Counselling in KT23

Photo of Liz Jones, Psychologist, MSc, CPsychol
Liz Jones
Psychologist, MSc, CPsychol
BSc, MSc, MBPSS, MABP, CBCP. I am a psychologist skilled in counselling psychotherapy and coaching. I have over 15 years of experience working with people in the public and private sector. If you are feeling overwhelmed by life’s demands, I aim to introduce clarity and self-motivation.I teach techniques to better manage everyday emotional stress. I support clients needing help with their lives whether it is personally focused, career focused, relating to a specific issue or just needing a safe space to externalise.Member of the British Psychological Society, the Association of Business Psychologists and a qualified CBT therapist.
BSc, MSc, MBPSS, MABP, CBCP. I am a psychologist skilled in counselling psychotherapy and coaching. I have over 15 years of experience working with people in the public and private sector. If you are feeling overwhelmed by life’s demands, I aim to introduce clarity and self-motivation.I teach techniques to better manage everyday emotional stress. I support clients needing help with their lives whether it is personally focused, career focused, relating to a specific issue or just needing a safe space to externalise.Member of the British Psychological Society, the Association of Business Psychologists and a qualified CBT therapist.
01372 671230 View 01372 671230
Photo of Elinor Sason, Psychologist, PsychD, HCPC - Couns. Psych.
Elinor Sason
Psychologist, PsychD, HCPC - Couns. Psych.
I am a Chartered and HCPC registered Counselling Psychologist and clinical supervisor with experience in the NHS, private and charitable mental health settings. I adopt a pluralistic approach meaning that I do not believe there is one universally right theory or model but rather, that a range of theories and models can be helpful and effective. It is therefore essential to utilise those which meet each client’s needs and have evidence base. Additionally, at the heart of my work, is a belief that the therapeutic relationship is key, and I am passionate about offering a space in which that can flourish.
I am a Chartered and HCPC registered Counselling Psychologist and clinical supervisor with experience in the NHS, private and charitable mental health settings. I adopt a pluralistic approach meaning that I do not believe there is one universally right theory or model but rather, that a range of theories and models can be helpful and effective. It is therefore essential to utilise those which meet each client’s needs and have evidence base. Additionally, at the heart of my work, is a belief that the therapeutic relationship is key, and I am passionate about offering a space in which that can flourish.
01372 423381 View 01372 423381
Photo of Josephine Bird, Counsellor, MBACP
Josephine Bird
Counsellor, MBACP
I have over 10 years experience in helping with Anxiety, depression, trauma, bereavement, addiction and many other areas of mental and emotional health. Choosing me as your therapist means partnering with someone who is genuinely committed to your personal growth and wellbeing. I have broad experience and a compassionate approach ensuring you feel heard and understood throughout our sessions. My aim is to help you navigate lifes challenges in a relationship where you will learn to flourish and make lasting changes.
I have over 10 years experience in helping with Anxiety, depression, trauma, bereavement, addiction and many other areas of mental and emotional health. Choosing me as your therapist means partnering with someone who is genuinely committed to your personal growth and wellbeing. I have broad experience and a compassionate approach ensuring you feel heard and understood throughout our sessions. My aim is to help you navigate lifes challenges in a relationship where you will learn to flourish and make lasting changes.
01306 775129 View 01306 775129
Photo of Sarah Dean, Counsellor, BACP
Sarah Dean
Counsellor, BACP
We can all find life hard at times. It can throw up difficulties that feel overwhelming and out of our control. I support adults and teenagers through a range of issues including anxiety, depression, bereavement, relationship issues and Asperger Syndrome. When we experience distress, sadness, loneliness, anxiety or depressed mood, it can feel difficult to bear and leave us feeling powerless. Working alongside a therapist means you need not face these difficulties alone.
We can all find life hard at times. It can throw up difficulties that feel overwhelming and out of our control. I support adults and teenagers through a range of issues including anxiety, depression, bereavement, relationship issues and Asperger Syndrome. When we experience distress, sadness, loneliness, anxiety or depressed mood, it can feel difficult to bear and leave us feeling powerless. Working alongside a therapist means you need not face these difficulties alone.
01306 775128 View 01306 775128
Photo of Linda Thorden, Psychologist, HCPC - Clin. Psych.
Linda Thorden
Psychologist, HCPC - Clin. Psych.
Serves Area
I’m a Clinical Psychologist, a CBT therapist and an EMDR Consultant. I provide a variety of interventions including EMDR therapy for trauma, CBT for anxiety, stress and depression. I have 15 years experience working with clients within the NHS and in my private practise in addressing presenting problems in a collaborative way. I have extensive supervision training in a variety of modalities. I'm an accredited Emdr Consultant and provide supervision to professionals and services.
I’m a Clinical Psychologist, a CBT therapist and an EMDR Consultant. I provide a variety of interventions including EMDR therapy for trauma, CBT for anxiety, stress and depression. I have 15 years experience working with clients within the NHS and in my private practise in addressing presenting problems in a collaborative way. I have extensive supervision training in a variety of modalities. I'm an accredited Emdr Consultant and provide supervision to professionals and services.
