Counselling in Craven Arms

Photo of Kate Hoyland, MSc, CPsychol, Psychologist
Kate Hoyland
Psychologist, MSc, CPsychol
Verified Verified
Craven Arms SY7  (Online Only)
Hello, I am a chartered counselling psychologist offering online therapy across the UK. I aim to create a genuine, hopeful environment in which change is possible. Much of my experience concerns people who have experienced trauma, bereavement and transitions of all kinds, and I understand how grief and trauma can be held in the body. I also work with anxiety, stress, family and relationship issues, depression, low self-esteem, and with people seeking change of any kind. I work with adults of all ages, and I welcome clients of all backgrounds, sexualities, relationship styles and gender identifications.
Hello, I am a chartered counselling psychologist offering online therapy across the UK. I aim to create a genuine, hopeful environment in which change is possible. Much of my experience concerns people who have experienced trauma, bereavement and transitions of all kinds, and I understand how grief and trauma can be held in the body. I also work with anxiety, stress, family and relationship issues, depression, low self-esteem, and with people seeking change of any kind. I work with adults of all ages, and I welcome clients of all backgrounds, sexualities, relationship styles and gender identifications.
01924 979844 View 01924 979844
Photo of Emma Wilson - Balanced Life Counselling , MBACP Accred, Counsellor
Balanced Life Counselling
Counsellor, MBACP Accred
Verified Verified
Craven Arms SY7  (Online Only)
Counselling will mean different things to different people, and no two people will have the exact same needs or experience of counselling. For some, they may just need the time and space to be listened to without judgement, the process of just saying what is on their mind to someone independent can be therapeutic in itself. For others they may struggle to find the words to express themselves and so a counsellor might support them to express themselves more creatively perhaps through art or imagery. Some people are able to identify areas of their life that they need help with specifically and for others it is to be discovered.
Counselling will mean different things to different people, and no two people will have the exact same needs or experience of counselling. For some, they may just need the time and space to be listened to without judgement, the process of just saying what is on their mind to someone independent can be therapeutic in itself. For others they may struggle to find the words to express themselves and so a counsellor might support them to express themselves more creatively perhaps through art or imagery. Some people are able to identify areas of their life that they need help with specifically and for others it is to be discovered.
01694 240352 View 01694 240352
Photo of Julia Gibson - Silver Lantern Counselling, MBACP, Counsellor
Silver Lantern Counselling
Counsellor, MBACP
Verified Verified
1 Endorsed
Craven Arms SY7
Hello, I’m Julia, a person-centred counsellor and a qualified adoption support counsellor. I am a registered member of BACP (British Association of Counselling and Psychotherapy). I wonder what might have led you to here. Perhaps something has happened that has turned your world upside down. Maybe life feels overwhelming. Perhaps you feel lost, alone, misunderstood. We all have times when life seems a struggle, when we may feel anxious or sad or hopeless and counselling can offer a space where we can start to touch on those tender bruises inside which often leads to a greater understanding of ourselves and our situation.
Hello, I’m Julia, a person-centred counsellor and a qualified adoption support counsellor. I am a registered member of BACP (British Association of Counselling and Psychotherapy). I wonder what might have led you to here. Perhaps something has happened that has turned your world upside down. Maybe life feels overwhelming. Perhaps you feel lost, alone, misunderstood. We all have times when life seems a struggle, when we may feel anxious or sad or hopeless and counselling can offer a space where we can start to touch on those tender bruises inside which often leads to a greater understanding of ourselves and our situation.
01588 500990 View 01588 500990
Photo of Julie Bartlett, MBACP Accred, Psychotherapist
Julie Bartlett
Psychotherapist, MBACP Accred
Verified Verified
Craven Arms SY7  (Online Only)
We live in challenging times and it's easy to feel overwhelmed and in need of a little help. I am a very experienced counsellor, professionally accredited by the British Association of Counsellors and Psychotherapists for more than fifteen years. It has been my privilege to work with clients between 8 and 81 years of age in numerous settings including GP surgeries, schools, counselling agencies and my own longstanding private practice.
We live in challenging times and it's easy to feel overwhelmed and in need of a little help. I am a very experienced counsellor, professionally accredited by the British Association of Counsellors and Psychotherapists for more than fifteen years. It has been my privilege to work with clients between 8 and 81 years of age in numerous settings including GP surgeries, schools, counselling agencies and my own longstanding private practice.
07481 342508 View 07481 342508
Victoria Martin
Counsellor, MBACP
Verified Verified
Craven Arms SY7
01743 292597 View 01743 292597

