Counselling in Romford

Photo of Louise Sansum - Counselling with Louise, MBACP, Counsellor
Counselling with Louise
Counsellor, MBACP
Verified Verified
Romford RM3
Thank you for looking at my page and a warm welcome to you.  Do you want someone to talk to who listens? Do you feel life is challenging or are you feeling anxious, sad, stressed, angry or maybe you feel like you're not coping with life and not sure why? I am a person-centered counsellor who will provide you with a safe space where we can explore your thoughts, feelings, concerns and any anxieties together at your own pace.   I offer short and long term counselling. I am available during the day, evening and weekends.  I work face to face in Buckhurst Hill, Barkingside and Harold Wood or online via Zoom or on the telephone.
Thank you for looking at my page and a warm welcome to you.  Do you want someone to talk to who listens? Do you feel life is challenging or are you feeling anxious, sad, stressed, angry or maybe you feel like you're not coping with life and not sure why? I am a person-centered counsellor who will provide you with a safe space where we can explore your thoughts, feelings, concerns and any anxieties together at your own pace.   I offer short and long term counselling. I am available during the day, evening and weekends.  I work face to face in Buckhurst Hill, Barkingside and Harold Wood or online via Zoom or on the telephone.
01708 987784 View 01708 987784
Photo of Aisha Winningah - AISHA's Therapy, MNCPS Acc., Psychotherapist
AISHA's Therapy
Psychotherapist, MNCPS Acc.
Verified Verified
Romford RM6
Hello and welcome. My name is Aisha, and I'm here to help guide you through whatever challenges you may be facing. Whether you're dealing with anxiety, depression, low self-esteem, loss and grief, or relational issues, you don't have to navigate these paths alone. My approach is compassionate, personalised, and committed to helping you find not just relief, but also meaningful growth and understanding.
Hello and welcome. My name is Aisha, and I'm here to help guide you through whatever challenges you may be facing. Whether you're dealing with anxiety, depression, low self-esteem, loss and grief, or relational issues, you don't have to navigate these paths alone. My approach is compassionate, personalised, and committed to helping you find not just relief, but also meaningful growth and understanding.
01708 205229 View 01708 205229
Photo of Marcia Holloway, MBACP, Counsellor
Marcia Holloway
Counsellor, MBACP
Verified Verified
Romford RM7
My name is Marcia Holloway, and I am a Registered Member of the British Association of Counselling and Psychotherapy (BACP) registration number 386872. I specialise in working with people experiencing addiction, associated with Drugs, Alcohol, and other forms of addiction. I offer personal (individual) therapy, as well as family and couples therapy.
My name is Marcia Holloway, and I am a Registered Member of the British Association of Counselling and Psychotherapy (BACP) registration number 386872. I specialise in working with people experiencing addiction, associated with Drugs, Alcohol, and other forms of addiction. I offer personal (individual) therapy, as well as family and couples therapy.
01708 963962 View 01708 963962
Photo of Samantha Cumberbatch Mbacp, MBACP, Counsellor
Samantha Cumberbatch Mbacp
Counsellor, MBACP
Verified Verified
Romford RM2
My method of practice is Person Centred and Integrative. My sessions are client lead to suit individual’s needs. To enable clients to express themselves and feel Autonomy within the client counsellor relationship. Counselling gives you the opportunity to express difficult and challenging Experiences in our life’s. We all have our own ways of coping with whatever life throws at us and we all need to find meaning and sense of purpose to enable us to be, and to find our true selves.
My method of practice is Person Centred and Integrative. My sessions are client lead to suit individual’s needs. To enable clients to express themselves and feel Autonomy within the client counsellor relationship. Counselling gives you the opportunity to express difficult and challenging Experiences in our life’s. We all have our own ways of coping with whatever life throws at us and we all need to find meaning and sense of purpose to enable us to be, and to find our true selves.
01708 987264 View 01708 987264
Photo of Jackie Meyer, MBACP Accred, Counsellor
Jackie Meyer
Counsellor, MBACP Accred
Verified Verified
Romford RM1
I have been working as a qualified & accredited Therapist for 15years, I offer a safe place where confidentiality is agreed, my values are offering a non-judgemental attitude, honest, and caring, trust enables the therapeutic relationship to build, which enables you to explore issues on a deep level. Through exploring issues, reflecting and eventually letting go, you are able to set new goals and build a better quality of life. This can be an empowering experience and help build your self esteem and confidence and access your power within, this starts the process of believing in self, "Self belief is everything”