01372 678061 View 01372 678061
Photo of Nicola Jane Griffiths, Counsellor, MBACP
Nicola Jane Griffiths
Counsellor, MBACP
Serves Area
Hello Do you experience any of the following; flashbacks, nightmares, sleep disturbance, self harm, addictive behaviours, repetitive thoughts, a churning stomach, headaches, relationship problems, family issues, angry outbursts, low self esteem, depression, or anxiety, body tension, lack of focus?
Hello Do you experience any of the following; flashbacks, nightmares, sleep disturbance, self harm, addictive behaviours, repetitive thoughts, a churning stomach, headaches, relationship problems, family issues, angry outbursts, low self esteem, depression, or anxiety, body tension, lack of focus?
01372 233640 View 01372 233640
Photo of Mandy Thomson, Counsellor, BACP
Mandy Thomson
Counsellor, BACP
1 Endorsed
Serves Area
If you're struggling with anxiety or depression at the moment then I can help. At the heart of my work is the belief that our earliest relationships shape how we see ourselves and connect with others. I help clients explore potentially hidden patterns of trust and security that may be having an impact on their relationships, emotions, and sense of self. I provide a supportive space for you to slow down, reflect, and explore what’s happening beneath the surface. By bringing these into the open, you can begin to create new ways of relating, heal from old wounds and develop a more authentic sense of self.
If you're struggling with anxiety or depression at the moment then I can help. At the heart of my work is the belief that our earliest relationships shape how we see ourselves and connect with others. I help clients explore potentially hidden patterns of trust and security that may be having an impact on their relationships, emotions, and sense of self. I provide a supportive space for you to slow down, reflect, and explore what’s happening beneath the surface. By bringing these into the open, you can begin to create new ways of relating, heal from old wounds and develop a more authentic sense of self.
01372 678057 View 01372 678057
Photo of Diana Thornton, Psychotherapist, MHGI
Diana Thornton
Psychotherapist, MHGI
Serves Area
I am a registered Human Givens therapist and mindful self-compassion teacher. I understand that you want to feel better quickly. I will listen, guide and respond with warmth and respect using the best evidence-based techniques to suit you and your particular needs. These might include CBT, compassion based approaches, explanations about brain function, relaxation and visualisations together with NICE approved techniques to work on traumatic triggers. Without unduly dwelling upon the past we can deal with old difficulties, current situations and learn new skills to approach the future with a renewed sense of wellbeing.
I am a registered Human Givens therapist and mindful self-compassion teacher. I understand that you want to feel better quickly. I will listen, guide and respond with warmth and respect using the best evidence-based techniques to suit you and your particular needs. These might include CBT, compassion based approaches, explanations about brain function, relaxation and visualisations together with NICE approved techniques to work on traumatic triggers. Without unduly dwelling upon the past we can deal with old difficulties, current situations and learn new skills to approach the future with a renewed sense of wellbeing.
01372 677209 View 01372 677209
Photo of Siobhain Clancy, Psychotherapist, BPC
Siobhain Clancy
Psychotherapist, BPC
1 Endorsed
Serves Area
Waitlist for new clients
All of us experience challenges in our lives and sometimes these challenges are difficult to carry. You may be feeling stressed, angry, anxious, confused, inadequate or overwhelmed with sadness. You may feel isolated with your thoughts and feelings. Sitting within a confidential and supportive environment with someone you can trust and who will listen, can help you understand and make sense of your situation.
All of us experience challenges in our lives and sometimes these challenges are difficult to carry. You may be feeling stressed, angry, anxious, confused, inadequate or overwhelmed with sadness. You may feel isolated with your thoughts and feelings. Sitting within a confidential and supportive environment with someone you can trust and who will listen, can help you understand and make sense of your situation.
07775 187184 View 07775 187184
Photo of Sharon Green, Counsellor, MBACP Accred
Sharon Green
Counsellor, MBACP Accred
Not accepting new clients
Are you struggling to work through a difficulty? Do you feel overwhelmed by your thoughts and feelings? Are you feeling depressed and isolated from others? Do you need help to make sense of what's going on for you? I offer one to one support at a difficult time in your life. Benefits of counselling include: increased self-esteem and self-confidence; greater self-acceptance; improved awareness of yourself and how you relate to others; increased resilience to help you to deal with life's challenges and to cope with change.
Are you struggling to work through a difficulty? Do you feel overwhelmed by your thoughts and feelings? Are you feeling depressed and isolated from others? Do you need help to make sense of what's going on for you? I offer one to one support at a difficult time in your life. Benefits of counselling include: increased self-esteem and self-confidence; greater self-acceptance; improved awareness of yourself and how you relate to others; increased resilience to help you to deal with life's challenges and to cope with change.
01372 677203 View 01372 677203