More Therapists Nearby

Photo of Valerie Northcote, COSRT Accred, Counsellor
Valerie Northcote
Counsellor, COSRT Accred
Verified Verified
Ludlow SY7  (Online Only)
Are you experiencing sexual issues in your relationship? Has one of you had an affair? You may have erection problems, difficulty orgasming, painful penetration or lack or no desire for sex. Perhaps you've experienced a trauma in your life which is affecting your ability to connect with your partner or yourself sexually. Have you found yourself or your partner using more and more pornography or behaving sexually in a way that isn't acceptable or is out of control. You want to create a better relationship. You want to recover from the pain of betrayal. You want to live a happy healthy life......
Are you experiencing sexual issues in your relationship? Has one of you had an affair? You may have erection problems, difficulty orgasming, painful penetration or lack or no desire for sex. Perhaps you've experienced a trauma in your life which is affecting your ability to connect with your partner or yourself sexually. Have you found yourself or your partner using more and more pornography or behaving sexually in a way that isn't acceptable or is out of control. You want to create a better relationship. You want to recover from the pain of betrayal. You want to live a happy healthy life......
07449 470212 View 07449 470212
Photo of Mandy Fowler, MNCPS Acc., Psychotherapist
Mandy Fowler
Psychotherapist, MNCPS Acc.
Verified Verified
Ludlow SY7
I am a qualified therapist and psychotherapeutic counsellor working online or in person from my practice near Ludlow, experienced in working with individuals of all ages, and from all walks of life. I work in a relational-integrative and trauma focused way. My approach responds to the individuals that I am working with, and I incorporate a range of therapeutic approaches into my work to broaden and deepen the therapeutic experience for my clients. website: www.mandyfowler.co.uk
I am a qualified therapist and psychotherapeutic counsellor working online or in person from my practice near Ludlow, experienced in working with individuals of all ages, and from all walks of life. I work in a relational-integrative and trauma focused way. My approach responds to the individuals that I am working with, and I incorporate a range of therapeutic approaches into my work to broaden and deepen the therapeutic experience for my clients. website: www.mandyfowler.co.uk
020 7046 1370 View 020 7046 1370
Photo of Hilary Stock - Hilary Stock, Psychotherapist and Supervisor, MA, MUKCP, Psychotherapist
Hilary Stock, Psychotherapist and Supervisor
Psychotherapist, MA, MUKCP
Verified Verified
Ludlow SY8
Whether you're seeking support for a particular issue, struggling with a painful event or simply wanting more from life, counselling and psychotherapy can help you gain a deeper awareness and understanding of yourself, your relationships with others and your place in the world. Whatever you're experiencing, the therapeutic relationship nurtures a confidential space where you're truly listened to, and met with a balance of warmth, empathy and respectful challenge. In giving attention to whatever is painful and difficult, it can enable the emergence of a stronger sense of self, and connection with meaning, purpose, potential and hope.
Whether you're seeking support for a particular issue, struggling with a painful event or simply wanting more from life, counselling and psychotherapy can help you gain a deeper awareness and understanding of yourself, your relationships with others and your place in the world. Whatever you're experiencing, the therapeutic relationship nurtures a confidential space where you're truly listened to, and met with a balance of warmth, empathy and respectful challenge. In giving attention to whatever is painful and difficult, it can enable the emergence of a stronger sense of self, and connection with meaning, purpose, potential and hope.
01743 290983 View 01743 290983
Photo of Jo Hill - The Therapywise Foundation , MSc, Counsellor
The Therapywise Foundation
Counsellor, MSc
Verified Verified
Ludlow SY8
Waitlist for new clients
Are you worried about your child's behaviour and don't know what to do? Are you fed up of getting calls from school or of arguing all the time at home? Do you feel like you're letting your child down and just wish you could help them be their best self instead?
Are you worried about your child's behaviour and don't know what to do? Are you fed up of getting calls from school or of arguing all the time at home? Do you feel like you're letting your child down and just wish you could help them be their best self instead?
01497 701041 View 01497 701041
Photo of Dr Wendy Nicholls, PhD, AFBPSsS, Psychologist
Dr Wendy Nicholls
Psychologist, PhD, AFBPSsS
Verified Verified
Ludlow SY7
Escape the diet trap and find lasting weight loss with me! You may have tried many different diets, but can never do them for long, or regain the weight you have lost. You are not on your own; Diets do not work in the long term. In fact, going on a strict ‘diet’ can lead to yo-yo dieting and weight gain. Some people find they start a diet as many as 5 or 6 times a year, and people do on average 126 fad diets across their lifetime. How much time, energy, money, and effort is that? I can help you get out of the dieting cycle for good, by helping you to find what works for you, and a method of sticking at it.
