave you wondering what to expect, what counselling could do for you or whether this will help you.
Are you struggling right now? Maybe with panic, fear, general anxiety? Maybe your teenager is having difficulties. Are you struggling with Domestic Abuse? Would you like to explore the root of your problems and be in a better place? If so, I may be the counsellor you are looking for. Sometimes in life we all struggle, and it is important to recognise this and seek some self-care. Life for a teenager can be particularly difficult but an area I have worked in for 35 years. Counselling can seem like a very daunting experience and leave you wondering what to expect, what counselling could do for you or whether this will help you.
01457 604898 View 01457 604898
Photo of Dawn Pierce, Counsellor in Hyde, England
Dawn Pierce
Counsellor, MNCPS Acc.
Verified
Hyde SK14
I am a Person Centred Counsellor with a pluralistic stance to how I work with clients. This means that I aim to work collaboratively with all clients young & old. I do this by being flexible and adapting my approach in a way that meets clients needs and preferred ways of working. I believe that there are many valid ways of working in therapy and value my clients thoughts about what is most helpful for them.
I am a Person Centred Counsellor with a pluralistic stance to how I work with clients. This means that I aim to work collaboratively with all clients young & old. I do this by being flexible and adapting my approach in a way that meets clients needs and preferred ways of working. I believe that there are many valid ways of working in therapy and value my clients thoughts about what is most helpful for them.
01457 600872 View 01457 600872
Photo of Forever growing , Counsellor in Hyde, England
Forever growing
Counsellor, MBACP
Verified
Hyde SK14
Hi, I'm Vicky to begin I’d like to acknowledge how difficult it can be making that first step to recognising you may need some support. It takes courage to admit you may need a helping hand, or someone to help bear that heavy weight you may be carrying. Something I believe most of us need at some point in our lives. It can be difficult to turn to those closest to us for fear we may be judged or not truly listened to. So, I offer a safe confidential space for you to be heard, and to explore the issues that may be troubling you, in a non-judgemental way. Somewhere you can lead at your own pace.
Hi, I'm Vicky to begin I’d like to acknowledge how difficult it can be making that first step to recognising you may need some support. It takes courage to admit you may need a helping hand, or someone to help bear that heavy weight you may be carrying. Something I believe most of us need at some point in our lives. It can be difficult to turn to those closest to us for fear we may be judged or not truly listened to. So, I offer a safe confidential space for you to be heard, and to explore the issues that may be troubling you, in a non-judgemental way. Somewhere you can lead at your own pace.
01457 604906 View 01457 604906

