Counselling in Belmore, NSW

Photo of Karen Rose, AASW, Clinical Social Work/Therapist
Karen Rose
Clinical Social Work/Therapist, AASW
Verified Verified
Belmore, NSW 2192  (Online Only)
Thanks for stopping by. I'm a warm and welcoming therapist and I help people with relationships and life transitions. This includes managing societal pressures (e.g. around family planning), infertility, parenting and navigating toxic family relationships. My goal is to help you gain a better understanding of yourself, to build up your internal resources (your ways of coping) and to feel more empowered navigating boundaries and decision making. I’m passionate about making counselling a safe space where you can simply be yourself.
Thanks for stopping by. I'm a warm and welcoming therapist and I help people with relationships and life transitions. This includes managing societal pressures (e.g. around family planning), infertility, parenting and navigating toxic family relationships. My goal is to help you gain a better understanding of yourself, to build up your internal resources (your ways of coping) and to feel more empowered navigating boundaries and decision making. I’m passionate about making counselling a safe space where you can simply be yourself.
(02) 8105 6133 View (02) 8105 6133
Photo of Theodora (Dora) Binasis, PsyBA - Clin. Psych, Psychologist
Theodora (Dora) Binasis
Psychologist, PsyBA - Clin. Psych
Verified Verified
Belmore, NSW 2192
Not accepting new clients
I am a passionate and dedicated Clinical Psychologist specialising in work with children and their families with a demonstrated history of working in private and community mental health settings. I work with and support people with a range of mental health goals including emotion regulation, anxiety, behaviour, tics, trauma, with a special interest in Autism, ADHD, and Selective Mutism. I am particularly passionate about working with neurodivergent individuals in an affirming manner. I hope to educate families and the wider community about Neurodivergence not being a disorder but rather a unique way of experiencing one's world.
I am a passionate and dedicated Clinical Psychologist specialising in work with children and their families with a demonstrated history of working in private and community mental health settings. I work with and support people with a range of mental health goals including emotion regulation, anxiety, behaviour, tics, trauma, with a special interest in Autism, ADHD, and Selective Mutism. I am particularly passionate about working with neurodivergent individuals in an affirming manner. I hope to educate families and the wider community about Neurodivergence not being a disorder but rather a unique way of experiencing one's world.
(02) 8105 5138 View (02) 8105 5138
Photo of Dean Mousad, ACA-L2, Counsellor
Dean Mousad
Counsellor, ACA-L2
Verified Verified
Belmore, NSW 2192
Life’s not always good to us, but we can always make something good out of life - and sometimes all we need to achieve that is a little extra guidance. It is my mission to help you discover and fulfil your true potential.
Life’s not always good to us, but we can always make something good out of life - and sometimes all we need to achieve that is a little extra guidance. It is my mission to help you discover and fulfil your true potential.
(02) 8105 6758 View (02) 8105 6758
Photo of Metaxia Toumbelekis, PhD, PsyBA - Clin. Psych, Psychologist
Metaxia Toumbelekis
Psychologist, PhD, PsyBA - Clin. Psych
Verified Verified
Belmore, NSW 2192
Welcome to my boutique Clinical Psychology practice. I am a warm, empathic Clinical Psychologist, and a mother of two young children. I have worked in community, public and private hospital settings, with experience working with children, adolescents and adults providing individual, parenting and group-based interventions. I have a particular interest working with adults who have experienced significant stressors or trauma in their life, who are struggling with feelings of anxiety or depression and with individuals who generally would like to gain further insight or coping strategies to deal with life’s challenges.
Welcome to my boutique Clinical Psychology practice. I am a warm, empathic Clinical Psychologist, and a mother of two young children. I have worked in community, public and private hospital settings, with experience working with children, adolescents and adults providing individual, parenting and group-based interventions. I have a particular interest working with adults who have experienced significant stressors or trauma in their life, who are struggling with feelings of anxiety or depression and with individuals who generally would like to gain further insight or coping strategies to deal with life’s challenges.
(02) 8000 1569 View (02) 8000 1569