Escape the diet trap and find lasting weight loss with me! You may have tried many different diets, but can never do them for long, or regain the weight you have lost. You are not on your own; Diets do not work in the long term. In fact, going on a strict ‘diet’ can lead to yo-yo dieting and weight gain. Some people find they start a diet as many as 5 or 6 times a year, and people do on average 126 fad diets across their lifetime. How much time, energy, money, and effort is that? I can help you get out of the dieting cycle for good, by helping you to find what works for you, and a method of sticking at it.
01952 984237 View 01952 984237
Photo of Mae Hodgkinson, MSc, MUKCP, Psychotherapist
Mae Hodgkinson
Psychotherapist, MSc, MUKCP
Verified Verified
Ludlow SY8
Waitlist for new clients
When our children experience significant emotional distress, it is extremely difficult for them and for you. I aim to support a child or young person with dignity and respect, working with a warm, caring and sensitive individual approach to suit their needs. I use the relationship between myself and the child at the centre of the therapy. I then guide the therapeutic process using theories from psychoanalysis, Gestalt theory and neuroscience's somatic theories. This knowledge informs my understanding of a child's developmental traumas, often the foundations of the current problematic thinking and behaviours being experienced.
When our children experience significant emotional distress, it is extremely difficult for them and for you. I aim to support a child or young person with dignity and respect, working with a warm, caring and sensitive individual approach to suit their needs. I use the relationship between myself and the child at the centre of the therapy. I then guide the therapeutic process using theories from psychoanalysis, Gestalt theory and neuroscience's somatic theories. This knowledge informs my understanding of a child's developmental traumas, often the foundations of the current problematic thinking and behaviours being experienced.
01584 708322 View 01584 708322
Photo of Ines Fitzsimmons, MSc, MBACP, Counsellor
Ines Fitzsimmons
Counsellor, MSc, MBACP
Verified Verified
Ludlow SY8
Hello and a warm welcome to my profile. I am an Integrative Counsellor and my goal as a therapist is to provide a safe non-judgemental space, where my counselling clients can feel encouraged and supported through life’s challenges. Whatever you are going through, whether it is depression, anxiety, relationship problems, family problems, separation or divorce, emotional difficulties or bereavement, there is hope. I have extensive experience counselling in the third sector as well as general counselling practise in a GP surgery. I offer weekly counselling sessions face-to-face and online via Skype and telephone.
Hello and a warm welcome to my profile. I am an Integrative Counsellor and my goal as a therapist is to provide a safe non-judgemental space, where my counselling clients can feel encouraged and supported through life’s challenges. Whatever you are going through, whether it is depression, anxiety, relationship problems, family problems, separation or divorce, emotional difficulties or bereavement, there is hope. I have extensive experience counselling in the third sector as well as general counselling practise in a GP surgery. I offer weekly counselling sessions face-to-face and online via Skype and telephone.
01743 298282 View 01743 298282
Photo of Caroline Saez, MBACP, Counsellor
Caroline Saez
Counsellor, MBACP
Verified Verified
Ludlow SY7
Hi, I offer a safe, friendly, and relaxed space for healing and change. Emotional struggle can happen at any time in life, to anyone, and for many reasons which are not always clear. During these times feeling lost, empty, lonely, stuck or despairing, can be overwhelming, I am here to offer support. As feelings are unique to each of us, I work openly with clients, to understand their individual experience and needs. I aim to create a supportive relationship where clients feel heard, understood, and accepted; where emotions can be openly spoken, explored, and valued.
Hi, I offer a safe, friendly, and relaxed space for healing and change. Emotional struggle can happen at any time in life, to anyone, and for many reasons which are not always clear. During these times feeling lost, empty, lonely, stuck or despairing, can be overwhelming, I am here to offer support. As feelings are unique to each of us, I work openly with clients, to understand their individual experience and needs. I aim to create a supportive relationship where clients feel heard, understood, and accepted; where emotions can be openly spoken, explored, and valued.
01432 808885 View 01432 808885
Photo of Anna Perrin, MSc, HCPC - Clin. Psych., Psychologist
Anna Perrin
Psychologist, MSc, HCPC - Clin. Psych.
Verified Verified
Church Stretton SY6
Are you an adult or young person looking for help with anxiety, low mood, relationship difficulties or other impacts of traumatic experiences? Sometimes a particular event or crisis precedes asking for professional help, and you may perhaps feel that you are struggling to cope. Whether you are seeking to understand and overcome longstanding difficulties or need support with current challenges, I can help you. I am approachable, calm and reliable. I will listen to your concerns without judgment and will help you move forward. My practice is effective, thoughtful and compassionate.