I have been working as a qualified & accredited Therapist for 15years, I offer a safe place where confidentiality is agreed, my values are offering a non-judgemental attitude, honest, and caring, trust enables the therapeutic relationship to build, which enables you to explore issues on a deep level. Through exploring issues, reflecting and eventually letting go, you are able to set new goals and build a better quality of life. This can be an empowering experience and help build your self esteem and confidence and access your power within, this starts the process of believing in self, "Self belief is everything”
01708 983495 View 01708 983495
Photo of Marcelline Menyié - Intra Therapy, MA, MBACP, Psychotherapist
Intra Therapy
Psychotherapist, MA, MBACP
Verified Verified
Romford RM2
Trauma specialist psychotherapist. Providing a safe space to truly be yourself.  NHS experienced therapist prioritising your mental health and managing symptoms such as anxiety and depression, to help you grow and navigate through life. Workshop consultant focusing on wellbeing; working with stress, burnout, identity/cultural and family issues.
Trauma specialist psychotherapist. Providing a safe space to truly be yourself.  NHS experienced therapist prioritising your mental health and managing symptoms such as anxiety and depression, to help you grow and navigate through life. Workshop consultant focusing on wellbeing; working with stress, burnout, identity/cultural and family issues.
01708 989874 View 01708 989874
Photo of Tessa Bennett - Tessa Bennett , MA, ACC Reg, Psychotherapist
Tessa Bennett
Psychotherapist, MA, ACC Reg
Verified Verified
1 Endorsed
Romford RM3
I offer a safe space and provide psychological support to clients experiencing low to moderate mental health conditions brought on by a loss or a trauma in their perinatal period. I support clients living with unpleasant feeling and memories that impact their daily life. Through counselling and psychotherapy clients experiencing psychological distress in relation to, miscarriage, stillbirth, neonatal death, selective and medical termination experience a non judgemental, compassionate nurturing environment to process their loss and grow around their grief. I journey with the clients at their pace as they gain emotional healing.
I offer a safe space and provide psychological support to clients experiencing low to moderate mental health conditions brought on by a loss or a trauma in their perinatal period. I support clients living with unpleasant feeling and memories that impact their daily life. Through counselling and psychotherapy clients experiencing psychological distress in relation to, miscarriage, stillbirth, neonatal death, selective and medical termination experience a non judgemental, compassionate nurturing environment to process their loss and grow around their grief. I journey with the clients at their pace as they gain emotional healing.
01708 201750 View 01708 201750
Photo of Sadaf Ahmad Butt - Heart & Mind , MBACP, Counsellor
Heart & Mind
Counsellor, MBACP
Verified Verified
Romford RM1  (Online Only)
The first step is to accept that you may need help from a counsellor, I commend you for getting this far. I can assure you that I will work with you, at your own pace with your own agenda in a safe and confidential space to nurture a trusting relationship without judgement. We will work through challenges that you face and understand the deeper reasons of why they are impacting on your daily life and mental health. My hope is that you will be able to trust the process while working with me.
The first step is to accept that you may need help from a counsellor, I commend you for getting this far. I can assure you that I will work with you, at your own pace with your own agenda in a safe and confidential space to nurture a trusting relationship without judgement. We will work through challenges that you face and understand the deeper reasons of why they are impacting on your daily life and mental health. My hope is that you will be able to trust the process while working with me.
020 7123 8582 View 020 7123 8582
Photo of Shirley Banton, MBACP, Psychotherapist
Shirley Banton
Psychotherapist, MBACP
Verified Verified
Romford RM7
Are you feeling overwhelmed? Do you struggle making decisions? Or perhaps you have noticed a lack in motivation. If so, you have come to the right place. It's easy to forget how vulnerable the mind can be to the challenges of everyday life. At times like this the presence of a sympathetic ear is welcomed. I can offer you online, telephone and face to face counselling/therapy sessions. My name is Shirley Banton I am a qualified Psychotherapist who offers a gentle, reassuring service for those who are experiencing emotional difficulties. If you're ready to get more clarity or want to take action call me now or visit my website.