More Therapists Nearby

Photo of Apple Tree Psychotherapy - Rachel Thomas, Psychotherapist in Hyde, England
Apple Tree Psychotherapy - Rachel Thomas
Psychotherapist, MA, BPC
Verified
Stroud GL6
You may have a child struggling with being at school, or perhaps you find yourself constantly at loggerheads with them. Perhaps they can't sleep, or don't want to get up in the morning, they might feel lonely, or misunderstood, criticised, or attacked . You may have tried every strategy you can find, to persuade your child to eat, or listen, or simply follow instructions. We all believe that childhood should be a time of simple happiness, but in fact this is a time of enormous developmental challenge, and many things can make it hard for children and adolescents to tread the path towards a resilient, positive, independent adulthood.
You may have a child struggling with being at school, or perhaps you find yourself constantly at loggerheads with them. Perhaps they can't sleep, or don't want to get up in the morning, they might feel lonely, or misunderstood, criticised, or attacked . You may have tried every strategy you can find, to persuade your child to eat, or listen, or simply follow instructions. We all believe that childhood should be a time of simple happiness, but in fact this is a time of enormous developmental challenge, and many things can make it hard for children and adolescents to tread the path towards a resilient, positive, independent adulthood.
01453 701919 View 01453 701919
Photo of Dominic Olivier, Psychotherapist in Hyde, England
Dominic Olivier
Psychotherapist, MSc, MUKCP
Verified
Stroud GL5
Systemic and Family Psychotherapy. MSC (distinction) from The Family Institute, University of South Wales. NHS employed (CAMHS), with small private practice. Working with individuals, couples, families and children. Currently completing the IAPT Systemic Supervision course with the University of Exeter. I usually meet with clients face to face at rooms in Stroud, and can also provide digital therapy.
Systemic and Family Psychotherapy. MSC (distinction) from The Family Institute, University of South Wales. NHS employed (CAMHS), with small private practice. Working with individuals, couples, families and children. Currently completing the IAPT Systemic Supervision course with the University of Exeter. I usually meet with clients face to face at rooms in Stroud, and can also provide digital therapy.
01453 708276 View 01453 708276
Photo of Louise Elizabeth Ayling, Psychotherapist in Hyde, England
Louise Elizabeth Ayling
Psychotherapist, MNCPS Acc.
Verified
Stroud GL5
Are you struggling to resolve current issues that are creating difficulties in your life and not sure where to turn? I offer a supportive and compassionate safe space for you to talk through and explore your feelings, helping you to find your way to healing and making the positive changes that you seek. Whether you are experiencing stress, anxiety, relationship problems, trauma, narcissistic abuse, addiction issues, bereavement and loss, low self esteem, infertility, Long Covid, please contact me so that I can offer you a calming, comforting and confidential Initial Consultation Session to discuss the problems you are facing.
Are you struggling to resolve current issues that are creating difficulties in your life and not sure where to turn? I offer a supportive and compassionate safe space for you to talk through and explore your feelings, helping you to find your way to healing and making the positive changes that you seek. Whether you are experiencing stress, anxiety, relationship problems, trauma, narcissistic abuse, addiction issues, bereavement and loss, low self esteem, infertility, Long Covid, please contact me so that I can offer you a calming, comforting and confidential Initial Consultation Session to discuss the problems you are facing.
01785 907063 View 01785 907063
Photo of Marcella Howard, Counsellor in Hyde, England
Marcella Howard
Counsellor, PsychD, BACP
Verified
Stroud GL5
At the heart of healing from trauma is the human relationship. I offer my clients a safe, consistent, honest and heart led space from within which you can explore all that you are and find integration. I am an experienced, BACP registered NARM therapist; specialising in Complex Trauma. Psychodynamically trained, with a particular interest in Relational and intersubjective approaches. My personal and clinical experience has led me to believe that we each have the capacity to heal from our early wounds; what ever they may be.
At the heart of healing from trauma is the human relationship. I offer my clients a safe, consistent, honest and heart led space from within which you can explore all that you are and find integration. I am an experienced, BACP registered NARM therapist; specialising in Complex Trauma. Psychodynamically trained, with a particular interest in Relational and intersubjective approaches. My personal and clinical experience has led me to believe that we each have the capacity to heal from our early wounds; what ever they may be.
01453 707403 View 01453 707403
Photo of Sally Hills, Counsellor in Hyde, England
Sally Hills
Counsellor, MBACP
Verified
Nailsworth GL6
I offer a safe and confidential space to explore wherever you are in your life. A space to come into relationship with yourself. I offer weekly sessions in person in the Nailsworth and Stroud area. I also offer some online sessions. I work with depression, anxiety, relationship issues, life transitions, loss and other areas of the human experience
I offer a safe and confidential space to explore wherever you are in your life. A space to come into relationship with yourself. I offer weekly sessions in person in the Nailsworth and Stroud area. I also offer some online sessions. I work with depression, anxiety, relationship issues, life transitions, loss and other areas of the human experience
01453 703527 View 01453 703527
Photo of Helen Fenton: Face-to-Face & Online Counselling, Counsellor in Hyde, England
Helen Fenton: Face-to-Face & Online Counselling
Counsellor, MSc, MBACP
Verified
1 Endorsed
Stroud GL5
