Counselling in Trefnant

Photo of My Online Counsellor, Counsellor in Trefnant, Wales
My Online Counsellor
Counsellor, MBACP
Verified
Trefnant LL16
Life can be tough, we can be going along quite nicely and then something unexpected turns our life upside down. In order to cope we all need to foster positive resilience, ideally beginning in childhood. Sadly, for many, how we cope today can be traced back to a time when we learnt how to get our needs met, which can be outdated or no longer appropriate as our needs are now completely different. Theses subconscious scripts can be holding you back by causing you negativity, prevent you having good relationships. I can help by providing a confidential space online and the expertise to work in partnership to resolve issues.
Life can be tough, we can be going along quite nicely and then something unexpected turns our life upside down. In order to cope we all need to foster positive resilience, ideally beginning in childhood. Sadly, for many, how we cope today can be traced back to a time when we learnt how to get our needs met, which can be outdated or no longer appropriate as our needs are now completely different. Theses subconscious scripts can be holding you back by causing you negativity, prevent you having good relationships. I can help by providing a confidential space online and the expertise to work in partnership to resolve issues.
01745 770914 View 01745 770914

More Therapists Nearby

Photo of Content Counselling, Counsellor in Trefnant, Wales
Content Counselling
Counsellor, FNCPS
Verified
Denbigh LL16
My name is Cathryn and I am a person centered counsellor who specialises in Bereavement, Grief and Loss. ​ As a person centered therapist my aim is to help you navigate your way through what you are struggling with. My aim is to help you by providing a safe space to explore your thoughts and feelings and provide some clarity and insights into what you may be struggling with. ​ By working together we can discover what works best for you so you can lead a more peaceful life.
My name is Cathryn and I am a person centered counsellor who specialises in Bereavement, Grief and Loss. ​ As a person centered therapist my aim is to help you navigate your way through what you are struggling with. My aim is to help you by providing a safe space to explore your thoughts and feelings and provide some clarity and insights into what you may be struggling with. ​ By working together we can discover what works best for you so you can lead a more peaceful life.
01352 871198 View 01352 871198
Photo of Liz Cobb Therapy, Psychotherapist in Trefnant, Wales
Liz Cobb Therapy
Psychotherapist, MBACP
Verified
1 Endorsed
Saint Asaph LL17
I am a Relate trained and qualified Relational Psychotherapist with over 20 years experience of working with individuals, couples and families. I work in an integrative way, which means I can use my knowledge of many different theories and techniques to work with you in the most suitable way for you and your specific needs. We all seek connection with others and when there are problems or difficulties in our relationships we will suffer pain, hurt, anxiety and fear. You can work on your ability to relate to others or on any relationships you might be experiencing difficulty with, alone, or with your partner or family members.
I am a Relate trained and qualified Relational Psychotherapist with over 20 years experience of working with individuals, couples and families. I work in an integrative way, which means I can use my knowledge of many different theories and techniques to work with you in the most suitable way for you and your specific needs. We all seek connection with others and when there are problems or difficulties in our relationships we will suffer pain, hurt, anxiety and fear. You can work on your ability to relate to others or on any relationships you might be experiencing difficulty with, alone, or with your partner or family members.
0113 487 2889 View 0113 487 2889
Photo of Tracey Boothby, Counsellor in Trefnant, Wales
Tracey Boothby
Counsellor, MA, MBACP
Verified
Denbigh LL16
If you’re reading this you must have determined you would like help to heal and resolve difficulties in your life. I have a wealth of experience working with adults and children who have endured severe trauma, mental ill health (anxiety, depression etc) and have guided them through the healing process. Trauma affects both brain and body, causing somatic pain and toxic stress. Abusive relationships leave there damage behind long after they have ended . I’m not a fixer and I don’t have a magic wand, however, I can help you untangle the confusion and find some much needed hope to help you reach your goal.
If you’re reading this you must have determined you would like help to heal and resolve difficulties in your life. I have a wealth of experience working with adults and children who have endured severe trauma, mental ill health (anxiety, depression etc) and have guided them through the healing process. Trauma affects both brain and body, causing somatic pain and toxic stress. Abusive relationships leave there damage behind long after they have ended . I’m not a fixer and I don’t have a magic wand, however, I can help you untangle the confusion and find some much needed hope to help you reach your goal.