More Therapists Nearby

Photo of Rosette Rouhana, PACFA, Counsellor
Rosette Rouhana
Counsellor, PACFA
Verified Verified
Beverly Hills, NSW 2209
Welcome! I am a registered Arts Therapist, committed to supporting individuals in their health and wellbeing journey. Arts Therapy offers you an expressive language that can be used alongside talk therapy, or as your sole form of communication within the therapy space, and can be a powerful tool in finding new ways to make meaning of the concerns or challenges you may be faced with. I provide a person-centred, integrative and trauma-informed approach to adults facing challenges with their mental health and wellbeing, grief and loss, general anxiety disorders and depression.
Welcome! I am a registered Arts Therapist, committed to supporting individuals in their health and wellbeing journey. Arts Therapy offers you an expressive language that can be used alongside talk therapy, or as your sole form of communication within the therapy space, and can be a powerful tool in finding new ways to make meaning of the concerns or challenges you may be faced with. I provide a person-centred, integrative and trauma-informed approach to adults facing challenges with their mental health and wellbeing, grief and loss, general anxiety disorders and depression.
(02) 8105 5774 View (02) 8105 5774
Photo of Lisa Barrett - Leichhardt Counselling, ACA-L2, Psychotherapist
Lisa Barrett - Leichhardt Counselling
Psychotherapist, ACA-L2
Verified Verified
3 Endorsed
Ashfield, NSW 2131
Do you experience challenging thoughts or behaviour patterns, overwhelming emotions, relationship issues, doubts around your self-worth or life direction that cause you concern? There are countless obstacles, internally and externally that prevent us from living the life we wish to. They may vary from compulsive or anxiety-driven behaviour, stress and anger, or may be felt as a sense of confusion and doubt, overwhelming pain, fear or grief . They could be due to unanticipated or undesired life circumstances or events or simply a general pervading sense of dissatisfaction and unhappiness. It is possible for life to be different.
Do you experience challenging thoughts or behaviour patterns, overwhelming emotions, relationship issues, doubts around your self-worth or life direction that cause you concern? There are countless obstacles, internally and externally that prevent us from living the life we wish to. They may vary from compulsive or anxiety-driven behaviour, stress and anger, or may be felt as a sense of confusion and doubt, overwhelming pain, fear or grief . They could be due to unanticipated or undesired life circumstances or events or simply a general pervading sense of dissatisfaction and unhappiness. It is possible for life to be different.
(02) 8806 0454 View (02) 8806 0454
Photo of Bernadette Bywater - Centre Point Psychology, PsychD, PsyBA - Clin. Psych, Psychologist
Centre Point Psychology
Psychologist, PsychD, PsyBA - Clin. Psych
Verified Verified
Strathfield, NSW 2135
For 16 years, Centre Point Psychology has built a reputation for high quality psychological therapy in Five Dock in the Inner West of Sydney. When you contact us, a psychologist will assess your individual needs to make sure that you are matched with the best psychologist for you from our experienced, fully qualified team. We offer in person sessions and telehealth both including after hours and weekends appointments. We work with adults, adolescents and children.
For 16 years, Centre Point Psychology has built a reputation for high quality psychological therapy in Five Dock in the Inner West of Sydney. When you contact us, a psychologist will assess your individual needs to make sure that you are matched with the best psychologist for you from our experienced, fully qualified team. We offer in person sessions and telehealth both including after hours and weekends appointments. We work with adults, adolescents and children.
(02) 9713 9265 View (02) 9713 9265
Photo of Judy Song, MA, PsyBA - Clin. Psych, Psychologist
Judy Song
Psychologist, MA, PsyBA - Clin. Psych
Verified Verified
Campsie, NSW 2194
Not accepting new clients
I am a clinical psychologist. I work with adults, adolescents and children. I can provide therapy in Korean for those who need it. Telehealth option is available for people who struggle to attend in person. I understand everyone is different and value collaborative work to help meet the needs of my clients. Please refer to my website for more information about me and how I can: shapingmindspsychology.com.au
I am a clinical psychologist. I work with adults, adolescents and children. I can provide therapy in Korean for those who need it. Telehealth option is available for people who struggle to attend in person. I understand everyone is different and value collaborative work to help meet the needs of my clients. Please refer to my website for more information about me and how I can: shapingmindspsychology.com.au
(02) 8105 5946 View (02) 8105 5946
Photo of Kate Mikhailouskaya, PACFA, Psychotherapist
Kate Mikhailouskaya
Psychotherapist, PACFA
Verified Verified
Strathfield, NSW 2135
Waitlist for new clients
If you are haunted by traumatic past or challenged by present life circumstances, I invite you to take an active step towards clarity, self-understanding and change. Whether it is about making sense of childhood experiences or improving current relationships with self and others, psychoanalytic and existential approach with a close focus on childhood experiences provides a solid way forward. With more than ten years of experience in psychoanalytic practice, I offer individual therapy, training and supervision in the area of complex or single incident trauma.
If you are haunted by traumatic past or challenged by present life circumstances, I invite you to take an active step towards clarity, self-understanding and change. Whether it is about making sense of childhood experiences or improving current relationships with self and others, psychoanalytic and existential approach with a close focus on childhood experiences provides a solid way forward. With more than ten years of experience in psychoanalytic practice, I offer individual therapy, training and supervision in the area of complex or single incident trauma.