More Therapists Nearby

Photo of Tracy Harvey, Counsellor, MBACP
Tracy Harvey
Counsellor, MBACP
Serves Area
As a therapist, I work with clients to help them deal with issues such as depression, anxiety and invasive thoughts. I believe that society is quick to label people and say “whats wrong with you?” whereas, I believe we should be asking “What happened to you?” My clients have included survivors of childhood abuse, neglect, sexual assault and those recovering from traumatic-based experiences that have affected their current quality of life. I offer bereavement counselling to help people navigate their pain and find their own way to make sense of their loss. I recognise that, as each person is unique, so is their grieving process.
As a therapist, I work with clients to help them deal with issues such as depression, anxiety and invasive thoughts. I believe that society is quick to label people and say “whats wrong with you?” whereas, I believe we should be asking “What happened to you?” My clients have included survivors of childhood abuse, neglect, sexual assault and those recovering from traumatic-based experiences that have affected their current quality of life. I offer bereavement counselling to help people navigate their pain and find their own way to make sense of their loss. I recognise that, as each person is unique, so is their grieving process.
01296 929266 View 01296 929266
Photo of Paul Agar, Psychotherapist, MA, MBACP Accred
Paul Agar
Psychotherapist, MA, MBACP Accred
Serves Area
I understand that reaching out for support can feel difficult, especially if you’ve been feeling stuck for some time. If you’re considering therapy, you're welcome to get in touch and make use of a free initial consultation. I’m an EMDR Psychotherapist, Consultant and Clinical Supervisor, and an accredited member of the British Association for Counselling and Psychotherapy (BACP). I have over fifteen years of experience supporting individuals with their mental health and emotional wellbeing, particularly in relation to trauma, anxiety, and feeling stuck in patterns that are difficult to shift.
I understand that reaching out for support can feel difficult, especially if you’ve been feeling stuck for some time. If you’re considering therapy, you're welcome to get in touch and make use of a free initial consultation. I’m an EMDR Psychotherapist, Consultant and Clinical Supervisor, and an accredited member of the British Association for Counselling and Psychotherapy (BACP). I have over fifteen years of experience supporting individuals with their mental health and emotional wellbeing, particularly in relation to trauma, anxiety, and feeling stuck in patterns that are difficult to shift.
07588 674861 View 07588 674861
Photo of Sarah Carr, Counsellor, MA, MBACP Accred
Sarah Carr
Counsellor, MA, MBACP Accred
London N8
You may be navigating grief, anxiety, or long-standing patterns that no longer serve you. Perhaps you’re facing a life transition or a crisis of meaning, and want to understand yourself more deeply. My clients often seek a space to slow down, be heard, and reconnect, with themselves, others, or a sense of something greater. You may be curious about how your inner world shapes your experience, or feel a longing for transformation. Together we can explore what holds you back, what’s emerging, and what healing and change might look like for you.
You may be navigating grief, anxiety, or long-standing patterns that no longer serve you. Perhaps you’re facing a life transition or a crisis of meaning, and want to understand yourself more deeply. My clients often seek a space to slow down, be heard, and reconnect, with themselves, others, or a sense of something greater. You may be curious about how your inner world shapes your experience, or feel a longing for transformation. Together we can explore what holds you back, what’s emerging, and what healing and change might look like for you.
020 4524 2953 View 020 4524 2953
Photo of Annabel Liesel Jones - The Pathways Practice, Psychotherapist, MSc, MUKCP
The Pathways Practice
Psychotherapist, MSc, MUKCP
1 Endorsed
London SE26
My name is Annabel, and I’m a family & systemic psychotherapist/CBT therapist working across the lifespan—from young children to older adults. While I welcome clients of all ages and backgrounds, I have a particular interest in supporting children with anxiety- helping individuals and families improve their relationships - and working with individuals with serious mental illness such as psychosis and bipolar. Over the past ten years, I’ve worked with families and individuals facing a wide range of challenges. I am a compassionate and encouraging practitioner, and my approach is based in social justice.