01492 554482 View 01492 554482
Photo of Jane Gibbins, Counsellor in Trefnant, Wales
Jane Gibbins
Counsellor, MBACP Accred
Verified
Abergele LL22
Are you seeking support to manage a traumatic event, bereavement or loss or struggling with your personal or professional relationships? Is a situation, past or present, causing you emotional distress? Whether you’re going through a difficult time in your life, struggling with past trauma or complex grief or wanting to explore any areas in life where you feel stuck, finding the right support when you need it can make a huge difference. Please get in touch, I can help and would be happy to discuss working together.
Are you seeking support to manage a traumatic event, bereavement or loss or struggling with your personal or professional relationships? Is a situation, past or present, causing you emotional distress? Whether you’re going through a difficult time in your life, struggling with past trauma or complex grief or wanting to explore any areas in life where you feel stuck, finding the right support when you need it can make a huge difference. Please get in touch, I can help and would be happy to discuss working together.
01745 770903 View 01745 770903
Photo of Penni Neale, Counsellor in Trefnant, Wales
Penni Neale
Counsellor, MA, MBACP Accred
Verified
Saint Asaph LL17
I work as an integrative counsellor and supervisor in the Denbighshire area. I can provide a safe and regular space to work in partnership with you to explore, understand and work through difficulties. My aim is to help you find your own insight into problems, thoughts and feelings you are experiencing in a nonjudgemental and confidential environment. I am an accredited, registered member of the British Association of Counselling and Psychotherapy and have 20 years' experience working in Primary Care (GP surgeries) and College counselling settings. I have been a lecturer in counselling since 2000.
I work as an integrative counsellor and supervisor in the Denbighshire area. I can provide a safe and regular space to work in partnership with you to explore, understand and work through difficulties. My aim is to help you find your own insight into problems, thoughts and feelings you are experiencing in a nonjudgemental and confidential environment. I am an accredited, registered member of the British Association of Counselling and Psychotherapy and have 20 years' experience working in Primary Care (GP surgeries) and College counselling settings. I have been a lecturer in counselling since 2000.
07480 738304 View 07480 738304
Photo of Blue Heron Psychotherapy, Psychotherapist in Trefnant, Wales
Blue Heron Psychotherapy
Psychotherapist, MSc, MBACP
Verified
1 Endorsed
Llandudno LL15  (Online Only)
Not accepting new clients
You may feel you are not getting the most out of your life for reasons known or unknown. I work with the unconscious through dreams and imagery to help you connect more fully with yourself, giving you access to your own deeper needs and desires clearing the way for you to change as you chose. You may need the convenience of working online or via the telephone (F2F not available). Often my way of working appeals to those who are interested in the arts and/or the spiritual realm and those who appreciate deeper ways of working, in safe and supportive relationship.
You may feel you are not getting the most out of your life for reasons known or unknown. I work with the unconscious through dreams and imagery to help you connect more fully with yourself, giving you access to your own deeper needs and desires clearing the way for you to change as you chose. You may need the convenience of working online or via the telephone (F2F not available). Often my way of working appeals to those who are interested in the arts and/or the spiritual realm and those who appreciate deeper ways of working, in safe and supportive relationship.
01492 555027 View 01492 555027
Photo of Wendy Leverett Wilson, Counsellor in Trefnant, Wales
Wendy Leverett Wilson
Counsellor
Verified
Ruthin LL15
Hi my name is Wendy and I understand it can be difficult to approach someone for support especially if you are feeling overwhelmed with emotions . We all face challenges in life, some of which we can easily manage while others we find ourselves struggling with and needing greater support. No matter what difficulties you are having or how large or small it feels, I can offer you the time and place for you to explore your feelings and emotions, to find acceptance and understanding in a trusted relationship. At a pace to suit you we can work together in making the changes in your life that can help you feel more in control and at ease
Hi my name is Wendy and I understand it can be difficult to approach someone for support especially if you are feeling overwhelmed with emotions . We all face challenges in life, some of which we can easily manage while others we find ourselves struggling with and needing greater support. No matter what difficulties you are having or how large or small it feels, I can offer you the time and place for you to explore your feelings and emotions, to find acceptance and understanding in a trusted relationship. At a pace to suit you we can work together in making the changes in your life that can help you feel more in control and at ease