(02) 9159 6013 View (02) 9159 6013
Photo of Zohreh Mokhtari - Oakwise Therapy , MA, PACFA, Psychotherapist
Oakwise Therapy
Psychotherapist, MA, PACFA
Verified Verified
Burwood, NSW 2134  (Online Only)
My name is Zohreh, and I'm a psychotherapist and couple counsellor at Oakwise Therapy. I believe in the power of therapeutic connections to inspire positive change. I'm dedicated to providing a safe and confidential space where individuals and couples can explore their thoughts, feelings, and concerns. I have worked with individuals and families who have experienced complex trauma and displacement.
My name is Zohreh, and I'm a psychotherapist and couple counsellor at Oakwise Therapy. I believe in the power of therapeutic connections to inspire positive change. I'm dedicated to providing a safe and confidential space where individuals and couples can explore their thoughts, feelings, and concerns. I have worked with individuals and families who have experienced complex trauma and displacement.
(02) 8105 6006 View (02) 8105 6006
Photo of Sonia Scali, PACFA, Counsellor
Sonia Scali
Counsellor, PACFA
Verified Verified
Ashfield, NSW 2131
Welcome, I’m Sonia, a warm, compassionate and open-minded counsellor. My approach is trauma-informed, collaborative and strength-based, listening and tailoring my approach around your needs. My aim is to help you manage life's challenges with self-compassion and self-kindness. I work with both adults and adolescents, specialising in trauma, PTSD and C-PTSD, domestic and family violence, grief and loss, anxiety, depression, life transitions, difficulties with boundaries, family estrangement and shame. Supporting my clients with communication and interpersonal relationships is a special interest of mine.
Welcome, I’m Sonia, a warm, compassionate and open-minded counsellor. My approach is trauma-informed, collaborative and strength-based, listening and tailoring my approach around your needs. My aim is to help you manage life's challenges with self-compassion and self-kindness. I work with both adults and adolescents, specialising in trauma, PTSD and C-PTSD, domestic and family violence, grief and loss, anxiety, depression, life transitions, difficulties with boundaries, family estrangement and shame. Supporting my clients with communication and interpersonal relationships is a special interest of mine.
(02) 9100 0424 View (02) 9100 0424
Photo of Salome Emmanuel, PsyBA General, Psychologist
Salome Emmanuel
Psychologist, PsyBA General
Verified Verified
1 Endorsed
Strathfield, NSW 2135
Hello! My name is Salome, and I am a registered psychologist, who has a strong desire to help people achieve their mental health goals. Often, our past traumas can have a significant impact on the way we experience the world around us. Without proper support, we may have developed unhealthy coping mechanisms in our search for comfort and peace. These unresolved issues can lead to a range of psycho-social problems, including anxiety, depression, interpersonal conflicts, and negative self-perception. However, facing these complex and overwhelming emotions can be a daunting task to undertake on our own.
Hello! My name is Salome, and I am a registered psychologist, who has a strong desire to help people achieve their mental health goals. Often, our past traumas can have a significant impact on the way we experience the world around us. Without proper support, we may have developed unhealthy coping mechanisms in our search for comfort and peace. These unresolved issues can lead to a range of psycho-social problems, including anxiety, depression, interpersonal conflicts, and negative self-perception. However, facing these complex and overwhelming emotions can be a daunting task to undertake on our own.
(02) 8000 1284 View (02) 8000 1284
Photo of Hanan Dover - psychCentral Psychological Services, MPsych, PsyBA - Clin. Psych, Psychologist
psychCentral Psychological Services
Psychologist, MPsych, PsyBA - Clin. Psych
Verified Verified
Bankstown, NSW 2200
Our team of highly skilled psychologists are bilingual and / or multilingual . Our practice is also located in multiple locations and telehealth for easier accessibility for clients.
Our team of highly skilled psychologists are bilingual and / or multilingual . Our practice is also located in multiple locations and telehealth for easier accessibility for clients.
(02) 8105 5959 View (02) 8105 5959
Photo of Clinical Psychologist Meray Tahan, MPsych, PsyBA - Clin. Psych, Psychologist
Clinical Psychologist Meray Tahan
Psychologist, MPsych, PsyBA - Clin. Psych
Verified Verified
Strathfield, NSW 2135
Expertise in treatment of Obsessive Compulsive Disorder
Expertise in treatment of Obsessive Compulsive Disorder
(02) 8105 6844 View (02) 8105 6844
Photo of Joanna Kirlagitsi, MA, PsyBA General, Psychologist
Joanna Kirlagitsi
Psychologist, MA, PsyBA General
Verified Verified
Burwood, NSW 2134
Joanna is a passionate, energetic and driven individual who strives to enhance people’s mental health and well-being and guide them toward a rich and meaningful life. Joanna believes individuals are the experts of their own lives which is why she adopts a client focused approach, developing and implementing interventions depending on individual needs. Joanna embraces a non-judgmental approach whilst providing a safe space for individual’s to share their experience. Joanna also diagnoses ADHD, ASD, Intellectual Developmental Disability and conducts various psychometric assessments.
Joanna is a passionate, energetic and driven individual who strives to enhance people’s mental health and well-being and guide them toward a rich and meaningful life. Joanna believes individuals are the experts of their own lives which is why she adopts a client focused approach, developing and implementing interventions depending on individual needs. Joanna embraces a non-judgmental approach whilst providing a safe space for individual’s to share their experience. Joanna also diagnoses ADHD, ASD, Intellectual Developmental Disability and conducts various psychometric assessments.
(02) 8503 4215 View (02) 8503 4215
Photo of Anica Vuckovic Taione - Eudaimonia HQ, MSc, PsyBA General, Psychologist
Eudaimonia HQ
Psychologist, MSc, PsyBA General
Verified Verified
1 Endorsed