Are you feeling overwhelmed? Do you struggle making decisions? Or perhaps you have noticed a lack in motivation. If so, you have come to the right place. It's easy to forget how vulnerable the mind can be to the challenges of everyday life. At times like this the presence of a sympathetic ear is welcomed. I can offer you online, telephone and face to face counselling/therapy sessions. My name is Shirley Banton I am a qualified Psychotherapist who offers a gentle, reassuring service for those who are experiencing emotional difficulties. If you're ready to get more clarity or want to take action call me now or visit my website.
01708 963860 View 01708 963860
Photo of Hu Clarke - Hu Clarke - LifeTrain, MBACP Accred, Counsellor
Hu Clarke - LifeTrain
Counsellor, MBACP Accred
Verified Verified
1 Endorsed
Romford RM5
I am committed to providing individual and relationship therapy and/or group support in a safe and non-biased environment, where clients can feel free to be open and share any puzzles or dilemma in their lives, knowing that they will be supported to unpack, explore and formulate an understanding, with action(s) for moving things forward. My work is either on an open-ended basis or for an agreed time period, with the ultimate aim to enable clients to enhance and enrich their life, so that they can live a more fulfilled and satisfying one.
I am committed to providing individual and relationship therapy and/or group support in a safe and non-biased environment, where clients can feel free to be open and share any puzzles or dilemma in their lives, knowing that they will be supported to unpack, explore and formulate an understanding, with action(s) for moving things forward. My work is either on an open-ended basis or for an agreed time period, with the ultimate aim to enable clients to enhance and enrich their life, so that they can live a more fulfilled and satisfying one.
01708 987256 View 01708 987256
Photo of Jamie-Jean Burns - The Clinic of Counselling and Hypnotherapy, MBACP, Counsellor
The Clinic of Counselling and Hypnotherapy
Counsellor, MBACP
Verified Verified
Romford RM5
The key to out well-being and health is within us, I help clients to unleash the mind and release its full potential. Enabling clients to pinpoint and release limiting beliefs and negative patterns of self-dialogue. Work covered for individuals, couples, teenagers and children from four upwards. Counselling and Hypnotherapy are a very personal exploration, I want to make sure that you understand that you will be provided with a safe space, complete confidentiality and all issues can be examined in a non-judgmental manner.
The key to out well-being and health is within us, I help clients to unleash the mind and release its full potential. Enabling clients to pinpoint and release limiting beliefs and negative patterns of self-dialogue. Work covered for individuals, couples, teenagers and children from four upwards. Counselling and Hypnotherapy are a very personal exploration, I want to make sure that you understand that you will be provided with a safe space, complete confidentiality and all issues can be examined in a non-judgmental manner.
01708 207099 View 01708 207099
Photo of Jon Costello, MBACP Accred, Counsellor
Jon Costello
Counsellor, MBACP Accred
Verified Verified
Romford RM3
I am an integrative humanistic counsellor, mainly person centred but also using a combination of cognitive behavioural therapy, solution focused brief therapy and motivational interviewing where appropriate. For more than 20 years, I have worked with clients from many backgrounds, ages and identities and with a wide range of issues and concerns. I work with people offering short and long term counselling. I listen carefully and with empathy, providing a safe place for you to explore your feelings and experiences.
I am an integrative humanistic counsellor, mainly person centred but also using a combination of cognitive behavioural therapy, solution focused brief therapy and motivational interviewing where appropriate. For more than 20 years, I have worked with clients from many backgrounds, ages and identities and with a wide range of issues and concerns. I work with people offering short and long term counselling. I listen carefully and with empathy, providing a safe place for you to explore your feelings and experiences.
020 3826 8039 View 020 3826 8039
Photo of Wendy Shakes, PsychD, MNCPS Acc., Psychotherapist
Wendy Shakes
Psychotherapist, PsychD, MNCPS Acc.
Verified Verified
Romford RM6
