Counselling in Ballinasloe

Photo of Marie Lyons, Counsellor, ACI
Marie Lyons
Counsellor, ACI
Ballinasloe, County Galway H53
I provide one to one counselling in a confidential, friendly, non judgemental and empathic environment whereby I help to alleviate the stressors of daily living. Such issues include addictions, anxiety, bereavement, anger, emotional distress and relationship difficulties whereby I incorporate a treatment strategy tailored to the individual needs of my clients.
I provide one to one counselling in a confidential, friendly, non judgemental and empathic environment whereby I help to alleviate the stressors of daily living. Such issues include addictions, anxiety, bereavement, anger, emotional distress and relationship difficulties whereby I incorporate a treatment strategy tailored to the individual needs of my clients.
(01) 568 2872 x24 View (01) 568 2872 x24
Photo of Miriam Teresa Mullery, Counsellor, DCounsPsych, MIACP
Miriam Teresa Mullery
Counsellor, DCounsPsych, MIACP
Ballinasloe, County Galway H53
My name is Miriam. My promise to you is that I will journey with you. I will meet you where you are at in this moment in time. I understand anxiety, depression, emotional pain, work related issues, bereavement, trauma, relationship difficulties, illness issues. I work with people whom are bereaved, separated, divorced, terminally ill, those whom are experiencing death related illness, family members of those experiencing death related issues, those on palliative care and those struggling with diagnosis. I am an empathic person and I care about your journey. I value and care about people. That is what is most important to me.
My name is Miriam. My promise to you is that I will journey with you. I will meet you where you are at in this moment in time. I understand anxiety, depression, emotional pain, work related issues, bereavement, trauma, relationship difficulties, illness issues. I work with people whom are bereaved, separated, divorced, terminally ill, those whom are experiencing death related illness, family members of those experiencing death related issues, those on palliative care and those struggling with diagnosis. I am an empathic person and I care about your journey. I value and care about people. That is what is most important to me.
(01) 267 6675 x60 View (01) 267 6675 x60
Photo of Marie Lyons, Counsellor, ACI
Marie Lyons
Counsellor, ACI
Ballinasloe, County Galway H53
I provide one to one counselling therapy in a friendly, confidential, non judgemental & empathic environment whereby I help to alleviate the stressors of daily living. Such issues include addictions, anxiety, bereavement/loss, anger, emotional/physical distress, self esteem and relationship difficulties. I incorporate a treatment strategy which is tailored to the individual needs of my clients with all ages varying from 16 years onwards. Some of the interventions I utilise consist of Reality Therapy, Solution Focused Therapy, Cognitive Behavioral Therapy and Dialectical Behavioral Therapy.
I provide one to one counselling therapy in a friendly, confidential, non judgemental & empathic environment whereby I help to alleviate the stressors of daily living. Such issues include addictions, anxiety, bereavement/loss, anger, emotional/physical distress, self esteem and relationship difficulties. I incorporate a treatment strategy which is tailored to the individual needs of my clients with all ages varying from 16 years onwards. Some of the interventions I utilise consist of Reality Therapy, Solution Focused Therapy, Cognitive Behavioral Therapy and Dialectical Behavioral Therapy.
087 782 6020 View 087 782 6020
Photo of Teresa Elizabeth McGing, Psychotherapist, MIACP
Teresa Elizabeth McGing
Psychotherapist, MIACP
Ballinasloe, County Galway H53
Life is full of challenges, it's how we learn to navigate in our world. I often use the analogy that it's like playing a game on your phone, moving from one level to the next, childhood, teenage years, adult, relationships and often these challenges can overwhelm us. They can fill us with great anxiety, a feeling of being stuck and preventing us from being who we want to be. I am an empathic professional with a desire to support clients in becoming aware of their issues, understanding them, and guiding them in making changes if they want change.
Life is full of challenges, it's how we learn to navigate in our world. I often use the analogy that it's like playing a game on your phone, moving from one level to the next, childhood, teenage years, adult, relationships and often these challenges can overwhelm us. They can fill us with great anxiety, a feeling of being stuck and preventing us from being who we want to be. I am an empathic professional with a desire to support clients in becoming aware of their issues, understanding them, and guiding them in making changes if they want change.
(01) 233 7903 x52 View (01) 233 7903 x52
Photo of Lisa Larkin, Psychotherapist
Lisa Larkin
Psychotherapist
Ballinasloe, County Galway H53
Hi, I am an accredited Cognitive Behavioural Therapist and Eye Movement Desensitisation and Reprocessing (EMDR) Practitioner offering private appointments in the midlands. I am an experienced mental health professional (I am a registered Occupational Therapist), and I work well with clients experiencing all common mental health problems including anxiety disorders, depression and mood related disorders, PTSD, eating disorders and phobias. I realise it is a very difficult decision to seek help. It takes a lot of courage. I hope that I can make that journey as easy as possible for you by offering an empathetic and reassuring service.
Hi, I am an accredited Cognitive Behavioural Therapist and Eye Movement Desensitisation and Reprocessing (EMDR) Practitioner offering private appointments in the midlands. I am an experienced mental health professional (I am a registered Occupational Therapist), and I work well with clients experiencing all common mental health problems including anxiety disorders, depression and mood related disorders, PTSD, eating disorders and phobias. I realise it is a very difficult decision to seek help. It takes a lot of courage. I hope that I can make that journey as easy as possible for you by offering an empathetic and reassuring service.