You may be finding it difficult to cope, and feel alone? You may be struggling after a trauma or bereavement, separation, or with ill-health? Or maybe feel that your life is stuck, or lacking purpose? At times like these, counselling offers a space for you to explore your thoughts and feelings, with someone who will strive to understand without judgement, & help you make sense of your feelings, find clarity, or make decisions. I offer all my clients Empathy, Congruence, and Unconditional Positive Regard. I also offer play, sand-tray, art and creative therapies to my younger clients. Home visits are available.
You may be finding it difficult to cope, and feel alone? You may be struggling after a trauma or bereavement, separation, or with ill-health? Or maybe feel that your life is stuck, or lacking purpose? At times like these, counselling offers a space for you to explore your thoughts and feelings, with someone who will strive to understand without judgement, & help you make sense of your feelings, find clarity, or make decisions. I offer all my clients Empathy, Congruence, and Unconditional Positive Regard. I also offer play, sand-tray, art and creative therapies to my younger clients. Home visits are available.
01666 336813 View 01666 336813
Photo of Simon Balioussis, Psychotherapist in Hyde, England
Simon Balioussis
Psychotherapist, MSc, MBACP
Verified
Stroud GL5  (Online Only)
Life can be very challenging at times and it can be difficult to make sense of things and find a way forwards on our own. Therapy aims towards increasing our self-knowledge and attaining clarity over our feelings, intentions and tendencies. By becoming more aware of the challenges we experience, and how we respond to these, we also become more able to identify alternative ways of looking at them and addressing them. I offer a safe space to facilitate this exploration and promote insight and personal growth. Everyone is unique and so everything that is brought into therapy is treated with care, respect and confidentiality.
Life can be very challenging at times and it can be difficult to make sense of things and find a way forwards on our own. Therapy aims towards increasing our self-knowledge and attaining clarity over our feelings, intentions and tendencies. By becoming more aware of the challenges we experience, and how we respond to these, we also become more able to identify alternative ways of looking at them and addressing them. I offer a safe space to facilitate this exploration and promote insight and personal growth. Everyone is unique and so everything that is brought into therapy is treated with care, respect and confidentiality.
020 3870 2842 View 020 3870 2842
Photo of Beehive Counselling, Psychotherapist in Hyde, England
Beehive Counselling
Psychotherapist, MBACP
Verified
Stroud GL5
Waitlist for new clients
If you are experiencing inner turmoil, challenges with relationships or dealing with loss, I can offer you a safe and supportive environment to help you understand the roots of your difficulties. We can try and make sense of the past and how it affects your life today. Gaining insights into the reasons for your issues will develop your capacity to cope with current and future difficulties; to gain the self care tools you need for lasting change.
If you are experiencing inner turmoil, challenges with relationships or dealing with loss, I can offer you a safe and supportive environment to help you understand the roots of your difficulties. We can try and make sense of the past and how it affects your life today. Gaining insights into the reasons for your issues will develop your capacity to cope with current and future difficulties; to gain the self care tools you need for lasting change.
01594 808761 View 01594 808761
Photo of Child & young person psychotherapy - Helen James, Psychotherapist in Hyde, England
Child & young person psychotherapy - Helen James
Psychotherapist, MA, BPC
Verified
Stroud GL5
I work with children and young people (0-25), parents and carers. My specialist NHS training allows me to work with issues relating to pregnancy and birth, childhood, adolescence, the processes of separating from parents, and gaining an individual identity. I offer time-limited or longer term psychotherapy and also have training in Mindfulness and CBT techniques. For most of us, life is a complex mix of highs and lows. Sometimes we need professional help, separate to our family and friends, to support mental health and wellbeing, and help us find our way.
I work with children and young people (0-25), parents and carers. My specialist NHS training allows me to work with issues relating to pregnancy and birth, childhood, adolescence, the processes of separating from parents, and gaining an individual identity. I offer time-limited or longer term psychotherapy and also have training in Mindfulness and CBT techniques. For most of us, life is a complex mix of highs and lows. Sometimes we need professional help, separate to our family and friends, to support mental health and wellbeing, and help us find our way.
01453 701072 View 01453 701072
Photo of Kate Varney, Counsellor in Hyde, England
Kate Varney
Counsellor, MA, MBACP Accred
Verified
Stroud GL5
Hello and welcome. I am an experienced psychotherapist and counsellor and I work with individuals and couples who come to see me with a wide range of challenges and difficulties that they are facing. People often seek therapy when they are at a transitional moment in their lives. Through our work together you will have the opportunity to speak about your experiences and feelings; both now and in your past, and we will work together to develop an understanding of you and your life with the hope that this therapeutic process of reflection and insight might be transformative for you.
Hello and welcome. I am an experienced psychotherapist and counsellor and I work with individuals and couples who come to see me with a wide range of challenges and difficulties that they are facing. People often seek therapy when they are at a transitional moment in their lives. Through our work together you will have the opportunity to speak about your experiences and feelings; both now and in your past, and we will work together to develop an understanding of you and your life with the hope that this therapeutic process of reflection and insight might be transformative for you.