I am a Psychotherapeutic Counsellor using the Integrative approach to Counselling.  I have experience with Psychodynamic, Person-Centred Therapy (PCT) and Critical Behaviour Therapy (CBT) models.  As everyone is unique, I believe that therapy should be too, so I will use an approach which best suits the issues that you present in the therapy room.
I am a Psychotherapeutic Counsellor using the Integrative approach to Counselling.  I have experience with Psychodynamic, Person-Centred Therapy (PCT) and Critical Behaviour Therapy (CBT) models.  As everyone is unique, I believe that therapy should be too, so I will use an approach which best suits the issues that you present in the therapy room.
01708 987078 View 01708 987078
Photo of Bolanle Babatunde, MBACP, Counsellor
Bolanle Babatunde
Counsellor, MBACP
Verified Verified
Romford RM3  (Online Only)
I have worked as a counsellor for over 4 years, having studied a broad range of counselling approaches and have a strong belief in the efficacy of counselling. I have a BSc (Hons) in Integrative Counselling, I am a registered member (MBACP) with BACP. I use the integrative approach to counselling, which means that I am able to select from a range of therapy approaches and tailor them to your specific needs.
I have worked as a counsellor for over 4 years, having studied a broad range of counselling approaches and have a strong belief in the efficacy of counselling. I have a BSc (Hons) in Integrative Counselling, I am a registered member (MBACP) with BACP. I use the integrative approach to counselling, which means that I am able to select from a range of therapy approaches and tailor them to your specific needs.
01708 203288 View 01708 203288
Photo of Anthony John Myers, MA, MBACP, Counsellor
Anthony John Myers
Counsellor, MA, MBACP
Verified Verified
Romford RM3
I have an open and approachable nature which is underpinned by an empathic core. I allow each client to bring their own content and to guide the sessions. I work with each client in an individualistic manner and can choose a particular modality (CBT, Person-Centred, Psychodynamic) which I believe, fits the content. I will use the initial session to understand your needs and what you hope to gain from counselling. I am also a qualified Psychological Wellbeing Practitioner within the NHS and can deliver low intensity CBT treatment.
I have an open and approachable nature which is underpinned by an empathic core. I allow each client to bring their own content and to guide the sessions. I work with each client in an individualistic manner and can choose a particular modality (CBT, Person-Centred, Psychodynamic) which I believe, fits the content. I will use the initial session to understand your needs and what you hope to gain from counselling. I am also a qualified Psychological Wellbeing Practitioner within the NHS and can deliver low intensity CBT treatment.
01708 983092 View 01708 983092
Photo of Ebi Stella Mensah - Ebi Mensah (Talking coach), MBACP, Counsellor
Ebi Mensah (Talking coach)
Counsellor, MBACP
Verified Verified
Romford RM7  (Online Only)
I am an integrative counsellor and provide 1-1 counselling for individuals who want to explore challenges they may be facing in life, and are seeking to manage or resolve internal conflicts that result from such challenges. I am here to walk the journey with you to explore whatever you wish to work on. I can support with common mental health issues like, depression, anxiety, low self esteem, self sabotage and more. I offer practical examples and set goals for the end result. As a client, you have the autonomy during your session.
I am an integrative counsellor and provide 1-1 counselling for individuals who want to explore challenges they may be facing in life, and are seeking to manage or resolve internal conflicts that result from such challenges. I am here to walk the journey with you to explore whatever you wish to work on. I can support with common mental health issues like, depression, anxiety, low self esteem, self sabotage and more. I offer practical examples and set goals for the end result. As a client, you have the autonomy during your session.
01708 952945 View 01708 952945
Photo of Melanie Healy - Melanie Healy - Healy's Counselling , MBACP, Counsellor
Melanie Healy - Healy's Counselling
Counsellor, MBACP
Verified Verified
4 Endorsed
Romford RM3
I am an integrative counsellor which means I can tailor an approach to your specific needs. I am aware that life can be extremely tough at times and my clients maybe struggling to manage anxiety, have low self-esteem, living up to other peoples, or societies expectations, and not being who they truly are. Are you hurting and lashing out, suffered a loss, repeating destructive patterns that you want to change. Maybe you are at a time of life where you need some support or struggling to manage a long term condition. Counselling can help you explore your thoughts and emotions and provide support on this journey of self-discovery
