Counselling in Pinxton

Photo of Stephanie Lockett, Psychotherapist in Pinxton, England
Stephanie Lockett
Psychotherapist, MSc, MUKCP
Verified
Pinxton NG16
When you choose a therapist you place a lot of trust in them. I won't betray that trust. I'll support you, I'll help you, I'll be there for you. If you’d like to arrange a free initial chat to see how we can work together then please get in touch.
When you choose a therapist you place a lot of trust in them. I won't betray that trust. I'll support you, I'll help you, I'll be there for you. If you’d like to arrange a free initial chat to see how we can work together then please get in touch.
07522 396595 View 07522 396595

More Therapists Nearby

Photo of Emily Goyal, Counsellor in Pinxton, England
Emily Goyal
Counsellor, MBACP
Verified
Derby DE21
Are you feeling lost? Looking for a space to explore your thoughts without feeling judged? Sometimes life gets overwhelming and we need somewhere to talk, to make sense of our emotions and learn new coping techniques. I can help with all of this.
Are you feeling lost? Looking for a space to explore your thoughts without feeling judged? Sometimes life gets overwhelming and we need somewhere to talk, to make sense of our emotions and learn new coping techniques. I can help with all of this.
01332 215167 View 01332 215167
Photo of Susan Smalley, Counsellor in Pinxton, England
Susan Smalley
Counsellor, MBACP Accred
Verified
Nottingham NG8
Sometimes the daily stresses in life can build to a point where it impacts on your daily life and you feel unable to cope anymore. This maybe affecting your relationship with those closest to you and your enjoyment of life generally. You may be feeling anxious about the little things, experiencing low mood or unable to feel motivated. Maybe you are struggling to process difficult traumas from the past that are affecting your self-confidence and belief in yourself. Perhaps you've been drinking more than you would normally, sleeping less/more, spending more and have realised you need support to make changes in your life.
Sometimes the daily stresses in life can build to a point where it impacts on your daily life and you feel unable to cope anymore. This maybe affecting your relationship with those closest to you and your enjoyment of life generally. You may be feeling anxious about the little things, experiencing low mood or unable to feel motivated. Maybe you are struggling to process difficult traumas from the past that are affecting your self-confidence and belief in yourself. Perhaps you've been drinking more than you would normally, sleeping less/more, spending more and have realised you need support to make changes in your life.
01773 307012 View 01773 307012
Photo of Paul Gould, Counsellor in Pinxton, England
Paul Gould
Counsellor, MBACP Accred
Verified
1 Endorsed
Derby DE22
Taking the first steps to seek out a counsellor can be a fearful time and we as therapists will not be the correct match for every individual. My aim would be to offer you counselling and support in a safe place, where we can work together and give you the opportunity to speak freely without fear of what others might think? When someone looks for a counsellor it is often because there is something happening in life they want to explore, this maybe: low self-worth, lacking in confidence, generally feeling of unhappiness, depression, anxiety, stress, grief, or other mental health concerns. We can work together at your pace.
Taking the first steps to seek out a counsellor can be a fearful time and we as therapists will not be the correct match for every individual. My aim would be to offer you counselling and support in a safe place, where we can work together and give you the opportunity to speak freely without fear of what others might think? When someone looks for a counsellor it is often because there is something happening in life they want to explore, this maybe: low self-worth, lacking in confidence, generally feeling of unhappiness, depression, anxiety, stress, grief, or other mental health concerns. We can work together at your pace.
01242 507909 View 01242 507909
Photo of Tracey Crosby, Counsellor in Pinxton, England
Tracey Crosby
Counsellor, MBACP
Verified
Nottingham NG5
Welcome. Trying to find the right therapist can be a minefield. Let me introduce my passions, knowledge and experience. Chaotic lifestyles, poverty, depression, families, unhealthy relationships, drugs, alcohol, anxiety, mental health, self-esteem, confidence, bereavement, domestic abuse, unhelpful thinking patterns, adversity in childhood, trauma and abuse. I love supporting and empowering individuals to pursue my mantra of "just be, whoever you choose to be" within their own world view. In your own time, find your true SELF heading towards a positive, happy and health lifestyle which suits your own unique journey.