My name is Annabel, and I’m a family & systemic psychotherapist/CBT therapist working across the lifespan—from young children to older adults. While I welcome clients of all ages and backgrounds, I have a particular interest in supporting children with anxiety- helping individuals and families improve their relationships - and working with individuals with serious mental illness such as psychosis and bipolar. Over the past ten years, I’ve worked with families and individuals facing a wide range of challenges. I am a compassionate and encouraging practitioner, and my approach is based in social justice.
07721 644043 View 07721 644043
Photo of Jayne Louise Street, Psychotherapist, MA, MUKCP
Jayne Louise Street
Psychotherapist, MA, MUKCP
Enfield EN2
I offer confidential therapy either online or in person in Enfield. Our therapeutic relationship will be unique and individual according to your needs. We will explore your experiences in a safe, warm and confidential environment, free of critical judgement. In this space we can gain a deeper, greater understanding of what's happening for you, which in itself will create change. Psychological and relational blocks, anxiety, stress and depression can arise for numerous reasons, we will explore, where possible, the root causes with the intention of working this through.
I offer confidential therapy either online or in person in Enfield. Our therapeutic relationship will be unique and individual according to your needs. We will explore your experiences in a safe, warm and confidential environment, free of critical judgement. In this space we can gain a deeper, greater understanding of what's happening for you, which in itself will create change. Psychological and relational blocks, anxiety, stress and depression can arise for numerous reasons, we will explore, where possible, the root causes with the intention of working this through.
020 4572 5342 View 020 4572 5342
Photo of Paul Carslake, Psychotherapist, MSc, MBACP
Paul Carslake
Psychotherapist, MSc, MBACP
London SW11
Hi there. I provide face-to-face and online counselling (from £55) with the first session free of charge. Together, we can work on helping you cope with what's going on in your life right now, and take time to explore how you might feel better about yourself. My approach is broadly 'psychodynamic', which means we pay close attention to the feelings and beliefs that we hold about ourselves and others, and which have typically taken shape at some earlier time in our lives. We can quickly become stuck in set ways of 'being me', without realising that all of us have a capacity to change in all kinds of unexpected ways.
Hi there. I provide face-to-face and online counselling (from £55) with the first session free of charge. Together, we can work on helping you cope with what's going on in your life right now, and take time to explore how you might feel better about yourself. My approach is broadly 'psychodynamic', which means we pay close attention to the feelings and beliefs that we hold about ourselves and others, and which have typically taken shape at some earlier time in our lives. We can quickly become stuck in set ways of 'being me', without realising that all of us have a capacity to change in all kinds of unexpected ways.
020 8103 5638 View 020 8103 5638
Photo of Romina Richardson, Psychotherapist, MSc, MBACP
Romina Richardson
Psychotherapist, MSc, MBACP
London W8
Positive outcomes in therapy are largely shaped by the quality of the therapist–client relationship. My approach encourages a collaborative process to create lasting change throughout your healing and growth journey. I offer an individualised understanding of you, and together we set meaningful goals to work toward. I integrate various therapeutic modalities, including traditional talking psychotherapy, and body-mind focused nervous system regulation. I also work with EEG brainwave maps followed by Neurofeedback to support emotional regulation and balance, helping you uncover the most optimal and authentic version of yourself.
Positive outcomes in therapy are largely shaped by the quality of the therapist–client relationship. My approach encourages a collaborative process to create lasting change throughout your healing and growth journey. I offer an individualised understanding of you, and together we set meaningful goals to work toward. I integrate various therapeutic modalities, including traditional talking psychotherapy, and body-mind focused nervous system regulation. I also work with EEG brainwave maps followed by Neurofeedback to support emotional regulation and balance, helping you uncover the most optimal and authentic version of yourself.