(01) 267 6527 x32 View (01) 267 6527 x32
Photo of Helen Concepta Shaughnessy, Psychotherapist, MIACP
Helen Concepta Shaughnessy
Psychotherapist, MIACP
Serves Area
Do you want to feel more confident in your daily life? Are you having difficulty putting into words how you are feeling and looking for a non-judgmental, confidential and respectful space where you can safely share thoughts, feelings, and challenges in your life. Having worked in Cuan Mhuire Galway and Let’s Get Talking Galway, I found that most clients presented with having experienced some form of trauma, loss, anxiety or depression. Substance abuse and behavioural addiction can became a coping mechanism that makes matters worse, instead of better.
Do you want to feel more confident in your daily life? Are you having difficulty putting into words how you are feeling and looking for a non-judgmental, confidential and respectful space where you can safely share thoughts, feelings, and challenges in your life. Having worked in Cuan Mhuire Galway and Let’s Get Talking Galway, I found that most clients presented with having experienced some form of trauma, loss, anxiety or depression. Substance abuse and behavioural addiction can became a coping mechanism that makes matters worse, instead of better.
(01) 267 6692 x14 View (01) 267 6692 x14
Photo of David Morrin, Damhachtain Ardoideachais agus Oiliúna, MA
David Morrin
Damhachtain Ardoideachais agus Oiliúna, MA
Online Only
If you are struggling with depression, anxiety, trauma or life direction, I believe my therapeutic experience can help you. I firmly believe that when we transform our relationship with ourselves we help reconstruct our relationship to the world around us. My goal is to support you in creating new choices established in the present rather than the past and gently guide you to a place of self care rather than self criticism.
If you are struggling with depression, anxiety, trauma or life direction, I believe my therapeutic experience can help you. I firmly believe that when we transform our relationship with ourselves we help reconstruct our relationship to the world around us. My goal is to support you in creating new choices established in the present rather than the past and gently guide you to a place of self care rather than self criticism.
(01) 267 6692 x12 View (01) 267 6692 x12
Photo of Dr. Rachel Gately, Psychologist, CPsychol PSI
Dr. Rachel Gately
Psychologist, CPsychol PSI
2 Endorsed
Serves Area
My name is Rachel and I am the Director of Solas Psychology, a clinic based in Monivea, Co. Galway. We offer multidisciplinary autism assessments through a mixture of in-person and online appointments. We aim to provide a reliable and ethical assessment service for children and young people. Our clinicians are highly skilled, empathic and professional. We recognise that this can be a very difficult process and our staff are skilled at guiding families through the process as a result. We also operate from a neurodiverse framework which centres the child or young person's experience at the heart of our assessments.
My name is Rachel and I am the Director of Solas Psychology, a clinic based in Monivea, Co. Galway. We offer multidisciplinary autism assessments through a mixture of in-person and online appointments. We aim to provide a reliable and ethical assessment service for children and young people. Our clinicians are highly skilled, empathic and professional. We recognise that this can be a very difficult process and our staff are skilled at guiding families through the process as a result. We also operate from a neurodiverse framework which centres the child or young person's experience at the heart of our assessments.
(01) 233 7903 x31 View (01) 233 7903 x31
Photo of Marie Dempsey, Psychotherapist, MIACP
Marie Dempsey
Psychotherapist, MIACP
1 Endorsed
Serves Area
I am an accredited counsellor psychotherapist, working in support of individuals and couples at points in their life when clarity and change are required. At times of loss, overwhelm and uncertainty in how to proceed I work alongside, supporting you to better understand the impact and influence of your experiences and introduce healing and growth. I facilitate a safe and confidential space to navigate issues such as grief, infertility, anxiety, infidelity, family issues, trauma and self esteem. Together we identify and cultivate your resilience and unique resources that will support you to make sustainable changes and move forward.
I am an accredited counsellor psychotherapist, working in support of individuals and couples at points in their life when clarity and change are required. At times of loss, overwhelm and uncertainty in how to proceed I work alongside, supporting you to better understand the impact and influence of your experiences and introduce healing and growth. I facilitate a safe and confidential space to navigate issues such as grief, infertility, anxiety, infidelity, family issues, trauma and self esteem. Together we identify and cultivate your resilience and unique resources that will support you to make sustainable changes and move forward.
085 149 1202 View 085 149 1202
Photo of Susanna Sweeney, Psychotherapist, MSc
Susanna Sweeney
Psychotherapist, MSc
Serves Area
Are you tired of feeling the disturbing symptoms of anxiety and PTSD (trauma)? Please know that you can reduce symptoms and ultimately clear them altogether! Work with me online via Zoom and experience results in just a few sessions with ultra short term therapy. Replace any disturbing symptoms with confidence and finally feel like you can truly be yourself once more, express yourself fully, live your dreams and go forward living life on your own terms. See client testimonials here: https://www.onlinehypnotherapyclinic.com/online-hypnosis-anxiety-breakthrough-testimonials.html