Welcome. Trying to find the right therapist can be a minefield. Let me introduce my passions, knowledge and experience. Chaotic lifestyles, poverty, depression, families, unhealthy relationships, drugs, alcohol, anxiety, mental health, self-esteem, confidence, bereavement, domestic abuse, unhelpful thinking patterns, adversity in childhood, trauma and abuse. I love supporting and empowering individuals to pursue my mantra of "just be, whoever you choose to be" within their own world view. In your own time, find your true SELF heading towards a positive, happy and health lifestyle which suits your own unique journey.
07963 312979 View 07963 312979
Photo of Tracey Adams, Psychotherapist in Pinxton, England
Tracey Adams
Psychotherapist, MSc, MUKCP
Verified
Nottingham NG1
Hi I am a UKCP accredited psychotherapist and clinical supervisor working in the Derby area. I have over 30 years experience working within Forensic and Mental Health Services both within the public and voluntary sector including Civil Service and the NHS. I hold an MSc in Integrative Psychotherapy however I have extensive CPD training, which I integrate within my practice including Hypnotherapy, EMDR, Group Analysis and in more recent years with the expansion in neuroscience research I have trained in Comprehensive Resource Model (CRM).
Hi I am a UKCP accredited psychotherapist and clinical supervisor working in the Derby area. I have over 30 years experience working within Forensic and Mental Health Services both within the public and voluntary sector including Civil Service and the NHS. I hold an MSc in Integrative Psychotherapy however I have extensive CPD training, which I integrate within my practice including Hypnotherapy, EMDR, Group Analysis and in more recent years with the expansion in neuroscience research I have trained in Comprehensive Resource Model (CRM).
07889 510099 View 07889 510099
Photo of Fiona Ryan, Counsellor in Pinxton, England
Fiona Ryan
Counsellor, MA, MBACP
Verified
2 Endorsed
Nottingham NG5
Hello, I’m Fiona, a qualified counsellor and psychotherapist, trained at the University of Nottingham. I'm BACP registered and I work with adult clients in Beeston, the NG8 area and West Bridgford, Nottingham. At times things can seem too much to handle on your own, like when you’re grieving a loss, feeling alone or rejected. You might be coping with anger, not feeling good enough as you are, tired of decisions made for you, not by you. It may feel hard to trust, after harmful experiences or relationships. You don’t need to go through this on your own.
Hello, I’m Fiona, a qualified counsellor and psychotherapist, trained at the University of Nottingham. I'm BACP registered and I work with adult clients in Beeston, the NG8 area and West Bridgford, Nottingham. At times things can seem too much to handle on your own, like when you’re grieving a loss, feeling alone or rejected. You might be coping with anger, not feeling good enough as you are, tired of decisions made for you, not by you. It may feel hard to trust, after harmful experiences or relationships. You don’t need to go through this on your own.
0115 647 7282 View 0115 647 7282
Photo of Joe Roe in Pinxton, England
Joe Roe
Mansfield NG18
Get back your mojo with Joe Roe (she/her) The Mental Health Coach. Shifting you from anxiety and stress to calm, confident and happiness. Using a beautiful blend of coaching & NLP, working together to move you forward to achieve your goals with your mental health wealth, goal clarity, self belief, motivation, work, relationships and life style choices, cleaning up memories and phobias. Over 20 years coaching experience and 7 years in own private practice successfully coaching people just like you to live a calm, confident and happy life, full of purpose.
Get back your mojo with Joe Roe (she/her) The Mental Health Coach. Shifting you from anxiety and stress to calm, confident and happiness. Using a beautiful blend of coaching & NLP, working together to move you forward to achieve your goals with your mental health wealth, goal clarity, self belief, motivation, work, relationships and life style choices, cleaning up memories and phobias. Over 20 years coaching experience and 7 years in own private practice successfully coaching people just like you to live a calm, confident and happy life, full of purpose.
01623 572247 View 01623 572247
Photo of Vicki Jarvis, Psychotherapist in Pinxton, England
Vicki Jarvis
Psychotherapist, MSc, MUKCP
Verified
Belper DE56
Life can be tough and many issues or situations can arise which lead us to feel challenged in our day-to-day life. You may have experienced major life events which have left you feeling traumatised or be feeling uncertain of yourself with regards to your sense of self or identity; maybe you have arrived at a time in your life when you crave some space to reflect and clarify your feelings as you look towards your future. Whatever your goal, it will be unique to you and you need to feel understood and respected as you embark on exploring deeply personal aspects of your experience within a caring therapeutic relationship.