Are you an adult or young person looking for help with anxiety, low mood, relationship difficulties or other impacts of traumatic experiences? Sometimes a particular event or crisis precedes asking for professional help, and you may perhaps feel that you are struggling to cope. Whether you are seeking to understand and overcome longstanding difficulties or need support with current challenges, I can help you. I am approachable, calm and reliable. I will listen to your concerns without judgment and will help you move forward. My practice is effective, thoughtful and compassionate.
01694 240265 View 01694 240265
Photo of Lib Meakin, PhD, Counsellor
Lib Meakin
Counsellor, PhD
Verified Verified
Church Stretton SY6  (Online Only)
Counselling is one way to give attention to aspects of our lives that trouble us. I concentrate on four areas of life. The first is when we feel bewildered, lost and disorientated. Second is when we see familiar, recurring patterns in ourselves. Third is the pleasures and difficulties of being with other people. Fourth is managing emotion and mood. Ways of thinking, reacting and managing distress vary widely as do practical circumstances. The need to find courage and energy can be tough. Check my website and see if what I offer could be useful to you.
Counselling is one way to give attention to aspects of our lives that trouble us. I concentrate on four areas of life. The first is when we feel bewildered, lost and disorientated. Second is when we see familiar, recurring patterns in ourselves. Third is the pleasures and difficulties of being with other people. Fourth is managing emotion and mood. Ways of thinking, reacting and managing distress vary widely as do practical circumstances. The need to find courage and energy can be tough. Check my website and see if what I offer could be useful to you.
01743 298350 View 01743 298350
Photo of Neha Chahal, MSc, HCPC - Couns. Psych., Psychologist
Neha Chahal
Psychologist, MSc, HCPC - Couns. Psych.
Verified Verified
Church Stretton SY6
Have you been having a harder time lately? Are you experiencing a new life transition where you’re not as happy as you had hoped? Or possibly you are looking to make a change in your relationships, work, or daily routine but you’re feeling stuck and unmotivated. Regardless of the specific challenge that has brought you to start therapy, you do not have to go through this journey alone. Therapy can help you accomplish your goals in an environment that is safe and non-judgmental.
Have you been having a harder time lately? Are you experiencing a new life transition where you’re not as happy as you had hoped? Or possibly you are looking to make a change in your relationships, work, or daily routine but you’re feeling stuck and unmotivated. Regardless of the specific challenge that has brought you to start therapy, you do not have to go through this journey alone. Therapy can help you accomplish your goals in an environment that is safe and non-judgmental.
01743 298369 View 01743 298369
Photo of Katie Hutton, MBACP, Counsellor
Katie Hutton
Counsellor, MBACP
Verified Verified
Church Stretton SY6
I practice in a non-judgemental way which is individual to each client. My aim is to empower you and help you to live your most fulfilling life by encouraging you to recognise your inner resources and strength and to support your emotional wellbeing. I will work with you to help you to explore your thoughts and feelings and gain valuable new perspectives about yourself and your situation and to give you a greater sense of control and choice in your life. I can offer weekly or twice monthly counselling sessions on a long, medium, or short-term basis. We can often make a difference in just a few sessions.
I practice in a non-judgemental way which is individual to each client. My aim is to empower you and help you to live your most fulfilling life by encouraging you to recognise your inner resources and strength and to support your emotional wellbeing. I will work with you to help you to explore your thoughts and feelings and gain valuable new perspectives about yourself and your situation and to give you a greater sense of control and choice in your life. I can offer weekly or twice monthly counselling sessions on a long, medium, or short-term basis. We can often make a difference in just a few sessions.
01743 298335 View 01743 298335
Photo of Scott Reeve, MSc, MBACP Accred, Counsellor
Scott Reeve
Counsellor, MSc, MBACP Accred
Verified Verified
3 Endorsed
Church Stretton SY6
My name is Scott Reeve, and I am a fully accredited and registered counsellor & psychotherapist with BACP (British Association for Counselling & Psychotherapy), with over 11 years experience of providing counselling for individuals. I am qualified to MSc level (Masters), and have undergone extensive further training in many areas and am committed to ongoing professional development. I have worked in a variety of different settings, seeing a wide range of issues and needs over these years. Counselling gives the opportunity to dedicate time and space to explore personal issues in the hope this can provide a positive way forward.
My name is Scott Reeve, and I am a fully accredited and registered counsellor & psychotherapist with BACP (British Association for Counselling & Psychotherapy), with over 11 years experience of providing counselling for individuals. I am qualified to MSc level (Masters), and have undergone extensive further training in many areas and am committed to ongoing professional development. I have worked in a variety of different settings, seeing a wide range of issues and needs over these years. Counselling gives the opportunity to dedicate time and space to explore personal issues in the hope this can provide a positive way forward.
01743 291002 View 01743 291002