Are you tired of feeling the disturbing symptoms of anxiety and PTSD (trauma)? Please know that you can reduce symptoms and ultimately clear them altogether! Work with me online via Zoom and experience results in just a few sessions with ultra short term therapy. Replace any disturbing symptoms with confidence and finally feel like you can truly be yourself once more, express yourself fully, live your dreams and go forward living life on your own terms. See client testimonials here: https://www.onlinehypnotherapyclinic.com/online-hypnosis-anxiety-breakthrough-testimonials.html
(01) 267 6681 x30 View (01) 267 6681 x30
Photo of Johanna Martyn, Psychotherapist, Pre-Accredited Member IACP
Johanna Martyn
Psychotherapist, Pre-Accredited Member IACP
Serves Area
People come to psychotherapy for many reasons. Whether you are facing anxiety, depression, grief, relationship difficulties, or simply seeking to improve your overall well-being, I'm here to provide a safe and confidential space where you can explore your thoughts, feelings and actions without judgment I'm a fully qualified pre-accredited member of the Irish Association for Counselling and Psychotherapy (MIACP), with a BSc. (Hons) in Integrative Counselling and Psychotherapy. I also facilitate mental health education programmes with Ireland's leading mental health charities.
People come to psychotherapy for many reasons. Whether you are facing anxiety, depression, grief, relationship difficulties, or simply seeking to improve your overall well-being, I'm here to provide a safe and confidential space where you can explore your thoughts, feelings and actions without judgment I'm a fully qualified pre-accredited member of the Irish Association for Counselling and Psychotherapy (MIACP), with a BSc. (Hons) in Integrative Counselling and Psychotherapy. I also facilitate mental health education programmes with Ireland's leading mental health charities.
087 332 5453 View 087 332 5453
Photo of Sarah Houlihan, Counsellor, MA, APCP
Sarah Houlihan
Counsellor, MA, APCP
Serves Area
Are you looking for an empathetic, non-judgmental space to explore issues within your life? Counselling can help to understand what is going on for you, how your thoughts emotions and behaviours are interlinked, and how you would like to go forward in a compassionate, mindful way. My name is Sarah, I am an accredited counsellor with APCP and I work with clients in a collaborative way to reach the goals they may bring to therapy.
Are you looking for an empathetic, non-judgmental space to explore issues within your life? Counselling can help to understand what is going on for you, how your thoughts emotions and behaviours are interlinked, and how you would like to go forward in a compassionate, mindful way. My name is Sarah, I am an accredited counsellor with APCP and I work with clients in a collaborative way to reach the goals they may bring to therapy.
(01) 267 6517 x70 View (01) 267 6517 x70
Photo of Declan John Brady, Psychotherapist, MA, MIACP
Declan John Brady
Psychotherapist, MA, MIACP
Serves Area
Feeling worried, anxious, depressed or just stuck? At a crossroads in your career or emotional life? Even the strongest among us can feel lost, unsure, ambivalent, or unhappy at times. As a Counsellor and Psychotherapist, I can help you understand and manage whatever life throws at you, and how to do it successfully. I believe that you have the strength not just to survive, but to thrive!
Feeling worried, anxious, depressed or just stuck? At a crossroads in your career or emotional life? Even the strongest among us can feel lost, unsure, ambivalent, or unhappy at times. As a Counsellor and Psychotherapist, I can help you understand and manage whatever life throws at you, and how to do it successfully. I believe that you have the strength not just to survive, but to thrive!
087 222 2044 View 087 222 2044
Photo of Rebecca Kilroy, Psychotherapist, MA, NAPCP
Rebecca Kilroy
Psychotherapist, MA, NAPCP
Online Only
I have worked with a wide range of mental health difficulties and I have experience with a wide range of diverse individuals. I have a keen interest in sexuality and sexual health. I use a person centred approach and focus on what has brought the client to therapy.
I have worked with a wide range of mental health difficulties and I have experience with a wide range of diverse individuals. I have a keen interest in sexuality and sexual health. I use a person centred approach and focus on what has brought the client to therapy.
(01) 233 7063 x64 View (01) 233 7063 x64
Photo of Helen Griffin, Psychotherapist, MA, MIACP
Helen Griffin
Psychotherapist, MA, MIACP
Serves Area
I am a fully accredited Art Therapist with a Master’s Degree in Art Therapy from Crawford College of Art and Design, and ​I have also completed my clinical training as a Humanistic and Integrative Psychotherapist with the Tivoli Institute in Dublin. I work with adults, adolescents and children in individual sessions with an integrative and creative approach to therapy.​ I respond to each client’s individual needs and this may be through talk therapy or creative arts therapy approaches to promote healing, generate growth and insight to their situation, help develop their resources and strengths, and to resolve personal issues.
I am a fully accredited Art Therapist with a Master’s Degree in Art Therapy from Crawford College of Art and Design, and ​I have also completed my clinical training as a Humanistic and Integrative Psychotherapist with the Tivoli Institute in Dublin. I work with adults, adolescents and children in individual sessions with an integrative and creative approach to therapy.​ I respond to each client’s individual needs and this may be through talk therapy or creative arts therapy approaches to promote healing, generate growth and insight to their situation, help develop their resources and strengths, and to resolve personal issues.
(01) 267 6641 x57 View (01) 267 6641 x57