Life can be tough and many issues or situations can arise which lead us to feel challenged in our day-to-day life. You may have experienced major life events which have left you feeling traumatised or be feeling uncertain of yourself with regards to your sense of self or identity; maybe you have arrived at a time in your life when you crave some space to reflect and clarify your feelings as you look towards your future. Whatever your goal, it will be unique to you and you need to feel understood and respected as you embark on exploring deeply personal aspects of your experience within a caring therapeutic relationship.
01332 327474 View 01332 327474
Photo of Zareeda Rashid, Counsellor in Pinxton, England
Zareeda Rashid
Counsellor, MA, MBACP
Verified
Nottingham NG9
Hello, I'm Zareeda and I work with people on issues ranging from rape and sexual abuse to stress, bereavement, anxiety and depression. If you are struggling to find meaning in life you may be feeling disconnected from yourself and/or those around you. This loss of contact with yourself, your needs, values and beliefs may decrease your trust in your ability to form and build meaningful relationships and achieve personal goals.
Hello, I'm Zareeda and I work with people on issues ranging from rape and sexual abuse to stress, bereavement, anxiety and depression. If you are struggling to find meaning in life you may be feeling disconnected from yourself and/or those around you. This loss of contact with yourself, your needs, values and beliefs may decrease your trust in your ability to form and build meaningful relationships and achieve personal goals.
0115 697 1567 View 0115 697 1567
Photo of Paul McGuire, Counsellor in Pinxton, England
Paul McGuire
Counsellor, MA, MBACP
Verified
Nottingham NG1
You as the client are my complete focus. I am motivated by a desire to increase personal and general wellbeing and happiness and believe passionately in the Happiness Advantage and that everyone deserves a fulfilling and satisfying life. Each and every individual, in my view, has the capacity and resources to flourish and be the best they can be. My job is to help you access and utilise these. I want to help clients improve any or every aspect of their lives in any way that they choose by supporting and developing their motivation to take responsibility for what they would like to achieve.
You as the client are my complete focus. I am motivated by a desire to increase personal and general wellbeing and happiness and believe passionately in the Happiness Advantage and that everyone deserves a fulfilling and satisfying life. Each and every individual, in my view, has the capacity and resources to flourish and be the best they can be. My job is to help you access and utilise these. I want to help clients improve any or every aspect of their lives in any way that they choose by supporting and developing their motivation to take responsibility for what they would like to achieve.
0115 824 5587 View 0115 824 5587
Photo of Calm Counselling, Counsellor in Pinxton, England
Calm Counselling
Counsellor, PNCPS Acc.
Verified
Nottingham NG1
Are you facing a challenge. Are you looking for counselling or a couple looking for counselling? I can help and support you through a difficult situation? I offer individuals or couples quality time, a non judgmental listening ear in an environment where you can feel safe and confident to talk about whatever is concerning or is important to you. I can support you if you are fearful, anxious or feeling overwhelmed. Perhaps your faith is being challenged, and you're seeking inner peace and healing.
Are you facing a challenge. Are you looking for counselling or a couple looking for counselling? I can help and support you through a difficult situation? I offer individuals or couples quality time, a non judgmental listening ear in an environment where you can feel safe and confident to talk about whatever is concerning or is important to you. I can support you if you are fearful, anxious or feeling overwhelmed. Perhaps your faith is being challenged, and you're seeking inner peace and healing.
01332 417303 View 01332 417303
Photo of The Psychotherapy Room, Psychotherapist in Pinxton, England
The Psychotherapy Room
Psychotherapist, MBACP
Verified
Nottingham NG2
Here at The Psychotherapy Room our aim is to ensure that we provide an accessible service to those who may not be able to afford it in the heart of Derby City Centre. Counselling and psychotherapy is a different journey for each individual - you may be going through a time of transition in your life; you may need support through a period of hardship you have experienced or are experiencing or you may be seeking a greater self-understanding and awareness.
Here at The Psychotherapy Room our aim is to ensure that we provide an accessible service to those who may not be able to afford it in the heart of Derby City Centre. Counselling and psychotherapy is a different journey for each individual - you may be going through a time of transition in your life; you may need support through a period of hardship you have experienced or are experiencing or you may be seeking a greater self-understanding and awareness.
01332 402808 View 01332 402808