Burwood, NSW 2134
Are you interested in actively engaging in a therapeutic process that fosters a positive and nurturing environment for well-being, personal growth, boosting self-esteem, and developing healthier coping strategies? I bring experience in providing support to individuals facing a range of challenges, such as anxiety, stress, depression, trauma, relationship complexities, and various disorders. Additionally, I have extensive expertise in working with neurodiverse clients. My commitment is to assist you on your unique journey toward lasting positive change and fulfillment.
Are you interested in actively engaging in a therapeutic process that fosters a positive and nurturing environment for well-being, personal growth, boosting self-esteem, and developing healthier coping strategies? I bring experience in providing support to individuals facing a range of challenges, such as anxiety, stress, depression, trauma, relationship complexities, and various disorders. Additionally, I have extensive expertise in working with neurodiverse clients. My commitment is to assist you on your unique journey toward lasting positive change and fulfillment.
(02) 9100 0484 View (02) 9100 0484
Photo of Irene Osman, PACFA, Counsellor
Irene Osman
Counsellor, PACFA
Verified Verified
Roselands, NSW 2196
I am a Clinical Counsellor/Psychotherapist that is a mature and responsible individual with strong communication skills who has a successful career in counselling and psychotherapy. I am empathetic and understanding towards my clients and I utilise diverse and appropriate therapeutic approaches suited to each individual’s needs. I provide therapy for adults with problems around Eating Disorders, depression and Borderline Personality Disorder. I incorporate a variety of therapeutic approaches including Cognitive Behavioural Therapy, Narrative Therapy, Person Centred Therapy and Solution Focused Therapy and Positive Psychology.
I am a Clinical Counsellor/Psychotherapist that is a mature and responsible individual with strong communication skills who has a successful career in counselling and psychotherapy. I am empathetic and understanding towards my clients and I utilise diverse and appropriate therapeutic approaches suited to each individual’s needs. I provide therapy for adults with problems around Eating Disorders, depression and Borderline Personality Disorder. I incorporate a variety of therapeutic approaches including Cognitive Behavioural Therapy, Narrative Therapy, Person Centred Therapy and Solution Focused Therapy and Positive Psychology.
(02) 8105 6941 View (02) 8105 6941
Photo of Julee Payne, MA, AMHSW, Clinical Social Work/Therapist
Julee Payne
Clinical Social Work/Therapist, MA, AMHSW
Verified Verified
Burwood, NSW 2134
Hi! My name is Julee Payne, an Accredited Mental Health Social Worker with extensive mental health experience. I have worked in public mental health hospitals, including emergency departments, crisis mental health teams, and general mental health. I bring with me a wealth of experience and knowledge, working with both individuals and groups, including culturally and linguistically diverse populations, LGBTQI, Indigenous Australians, the elderly, ADF members, and those affected by domestic violence, disability, chronic pain, trauma, and grief. I also work with people suffering from anxiety, depression, PTSD,& drug and alcohol misuse
Hi! My name is Julee Payne, an Accredited Mental Health Social Worker with extensive mental health experience. I have worked in public mental health hospitals, including emergency departments, crisis mental health teams, and general mental health. I bring with me a wealth of experience and knowledge, working with both individuals and groups, including culturally and linguistically diverse populations, LGBTQI, Indigenous Australians, the elderly, ADF members, and those affected by domestic violence, disability, chronic pain, trauma, and grief. I also work with people suffering from anxiety, depression, PTSD,& drug and alcohol misuse
(02) 8105 6569 View (02) 8105 6569
Photo of Erin Butler, MA, PsyBA - Clin. Psych, Psychologist
Erin Butler
Psychologist, MA, PsyBA - Clin. Psych
Verified Verified
2 Endorsed
Strathfield, NSW 2135
I am a clinical psychologist with a passion for working with people using a holistic approach, recognising each person’s unique qualities. I have a warm and direct approach, and use humour where appropriate in my work with young adults and through the lifespan into older adulthood. I strive to create a warm, non-judgmental space where people feel comfortable discussing their concerns; and to collaborate with them to achieve their goals.
I am a clinical psychologist with a passion for working with people using a holistic approach, recognising each person’s unique qualities. I have a warm and direct approach, and use humour where appropriate in my work with young adults and through the lifespan into older adulthood. I strive to create a warm, non-judgmental space where people feel comfortable discussing their concerns; and to collaborate with them to achieve their goals.
(02) 7804 4903 View (02) 7804 4903
Photo of Venessa Diab, PsyBA General, Psychologist
Venessa Diab
Psychologist, PsyBA General
Verified Verified
Bexley, NSW 2207
As a dedicated and compassionate psychologist, I endeavour to make therapy a supportive and welcoming space for individuals to explore their thoughts and feelings. I specialise in providing evidence-based therapies for anxiety, depression, adjustment to change, stress, sleep, work challenges and relationship issues. I understand that life can be difficult and stressful at times and my aim is to provide you with practical tools to help you improve your life and achieve your wellbeing goals.
As a dedicated and compassionate psychologist, I endeavour to make therapy a supportive and welcoming space for individuals to explore their thoughts and feelings. I specialise in providing evidence-based therapies for anxiety, depression, adjustment to change, stress, sleep, work challenges and relationship issues. I understand that life can be difficult and stressful at times and my aim is to provide you with practical tools to help you improve your life and achieve your wellbeing goals.
(02) 8105 5172 View (02) 8105 5172