Photo of Gerard Madden, Psychotherapist, MA, Pre-Accredited Member IACP
Gerard Madden
Psychotherapist, MA, Pre-Accredited Member IACP
Serves Area
Stepping across the threshold of a therapist's office can be a daunting experience and there may be many reasons why we are seeking support now. Yet there is so much potential and possibility in that act. It takes courage to pause and look at something that is disturbing us, but with that enquiry can come great insight and a fuller understanding of our way of being in the world.
Stepping across the threshold of a therapist's office can be a daunting experience and there may be many reasons why we are seeking support now. Yet there is so much potential and possibility in that act. It takes courage to pause and look at something that is disturbing us, but with that enquiry can come great insight and a fuller understanding of our way of being in the world.
(01) 267 6692 x90 View (01) 267 6692 x90
Photo of Michael Augustine Daly - Trasnacounselling, Psychotherapist, MA, MIACP
Trasnacounselling
Psychotherapist, MA, MIACP
Serves Area
When you are considering if counselling is for you, I understand how anxious that this may be and I recognize that when you do decide to take this first step it requires enormous courage and strength. You are the important person in the room and therefore I do not preempt what you may wish to bring to our sessions. I will work with you to explore what ever issues you present and together we will clarify how best we can meet your needs and we will then establish how we may achieve your goals. I create a supportive environment that is non-judgemental so you can begin your journey of discovery and change in your life .
When you are considering if counselling is for you, I understand how anxious that this may be and I recognize that when you do decide to take this first step it requires enormous courage and strength. You are the important person in the room and therefore I do not preempt what you may wish to bring to our sessions. I will work with you to explore what ever issues you present and together we will clarify how best we can meet your needs and we will then establish how we may achieve your goals. I create a supportive environment that is non-judgemental so you can begin your journey of discovery and change in your life .
(01) 592 4196 x95 View (01) 592 4196 x95
Photo of Maria Lawton-Murray - Maria Lawton-Murray Counselling Psychotherapy Emdr, Psychotherapist, MA, MIACP
Maria Lawton-Murray Counselling Psychotherapy Emdr
Psychotherapist, MA, MIACP
1 Endorsed
Serves Area
Are You Feeling Overwhelmed, Stressed, or Unable to Focus? If you’re struggling with anxiety, stress, depression, trauma, or unresolved childhood issues, know that recovery is possible. Life’s challenges can feel overwhelming, but you don’t have to face them alone. Using Trauma-Informed Care, EMDR , and Internal Family Systems (IFS), I provide personalized support to help clients navigate their mental health struggles. My goal is to help you regain clarity, build resilience, and move toward healing. If you’re ready to begin your journey, I invite you to reach out and schedule your first session,
Are You Feeling Overwhelmed, Stressed, or Unable to Focus? If you’re struggling with anxiety, stress, depression, trauma, or unresolved childhood issues, know that recovery is possible. Life’s challenges can feel overwhelming, but you don’t have to face them alone. Using Trauma-Informed Care, EMDR , and Internal Family Systems (IFS), I provide personalized support to help clients navigate their mental health struggles. My goal is to help you regain clarity, build resilience, and move toward healing. If you’re ready to begin your journey, I invite you to reach out and schedule your first session,
(01) 267 6681 x39 View (01) 267 6681 x39
Photo of Petrina Timoney, Psychotherapist, MA, MIAHIP
Petrina Timoney
Psychotherapist, MA, MIAHIP
Online Only
A fully qualified, accredited and experienced psychotherapist, I have experience in working with stress, anxiety, relationship issues, low self esteem, bereavement, grief, loss, depression, abuse, trauma, sexuality, emotional crisis and personal growth. There are times in our lives where we can find ourselves feeling stuck, anxious, stressed, confused, saddened or overwhelmed. Our thoughts, feelings, beliefs and behaviours may be impacting negatively on our ability to live a fulfilled life. Having a safe space to talk about issues that are troubling you can be helpful, and in time, facilitate change.
A fully qualified, accredited and experienced psychotherapist, I have experience in working with stress, anxiety, relationship issues, low self esteem, bereavement, grief, loss, depression, abuse, trauma, sexuality, emotional crisis and personal growth. There are times in our lives where we can find ourselves feeling stuck, anxious, stressed, confused, saddened or overwhelmed. Our thoughts, feelings, beliefs and behaviours may be impacting negatively on our ability to live a fulfilled life. Having a safe space to talk about issues that are troubling you can be helpful, and in time, facilitate change.
(01) 267 6552 x82 View (01) 267 6552 x82
Photo of Jamie Earl, Psychotherapist, Pre-Accredited Member IACP
Jamie Earl
Psychotherapist, Pre-Accredited Member IACP
Serves Area
Regularly I am asked why talking helps. I have thought about that question a lot. I think it is the first step in understanding yourself, and in that begins the true accepting of yourself. It facilitates change and growth. I offer a safe place to do exactly this. I am sometimes challenging, never judgmental, a companion, not a guide.
Regularly I am asked why talking helps. I have thought about that question a lot. I think it is the first step in understanding yourself, and in that begins the true accepting of yourself. It facilitates change and growth. I offer a safe place to do exactly this. I am sometimes challenging, never judgmental, a companion, not a guide.
085 181 4174 View 085 181 4174