Photo of Loui White, Psychotherapist in Pinxton, England
Loui White
Psychotherapist, MA, MNCPS Acc.
Verified
1 Endorsed
Nottingham NG2  (Online Only)
Allowing you time & space to share your story whilst listening & showing you compassion & understanding is a crucial aspect of my work. I have frequently seen how, when they truly feel heard & accepted without condemnation or judgement, people start to feel less overwhelmed. I'll provide an emotionally safe, confidential, & supportive environment for you. I have specialised training & experience in sexual abuse & trauma. Women's issues, including fertility, infertility, pregnancy, ante/postnatal care, birth, peri/menopause, are of special interest to me, if you can relate to this, I would like to support you.
Allowing you time & space to share your story whilst listening & showing you compassion & understanding is a crucial aspect of my work. I have frequently seen how, when they truly feel heard & accepted without condemnation or judgement, people start to feel less overwhelmed. I'll provide an emotionally safe, confidential, & supportive environment for you. I have specialised training & experience in sexual abuse & trauma. Women's issues, including fertility, infertility, pregnancy, ante/postnatal care, birth, peri/menopause, are of special interest to me, if you can relate to this, I would like to support you.
01332 215078 View 01332 215078
Photo of Lisa D Burley, Counsellor in Pinxton, England
Lisa D Burley
Counsellor, MSc, MBACP
Verified
Nottingham NG10
I am a counsellor and psychotherapist focusing my time, energy and considerations on the client and their needs. Being heard, trusted, understood, and feeling empathy without judgement are vital to the therapeutic relationship which we will build together. If you are feeling stressed, anxious or depressed or would like to work on your self-esteem, self-care or any other personal issues I am here for you. Bringing to light your hopes and goals in a personal, comfortable and non-judgemental space will give you the time and attention you need to focus on positive change.
I am a counsellor and psychotherapist focusing my time, energy and considerations on the client and their needs. Being heard, trusted, understood, and feeling empathy without judgement are vital to the therapeutic relationship which we will build together. If you are feeling stressed, anxious or depressed or would like to work on your self-esteem, self-care or any other personal issues I am here for you. Bringing to light your hopes and goals in a personal, comfortable and non-judgemental space will give you the time and attention you need to focus on positive change.
0115 697 2264 View 0115 697 2264
Photo of Emma Spencer - Interpersonal Therapist in Pinxton, England
Emma Spencer - Interpersonal Therapist
1 Endorsed
Nottingham NG1
Are you struggling with big emotions? Fear, pain, or maybe you feel empty, numb and unable to get going? Do you feel trapped by your relationships, circumstances or suffer with a lack of confidence to make a change? You may be grieving the loss of an important person in your life. Throughout our lives we have many ups and downs, losses and big changes. Sometimes we can feel alone in our problems. You might feel unable to share some of the thoughts and feelings that you’re having with others due to feeling that you may be criticised, ridiculed or misunderstood. Depression can make us feel disconnected from others and alone in life.
Are you struggling with big emotions? Fear, pain, or maybe you feel empty, numb and unable to get going? Do you feel trapped by your relationships, circumstances or suffer with a lack of confidence to make a change? You may be grieving the loss of an important person in your life. Throughout our lives we have many ups and downs, losses and big changes. Sometimes we can feel alone in our problems. You might feel unable to share some of the thoughts and feelings that you’re having with others due to feeling that you may be criticised, ridiculed or misunderstood. Depression can make us feel disconnected from others and alone in life.
0115 647 7236 View 0115 647 7236
Photo of Dr Steven Lilley, Inter-Mind Ltd, Psychologist in Pinxton, England
Dr Steven Lilley, Inter-Mind Ltd
Psychologist, PsychD, HCPC - Clin. Psych.
Verified
Harlow Wood NG18
My name is Steve Lilley and I am a Registered Clinical Psychologist and Accredited Cognitive Analytic Therapist (ACAT) with over 19 years' experience of working in the mental health field, including the NHS, independent secure mental health services, and private practice (Inter-Mind Psychological Services Ltd). I pride myself on a down-to-Earth approach that is highly confidential, compassionate, and consistent with my professional ethics and values. I use the knowledge and skills I have to try to help clients make sense of their difficulties and to find ways of moving forwards in their lives.