Online Therapists

Photo of Jessica Bowler, MNCPS Acc., Psychotherapist
Jessica Bowler
Psychotherapist, MNCPS Acc.
Verified Verified
2 Endorsed
Sheffield S7
I am the kind of therapist that wants my clients to develop and reach their full potential, however that may manifest for you. You may be experiencing feelings of anxiety or depression, perhaps you're in a difficult relationship you're struggling to navigate. Or maybe you simply need a safe space to let out your stressors. By pulling on theories and methods from psychodynamic, CBT and person centred counselling, my aim is to get you to a stage where you feel empowered to move forward. I work in a non-judgemental and empathic approach and hope to be a friendly face that you can trust.
I am the kind of therapist that wants my clients to develop and reach their full potential, however that may manifest for you. You may be experiencing feelings of anxiety or depression, perhaps you're in a difficult relationship you're struggling to navigate. Or maybe you simply need a safe space to let out your stressors. By pulling on theories and methods from psychodynamic, CBT and person centred counselling, my aim is to get you to a stage where you feel empowered to move forward. I work in a non-judgemental and empathic approach and hope to be a friendly face that you can trust.
0114 697 4213 View 0114 697 4213
Photo of Greg Alan Harris, MBACP, Counsellor
Greg Alan Harris
Counsellor, MBACP
Verified Verified
Blackpool FY4
Life throws us challenges that are tough to get through! Sometimes we just need someone to talk to - Someone to listen - Someone, to help us to make sense of what is happening or has happened in our lives now and most importantly how we can move forward… Making that first step to access support and be willing to share your thoughts, feelings and ideas with another person is a brave and responsible act. It's also a positive move towards helping you ease some of the wobbles, struggles and conflicts you may be having, and demonstrates a capacity to think which is essential in making your life more in line with
Life throws us challenges that are tough to get through! Sometimes we just need someone to talk to - Someone to listen - Someone, to help us to make sense of what is happening or has happened in our lives now and most importantly how we can move forward… Making that first step to access support and be willing to share your thoughts, feelings and ideas with another person is a brave and responsible act. It's also a positive move towards helping you ease some of the wobbles, struggles and conflicts you may be having, and demonstrates a capacity to think which is essential in making your life more in line with
01253 835583 View 01253 835583

See more therapy options for Craven Arms

How does your Counsellor compare?

Number of Counsellors in Craven Arms

< 10

Counsellors in Craven Arms who prioritize treating:

80% Depression
80% Bereavement
80% Self Esteem
80% Stress
80% Life Transitions
60% Relationship Issues
60% Anxiety

Average years in practice

12 Years

Gender breakdown

100% Female

How Counsellors in Craven Arms see their clients

60% Online Only
40% In Person and Online
FAQs - About Therapy and Counselling

How can I find a therapist in Craven Arms?

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.