See more therapy options for Belmore

How does your Counsellor compare?

Number of Counsellors in Belmore, NSW

< 10

Counsellors in Belmore, NSW who prioritize treating:

75% Anxiety
75% Parenting
75% Trauma and PTSD
50% Relationship Issues
50% Depression
50% Addiction
50% Child

Average years in practice

6 Years

Top 3 insurances accepted

67% Medicare Rebates
33% Any/Out-of-network Insurance
33% NDIS

How Counsellors in Belmore, NSW see their clients

75% In Person and Online
25% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Belmore?

Search for nearby psychologists or counsellors by inputting your city, suburb, 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 Australian Counselling Association and the Psychotherapy and Counselling Federation of Australia. Psychologists must be registered in the Australian Health Practitioner Regulation Agency (AHPRA). Most Social Workers listed in the directory are members of the Australian Association of Social Workers (AASW).

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 social workers, psychotherapists and counsellors in Australia, 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 Australia.

Psychologists have earned a 4 year undergraduate degree in psychology and have completed a postgraduate internship or postgraduate degree. Psychotherapists generally have an undergraduate degree in a health related field in addition to 3-4 years of specialist training in psychotherapy and a period of personal psychotherapy. In order to belong to a professional organisation such as the ACA or PACFA, counsellors and psychotherapists are required to have completed a certain level of AQF qualifications and/ or an approved training course as well as clinical and supervision hours. Social Workers registered with the AASW are required to have a Bachelor’s or Master’s degree in Social Work from an accredited institution.

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, the cost of a therapy session in Australia could be between $100 and $250. 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 Better Access Scheme is a government program offering Medicare rebates for mental health care. To access the program you will need to be assessed and diagnosed by your GP and get a Mental Health Plan. This will allow you to receive up to 10 individual sessions and 10 group sessions a year with practitioners who accept bulk billing, with no out of pocket costs for you.

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 ACA, PACFA, or the APS 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 minor 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.