07588 731677 View 07588 731677
Photo of NW Reflections, Counsellor in Trefnant, Wales
NW Reflections
Counsellor, MBACP
Verified
Abergele LL22
Sometimes life experiences can leave you feeling lost and confused, behaving in ways which you can’t understand, testing your understanding of yourself, your relationships, choices and other aspects of your life. When you seek counselling, you’re making a significant decision to give yourself the time to explore these aspects of your life. This is an hour just for you each week in a safe, friendly, non-judgemental and supportive environment. I am a fully qualified counsellor based in North Wales, working from a comfortable, private, easily accessible office. I also offer online video counselling
Sometimes life experiences can leave you feeling lost and confused, behaving in ways which you can’t understand, testing your understanding of yourself, your relationships, choices and other aspects of your life. When you seek counselling, you’re making a significant decision to give yourself the time to explore these aspects of your life. This is an hour just for you each week in a safe, friendly, non-judgemental and supportive environment. I am a fully qualified counsellor based in North Wales, working from a comfortable, private, easily accessible office. I also offer online video counselling
01492 555695 View 01492 555695
Photo of Jacqui Roberts, Counsellor in Trefnant, Wales
Jacqui Roberts
Counsellor, DCounsPsych, MBACP
Verified
Denbigh LL16
Most people experience anxiety or depression at some point in their lives and need to cope with pain and confusion. You may feel stuck and unmotivated or need to work through a traumatic experience from your past so you can move on with your life. You might also experience work related stress or be dealing with relationship difficulties. Self-development may also be the reason for seeking therapy. Therapy provides an opportunity to explore and make sense of your difficulties in a safe, non-judgmental environment, to develop your self-understanding and improve your relationships.
Most people experience anxiety or depression at some point in their lives and need to cope with pain and confusion. You may feel stuck and unmotivated or need to work through a traumatic experience from your past so you can move on with your life. You might also experience work related stress or be dealing with relationship difficulties. Self-development may also be the reason for seeking therapy. Therapy provides an opportunity to explore and make sense of your difficulties in a safe, non-judgmental environment, to develop your self-understanding and improve your relationships.
01745 775765 View 01745 775765
Photo of Anthony Lacey Psychotherapy Ltd in Trefnant, Wales
Anthony Lacey Psychotherapy Ltd
Abergele LL22
Are you not feeling like you are getting the most out of life and feel somewhat stuck in some way? Maybe you notice that your over-reacting with certain people or when in certain places or situations? Do you avoid doing certain things due to overwhelming feelings? Are you feeling unhelpful amounts of guilt/shame, feel unsafe in someway or out of control? If so, I can help you work through these by tailoring your sessions to your individual needs so that you learn about your self, start working towards your goal(s) and then start become self-sufficient with regard to what life throws at you.
Are you not feeling like you are getting the most out of life and feel somewhat stuck in some way? Maybe you notice that your over-reacting with certain people or when in certain places or situations? Do you avoid doing certain things due to overwhelming feelings? Are you feeling unhelpful amounts of guilt/shame, feel unsafe in someway or out of control? If so, I can help you work through these by tailoring your sessions to your individual needs so that you learn about your self, start working towards your goal(s) and then start become self-sufficient with regard to what life throws at you.
0151 318 0431 View 0151 318 0431
Photo of Laura Saxon, Counsellor in Trefnant, Wales
Laura Saxon
Counsellor, MNCPS Acc.
Verified
Denbigh LL16
We can all face challenges in our lives that can leave us feeling out of balance. Seeking support through counselling can help you to explore your feelings, thoughts and behaviour in a supportive way, it’s an opportunity to talk in a safe and confidential setting, without being judged. Person Centred Counselling or Talking Therapy, offers an individual the opportunity to engage in a confidential relationship with a professional and qualified counsellor who can offer unconditional positive regard, empathy and congruence to help you come to terms with any negative feelings and allow you to change and develop in your own way.