020 4538 1186 View 020 4538 1186
Photo of Isa Marin, Psychotherapist, MA, MBACP
Isa Marin
Psychotherapist, MA, MBACP
London E17
Hello, I’m Isa, a psychotherapist supporting adults facing emotional or relationship challenges, and those who are seeking a deeper understanding of themselves. Areas of experience: Low mood and depression Anxiety and burnout Feeling lost or disconnected Emotional regulation difficulties Relationship challenges Sexuality and identity Neurodiversity I have a particular interest in trauma, sexuality, the nervous system, and affirming work with LGBTQ+ clients.
Hello, I’m Isa, a psychotherapist supporting adults facing emotional or relationship challenges, and those who are seeking a deeper understanding of themselves. Areas of experience: Low mood and depression Anxiety and burnout Feeling lost or disconnected Emotional regulation difficulties Relationship challenges Sexuality and identity Neurodiversity I have a particular interest in trauma, sexuality, the nervous system, and affirming work with LGBTQ+ clients.
020 4634 8363 View 020 4634 8363
Photo of Kirsty Austin, Counsellor, MBACP Accred
Kirsty Austin
Counsellor, MBACP Accred
Serves Area
As an Accredited Integrative Counsellor & EMDR Therapist I understand that you are unique and I will adapt my professional skills to your needs. I have over 16yrs experience working with Trauma, PTSD, Anxiety, Phobias, Depression, Bereavement, Stress, Low Self Esteem and much more. I aim to provide a warm, accepting environment that is confidential and safe. Developing a supportive, non-judgmental relationship to facilitate self understanding, new insights and to help individuals find new ways of being. EMDR is my preferred way of working with trauma & difficult memories that have helped shaped you into the adult you are today.
As an Accredited Integrative Counsellor & EMDR Therapist I understand that you are unique and I will adapt my professional skills to your needs. I have over 16yrs experience working with Trauma, PTSD, Anxiety, Phobias, Depression, Bereavement, Stress, Low Self Esteem and much more. I aim to provide a warm, accepting environment that is confidential and safe. Developing a supportive, non-judgmental relationship to facilitate self understanding, new insights and to help individuals find new ways of being. EMDR is my preferred way of working with trauma & difficult memories that have helped shaped you into the adult you are today.
01227 947191 View 01227 947191
Photo of Declan Goodhall, Psychotherapist, MA, HCPC-Music Therap.
Declan Goodhall
Psychotherapist, MA, HCPC-Music Therap.
1 Endorsed
Watford WD18
I am an autistic and ADHD music therapist offering support for neurodivergent people, disabled clients and families seeking a space without pressure to mask or explain themselves. Clients may be navigating anxiety, sensory overwhelm, grief, complex mental health or supporting a child with additional needs. I work gently and relationally, attuned to different communication styles and sensory profiles. Through responsive musical interaction, we build regulation, confidence, connection and authentic self-expression.
I am an autistic and ADHD music therapist offering support for neurodivergent people, disabled clients and families seeking a space without pressure to mask or explain themselves. Clients may be navigating anxiety, sensory overwhelm, grief, complex mental health or supporting a child with additional needs. I work gently and relationally, attuned to different communication styles and sensory profiles. Through responsive musical interaction, we build regulation, confidence, connection and authentic self-expression.
01923 311021 View 01923 311021

How does your Counsellor compare?

Number of Counsellors in KT23

10+

Average cost per session

£65

Counsellors in KT23 who prioritize treating:

100% Depression
100% Anxiety
90% Bereavement
80% Self Esteem
80% Stress
70% Trauma and PTSD
60% Relationship Issues

Average years in practice

11 Years

Top 3 insurances accepted

50% Cigna and Evernorth
50% Bupa
50% Aviva

How Counsellors in KT23 see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counselling

How can I find a therapist in KT23?

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.