My name is Steve Lilley and I am a Registered Clinical Psychologist and Accredited Cognitive Analytic Therapist (ACAT) with over 19 years' experience of working in the mental health field, including the NHS, independent secure mental health services, and private practice (Inter-Mind Psychological Services Ltd). I pride myself on a down-to-Earth approach that is highly confidential, compassionate, and consistent with my professional ethics and values. I use the knowledge and skills I have to try to help clients make sense of their difficulties and to find ways of moving forwards in their lives.
01623 392167 View 01623 392167
Photo of Sharon Campbell, Counsellor in Pinxton, England
Sharon Campbell
Counsellor, DCounsPsych, MBACP
Verified
Nottingham NG1
I provide a safe and confidential space for you to talk through whatever brings you to counselling. I believe that you have the full potential to overcome any emotional challenges you may be facing and that together we can untangle the busyness of your thoughts and make sense of everything. With growing awareness comes the element of choice - which in turn will open up a life you want to live. You may have a personal goal that you want to achieve from the sessions or it may just be about having a space to say things out loud and start to own how you are feeling. I will always be led by the client as you are the expert of you.
I provide a safe and confidential space for you to talk through whatever brings you to counselling. I believe that you have the full potential to overcome any emotional challenges you may be facing and that together we can untangle the busyness of your thoughts and make sense of everything. With growing awareness comes the element of choice - which in turn will open up a life you want to live. You may have a personal goal that you want to achieve from the sessions or it may just be about having a space to say things out loud and start to own how you are feeling. I will always be led by the client as you are the expert of you.
0115 647 3837 View 0115 647 3837
Photo of Kirsty Turner, Psychotherapist in Pinxton, England
Kirsty Turner
Psychotherapist, MA, MUKCP
Verified
Belper DE56  (Online Only)
At times, we can feel overwhelmed by the events and demands facing us. Life can feel daunting, and we can lose trust in ourselves to find a way forward. We can neglect ourselves and ignore areas of our lives that are painful. We may notice beliefs and habits we are stuck with that are holding us back from living life fully. Psychotherapy can help unravel the patterns we are caught in. Learning to pay attention to ourselves in a supportive space can help us to shift our perspective and find new directions. We can develop a compassionate relationship with ourselves that will help generate new energy to overcome our obstacles.
At times, we can feel overwhelmed by the events and demands facing us. Life can feel daunting, and we can lose trust in ourselves to find a way forward. We can neglect ourselves and ignore areas of our lives that are painful. We may notice beliefs and habits we are stuck with that are holding us back from living life fully. Psychotherapy can help unravel the patterns we are caught in. Learning to pay attention to ourselves in a supportive space can help us to shift our perspective and find new directions. We can develop a compassionate relationship with ourselves that will help generate new energy to overcome our obstacles.
View
Photo of James Palfreyman, Psychotherapist in Pinxton, England
James Palfreyman
Psychotherapist, MBACP
Verified
Ripley DE5
Do you ever feel like a spectator in your own life? Maybe you feel stuck in a pattern of behaviour and don't know how to change it? Do you feel less deserving of the life you desire than everybody else? If this sounds like you and you are ready to explore it further, then get in touch. I have a keen interest in identity, how we see ourselves, and how we see ourselves in relation to others. I provide a safe, non-judgemental environment where we can work through your issues or concerns at your own pace, focussing on your own personal goals. This is your time!
Do you ever feel like a spectator in your own life? Maybe you feel stuck in a pattern of behaviour and don't know how to change it? Do you feel less deserving of the life you desire than everybody else? If this sounds like you and you are ready to explore it further, then get in touch. I have a keen interest in identity, how we see ourselves, and how we see ourselves in relation to others. I provide a safe, non-judgemental environment where we can work through your issues or concerns at your own pace, focussing on your own personal goals. This is your time!
01773 305002 View 01773 305002

How does your Counsellor compare?

Number of Counsellors in Pinxton

< 10

Counsellors in Pinxton who prioritize treating:

100% Depression
100% Anxiety
100% Addiction
100% ADHD
100% Chronic Pain
100% Domestic Abuse
100% Bereavement

Gender breakdown

100% Female

How Counsellors in Pinxton see their clients

100% In Person and Online

FAQs - About Therapy and Counselling

How can I find a therapist in Pinxton?

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.