We can all face challenges in our lives that can leave us feeling out of balance. Seeking support through counselling can help you to explore your feelings, thoughts and behaviour in a supportive way, it’s an opportunity to talk in a safe and confidential setting, without being judged. Person Centred Counselling or Talking Therapy, offers an individual the opportunity to engage in a confidential relationship with a professional and qualified counsellor who can offer unconditional positive regard, empathy and congruence to help you come to terms with any negative feelings and allow you to change and develop in your own way.
01745 771069 View 01745 771069
Photo of Angharad Thomas, Counsellor in Trefnant, Wales
Angharad Thomas
Counsellor, MBACP Accred
Verified
Abergele LL22
Hi, I’m Angharad, a fully qualified, registered and accredited counsellor with many years experience. If you’re struggling right now then do get in touch or visit conwycounselling.co.uk to find out how I can help. Life can be hard going and, at times, most of us experience some form of distress or difficulty. Perhaps you are feeling anxious, depressed or confused about relationships or work. Perhaps you are facing painful experiences through illness, bereavement or family breakdown. Perhaps you are feeling stuck or have lost direction or a sense of who you are.
Hi, I’m Angharad, a fully qualified, registered and accredited counsellor with many years experience. If you’re struggling right now then do get in touch or visit conwycounselling.co.uk to find out how I can help. Life can be hard going and, at times, most of us experience some form of distress or difficulty. Perhaps you are feeling anxious, depressed or confused about relationships or work. Perhaps you are facing painful experiences through illness, bereavement or family breakdown. Perhaps you are feeling stuck or have lost direction or a sense of who you are.
01492 555037 View 01492 555037
Photo of Healingarts2u, Counsellor in Trefnant, Wales
Healingarts2u
Counsellor, MA, MBACP
Verified
Denbigh LL16
Thankyou for taking the first step to better health. I know from lived experience starting therapy can bring up a whole range of feelings. I am an experienced social worker and educator over 25 years supporting others. Modern life is complex and full of challenges, everyone is different and I offer bespoke services with careful preparation and clear communication.
Thankyou for taking the first step to better health. I know from lived experience starting therapy can bring up a whole range of feelings. I am an experienced social worker and educator over 25 years supporting others. Modern life is complex and full of challenges, everyone is different and I offer bespoke services with careful preparation and clear communication.
01745 777911 View 01745 777911
Photo of Mandy Lee, Counsellor in Trefnant, Wales
Mandy Lee
Counsellor, MBACP
Verified
2 Endorsed
Ruthin LL15
If something is affecting your wellbeing or ability to enjoy life as you would like, or you feel stuck or overwhelmed by thoughts or emotions, counselling can help you to feel more able to cope and move forward. You may be experiencing anxiety or depression, struggling to come to terms with a loss or unplanned situation, having difficulties with self-esteem, stress or anger, or perhaps you're at a crossroads which feels overwhelming. I provide a safe, confidential space for you to talk about the things that are causing you difficulties and will support you to work through the impact they are having, and to find a way forward.
If something is affecting your wellbeing or ability to enjoy life as you would like, or you feel stuck or overwhelmed by thoughts or emotions, counselling can help you to feel more able to cope and move forward. You may be experiencing anxiety or depression, struggling to come to terms with a loss or unplanned situation, having difficulties with self-esteem, stress or anger, or perhaps you're at a crossroads which feels overwhelming. I provide a safe, confidential space for you to talk about the things that are causing you difficulties and will support you to work through the impact they are having, and to find a way forward.
01225 432475 View 01225 432475
Photo of Looking-Glass Counselling, Counsellor in Trefnant, Wales
Looking-Glass Counselling
Counsellor, DCounsPsych, MBACP
Verified
Abergele LL22
If you’re struggling with difficult emotions, relationship issues, stress, anxiety, depression, or any other challenges in life, I will provide a safe, confidential and non-judgemental space where you can explore your thoughts and feelings, gain new insights and develop effective strategies for success. Whether you’re looking to improve your mental health, recover from trauma or loss, find direction and take control of your life, repair or strengthen your relationships, or you simply want to grow as a person, I can help. Book a free 30 minute Introduction Session now - maximum wait time 1 week (depending on your availability).
If you’re struggling with difficult emotions, relationship issues, stress, anxiety, depression, or any other challenges in life, I will provide a safe, confidential and non-judgemental space where you can explore your thoughts and feelings, gain new insights and develop effective strategies for success. Whether you’re looking to improve your mental health, recover from trauma or loss, find direction and take control of your life, repair or strengthen your relationships, or you simply want to grow as a person, I can help. Book a free 30 minute Introduction Session now - maximum wait time 1 week (depending on your availability).