I am an integrative counsellor which means I can tailor an approach to your specific needs. I am aware that life can be extremely tough at times and my clients maybe struggling to manage anxiety, have low self-esteem, living up to other peoples, or societies expectations, and not being who they truly are. Are you hurting and lashing out, suffered a loss, repeating destructive patterns that you want to change. Maybe you are at a time of life where you need some support or struggling to manage a long term condition. Counselling can help you explore your thoughts and emotions and provide support on this journey of self-discovery
01708 922985 View 01708 922985
Photo of Bernadette Coffey, MA, BACP, Counsellor
Bernadette Coffey
Counsellor, MA, BACP
Verified Verified
Romford RM1
I am Bernadette, a dedicated and passionate psychotherapist with a deep commitment to fostering emotional well-being in children, adolescents, and families. My journey in this field has been guided by years of experience working with children, specialist training and a heartfelt desire to make a positive impact. Children often find it challenging to express their emotions and navigate the complexities of their inner worlds.
I am Bernadette, a dedicated and passionate psychotherapist with a deep commitment to fostering emotional well-being in children, adolescents, and families. My journey in this field has been guided by years of experience working with children, specialist training and a heartfelt desire to make a positive impact. Children often find it challenging to express their emotions and navigate the complexities of their inner worlds.
View
Photo of Lauren Tansel, MBACP, Psychotherapist
Lauren Tansel
Psychotherapist, MBACP
Verified Verified
Romford RM3
I am deeply passionate about guiding people on their own unique healing journey with a primary focus on helping each individual to feel more empowered and live a better quality of life. I believe a trauma informed approach that works with the mind, body and nervous system increases our capacity for self-healing, aids in relieving symptoms of dysregulation and helps us step into more of our potential. ​I do not believe that anyone is broken, but we may be feeling stuck in an autonomic nervous system state of survival (fight & flight, freeze or shutdown).
I am deeply passionate about guiding people on their own unique healing journey with a primary focus on helping each individual to feel more empowered and live a better quality of life. I believe a trauma informed approach that works with the mind, body and nervous system increases our capacity for self-healing, aids in relieving symptoms of dysregulation and helps us step into more of our potential. ​I do not believe that anyone is broken, but we may be feeling stuck in an autonomic nervous system state of survival (fight & flight, freeze or shutdown).
01708 208880 View 01708 208880
Photo of Anna Cwikla, GMBPsS, Psychologist
Anna Cwikla
Psychologist, GMBPsS
Verified Verified
Romford RM1
Jestem psychologiem oraz psychoterapeutą poznawczo-behawioralnym w trakcie certyfikacji w Szkole Psychoterapii Poznawczo-Behawioralnej Uniwersytetu SWPS pod kierownictwem dr hab. Agnieszka Popiel i dr Ewy Pragłowskiej. Ukończyłam psychologię na Uniwersytecie Jagiellońskim oraz studia podyplomowe z Diagnozy neuropsychologicznej na Uniwersytecie SWPS w Katowicach. Jestem czynnym  członkiem Polish Psychologists’ Association w Londynie, gdzie prowadzę konsultacje psychologiczne oraz psychoterapie. Doświadczenie kliniczne zdobyłam w Szpitalu Uniwersyteckim w Krakowie oraz Szpitalu im. Ludwika Rydygiera w Krakowie.
Jestem psychologiem oraz psychoterapeutą poznawczo-behawioralnym w trakcie certyfikacji w Szkole Psychoterapii Poznawczo-Behawioralnej Uniwersytetu SWPS pod kierownictwem dr hab. Agnieszka Popiel i dr Ewy Pragłowskiej. Ukończyłam psychologię na Uniwersytecie Jagiellońskim oraz studia podyplomowe z Diagnozy neuropsychologicznej na Uniwersytecie SWPS w Katowicach. Jestem czynnym  członkiem Polish Psychologists’ Association w Londynie, gdzie prowadzę konsultacje psychologiczne oraz psychoterapie. Doświadczenie kliniczne zdobyłam w Szpitalu Uniwersyteckim w Krakowie oraz Szpitalu im. Ludwika Rydygiera w Krakowie.
01708 973558 View 01708 973558

See more therapy options for Romford

How does your Counsellor compare?

Number of Counsellors in Romford

70+

Average cost per session

£60

Counsellors in Romford who prioritize treating:

95% Anxiety
89% Depression
89% Stress
86% Self Esteem
81% Relationship Issues
71% Bereavement
71% Coping Skills

Average years in practice

8 Years

Top 3 insurances accepted

73% Aviva
59% AXA PPP
59% Bupa

How Counsellors in Romford see their clients

84% In Person and Online
16% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Romford?

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.