01453 701591 View 01453 701591
Photo of Cognis Psychotherapeutic Ltd in Hyde, England
Cognis Psychotherapeutic Ltd
PhD
Stroud GL5  (Online Only)
Dr Drea is an internationally accomplished psychologist, researcher, coach & counselor. Years of research & practice have resulted in a specialised approach, which rapidly & effectively identifies root causes, to get the desired resultṣ METHOD: To start the process, download one of Dr Drea's self-assessment & screening checklists below. These focus primarily on the criteria for OCD, anxiety and eating disorders. Return by email or simply whatsapp. PROCESS: Each client is personally assessed and their response-sets analysed, a session is scheduled, whereafter a detailed process plan is drafted. OUTcomes: Guaranteed!
Dr Drea is an internationally accomplished psychologist, researcher, coach & counselor. Years of research & practice have resulted in a specialised approach, which rapidly & effectively identifies root causes, to get the desired resultṣ METHOD: To start the process, download one of Dr Drea's self-assessment & screening checklists below. These focus primarily on the criteria for OCD, anxiety and eating disorders. Return by email or simply whatsapp. PROCESS: Each client is personally assessed and their response-sets analysed, a session is scheduled, whereafter a detailed process plan is drafted. OUTcomes: Guaranteed!
01789 337340 View 01789 337340
Photo of Devi Sundar, Psychotherapist in Hyde, England
Devi Sundar
Psychotherapist, MSc, MBACP
Verified
Stroud GL6  (Online Only)
Hello, I am a registered counsellor and psychotherapist with over 17 years of experience in multiple countries (the UK,Ireland and India). I believe that holistic patient care should be a therapist first priority.Are your having an emotional burnout from your chronic illness? or Struggling to define the purpose in life or relationship. I can assure you to identify the root cause and cleanse your thought patterns, ready to be renewed for better quality of life.
Hello, I am a registered counsellor and psychotherapist with over 17 years of experience in multiple countries (the UK,Ireland and India). I believe that holistic patient care should be a therapist first priority.Are your having an emotional burnout from your chronic illness? or Struggling to define the purpose in life or relationship. I can assure you to identify the root cause and cleanse your thought patterns, ready to be renewed for better quality of life.
01452 941798 View 01452 941798
Photo of Caroline Vacara, Psychologist in Hyde, England
Caroline Vacara
Psychologist, MSc, HCPC - Clin. Psych.
Verified
Stroud GL5
Do you find yourself going around painful and frustrating circles in your life and relationships? Do you feel stuck, overwhelmed and uncertain how to move forward? Sometimes, despite our best efforts, we just need another person to help us find a new path. Therapy can help us make sense of our feelings, thoughts and actions. It can support us to work through difficult emotions and memories and enable us to find the courage and compassion needed to forge a better life for ourselves. Choosing a therapist can be daunting, but having an initial chat on the phone can help you decide if someone feels like a good fit for you.
Do you find yourself going around painful and frustrating circles in your life and relationships? Do you feel stuck, overwhelmed and uncertain how to move forward? Sometimes, despite our best efforts, we just need another person to help us find a new path. Therapy can help us make sense of our feelings, thoughts and actions. It can support us to work through difficult emotions and memories and enable us to find the courage and compassion needed to forge a better life for ourselves. Choosing a therapist can be daunting, but having an initial chat on the phone can help you decide if someone feels like a good fit for you.
01453 701902 View 01453 701902
Photo of Naomi Studden, Counsellor in Hyde, England
Naomi Studden
Counsellor, MA, BACP
Verified
Stroud GL5  (Online Only)
In troubling times it can sometimes feel like you are alone & seeking help might feel really difficult. Just having a space to make sense of the thoughts that jumble around our heads is invaluable. Perhaps you need to understand yourself, your relationships or events from your past. Sometimes all we need is someone to just listen and hear our story. Counselling promotes insight, fosters self-awareness & creates a stronger, more resilient sense of self. This powerful combination can be the kick-start for the changes in your life you wish to make - sometimes even the smallest changes can make a huge difference in your well-being.
In troubling times it can sometimes feel like you are alone & seeking help might feel really difficult. Just having a space to make sense of the thoughts that jumble around our heads is invaluable. Perhaps you need to understand yourself, your relationships or events from your past. Sometimes all we need is someone to just listen and hear our story. Counselling promotes insight, fosters self-awareness & creates a stronger, more resilient sense of self. This powerful combination can be the kick-start for the changes in your life you wish to make - sometimes even the smallest changes can make a huge difference in your well-being.
01452 930184 View 01452 930184

See more therapy options for Hyde

How does your Counsellor compare?

Number of Counsellors in Hyde

< 10

Counsellors in Hyde who prioritize treating:

100% Relationship Issues
83% Depression
83% Anxiety
83% Child
83% Coping Skills
83% Self Esteem
67% Domestic Abuse

Average years in practice

2 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% Any/Out-of-network Insurance

How Counsellors in Hyde see their clients

84% In Person and Online
16% Online Only

Gender breakdown

84% Female
16% Male

FAQs - About Therapy and Counselling

How can I find a therapist in Hyde?

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.