01492 554495 View 01492 554495
Photo of Rainbow Counselling, Counsellor in Trefnant, Wales
Rainbow Counselling
Counsellor, MBACP
Verified
Kinmel Bay LL18
Hello and welcome to Rainbow Counselling. Rainbow Counselling was created to offer clients a safe space to explore and work on their difficulties, whilst being fully supported, and heard, without judgement.
Hello and welcome to Rainbow Counselling. Rainbow Counselling was created to offer clients a safe space to explore and work on their difficulties, whilst being fully supported, and heard, without judgement.
01745 777973 View 01745 777973
Photo of Susan Critchley, Counsellor in Trefnant, Wales
Susan Critchley
Counsellor, MA, MBACP Accred
Verified
Denbigh LL16
Waitlist for new clients
I can help you make sense of your thoughts, feelings and experiences. I work with a range of client experiences and concerns including; anxiety, low mood, addiction, bereavement, work pressures, life changes, behaviour changes personal growth, identity and relationship issues. I will use all of my training and experience to help you to work towards a resolution to the issues that bring you to counselling. I am an experienced BACP registered, accredited counsellor with 15 years+ experience in a range of counselling settings: primary care mental health, bereavement, sexual abuse and drug and alcohol counselling.
I can help you make sense of your thoughts, feelings and experiences. I work with a range of client experiences and concerns including; anxiety, low mood, addiction, bereavement, work pressures, life changes, behaviour changes personal growth, identity and relationship issues. I will use all of my training and experience to help you to work towards a resolution to the issues that bring you to counselling. I am an experienced BACP registered, accredited counsellor with 15 years+ experience in a range of counselling settings: primary care mental health, bereavement, sexual abuse and drug and alcohol counselling.
01824 731158 View 01824 731158
Photo of North Wales Cognitive Behavioural Therapy , Psychotherapist in Trefnant, Wales
North Wales Cognitive Behavioural Therapy
Psychotherapist, MBABCP
Verified
Bodelwyddan LL18
Hello, I'm Clair. It's difficult for people to know where to start sometimes, you may just not be feeling yourself or you may feel you have a diagnosis. Sometimes people come to see me with multiple problems from depression, anxiety and OCD to PTSD, domestic abuse and self-esteem and confidence issues and everything in between. Whatever your concerns we can discuss a way to help you live your life in a way that makes you happy. As a qualified and accredited CBT therapist in North Wales I can offer you a way overcome your problems.
Hello, I'm Clair. It's difficult for people to know where to start sometimes, you may just not be feeling yourself or you may feel you have a diagnosis. Sometimes people come to see me with multiple problems from depression, anxiety and OCD to PTSD, domestic abuse and self-esteem and confidence issues and everything in between. Whatever your concerns we can discuss a way to help you live your life in a way that makes you happy. As a qualified and accredited CBT therapist in North Wales I can offer you a way overcome your problems.
01492 555035 View 01492 555035
Photo of Laura Williams Psychotherapy and Counselling, Psychotherapist in Trefnant, Wales
Laura Williams Psychotherapy and Counselling
Psychotherapist, MUKCP
Verified
Rhyl LL18
Hello, I'm Laura. You might be here because something from your past is impacting your life today, you might be facing a current difficulty, or you may not know why you are here, but realise you want things to change. Regardless of how you got here, I will help you to increase your understanding of yourself and your situation and gain the resources you need to find freedom and move forwards in your life. I will work with you to get to the heart of the issue so that you can take back control and live a more full and autonomous life.
Hello, I'm Laura. You might be here because something from your past is impacting your life today, you might be facing a current difficulty, or you may not know why you are here, but realise you want things to change. Regardless of how you got here, I will help you to increase your understanding of yourself and your situation and gain the resources you need to find freedom and move forwards in your life. I will work with you to get to the heart of the issue so that you can take back control and live a more full and autonomous life.
01248 663164 View 01248 663164

How does your Counsellor compare?

Number of Counsellors in Trefnant

< 10

Counsellors in Trefnant who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Child
100% ADHD
100% Life Coaching
100% Bereavement

Average years in practice

29 Years

Gender breakdown

100% Female

How Counsellors in Trefnant see their clients

100% In Person and Online

FAQs - About Therapy and Counselling

How can I find a therapist in Trefnant?

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.