How does your Counsellor compare?

Number of Counsellors in Ballinasloe

20+

Average cost per session

€62

Counsellors in Ballinasloe who prioritize treating:

90% Stress
86% Relationship Issues
86% Anxiety
81% Depression
76% Trauma and PTSD
76% Coping Skills
76% Self Esteem

Average years in practice

5 Years

Top 3 insurances accepted

100% Irish Life
100% Laya
100% VHI

How Counsellors in Ballinasloe see their clients

86% In Person and Online
14% Online Only

Gender breakdown

74% Female
26% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Ballinasloe?

Search for nearby therapists or counsellors by inputting your city, eircode, 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 eircode into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

Most Counsellors and Psychotherapists listed in the directory are accredited members of the main professional associations, mainly the Irish Association of Counselling and Psychotherapy (IACP) and the Irish Council for Psychotherapy (ICP). Most Psychologists are accredited members of the Psychological Society of Ireland (PSI).

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 in Ireland, 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 supervised, practical experience that enable them to do so in Ireland. Psychologists have earned a doctoral degree in psychology and many are accredited members of the Psychological Society of Ireland (PSI). Counsellors and Psychotherapists are not required to have a doctoral degree, but to belong to a professional organisation such as the IACP or ICP, they must complete a minimum of an NFQ Level 7 programme with 100 hours of clinical experience and a minimum of 450 hours of post-training clinical experience under clinical supervision.

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 Ireland could cost between €50 – €90 when seeing a counsellor and €75 - €120 or more 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 National Counselling Service (NCS) is a government-funded service that provides short to medium term counselling and psychotherapy for free to individuals who have experienced trauma or abuse. The service can be accessed by GP referral or self-referral.

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 eircode.

Are therapy sessions confidential?

Therapists who are part of a professional organisation such as the IACP, the ICP, or PSI 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 is the potential or known harm to the client or others or when a child is in danger, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.