Counselling in Downpatrick

Photo of Vanessa Haynes, MBACP, Counsellor
Vanessa Haynes
Counsellor, MBACP
Verified Verified
Downpatrick BT30
Hello, thank you for reading. I am Vanessa and I am a person-centred, psycho-dynamic counsellor working with both short and long-term clients. We all experience difficulties in life and sometimes we need a bit of help from a trusted person outside of friends and family. Whether you are experiencing anxiety or depression or feeling a loss of purpose we can explore your challenges together. I work with adult survivors of childhood trauma, often described as adverse childhood experiences. I am also hearing-impairment aware. Hearing loss can come with feelings of shame and isolation – and can significantly impact our ability to connect.
Hello, thank you for reading. I am Vanessa and I am a person-centred, psycho-dynamic counsellor working with both short and long-term clients. We all experience difficulties in life and sometimes we need a bit of help from a trusted person outside of friends and family. Whether you are experiencing anxiety or depression or feeling a loss of purpose we can explore your challenges together. I work with adult survivors of childhood trauma, often described as adverse childhood experiences. I am also hearing-impairment aware. Hearing loss can come with feelings of shame and isolation – and can significantly impact our ability to connect.
028 9694 3202 View 028 9694 3202
Photo of Caitriona Mulligan - Caitriona Mulligan / Mind Revitalise, MBACP, Counsellor
Caitriona Mulligan / Mind Revitalise
Counsellor, MBACP
Verified Verified
Downpatrick BT30
Hello, I’m Caitriona and I work with people experiencing many different issues and problems including anxiety, overthinking, and low self-esteem. Maybe you’re looking for help because you find yourself lying awake at night feeling worried and anxious. Perhaps you would like to make changes in your life, but you don’t know where to begin, or you’re afraid to get started because you don’t want to get it wrong. Or maybe it feels as if everything is just too much and your worries and concerns are affecting the way you live your life and your relationships.
Hello, I’m Caitriona and I work with people experiencing many different issues and problems including anxiety, overthinking, and low self-esteem. Maybe you’re looking for help because you find yourself lying awake at night feeling worried and anxious. Perhaps you would like to make changes in your life, but you don’t know where to begin, or you’re afraid to get started because you don’t want to get it wrong. Or maybe it feels as if everything is just too much and your worries and concerns are affecting the way you live your life and your relationships.
028 9694 3468 View 028 9694 3468
Photo of Melanie Louise Poland, MBACP, Counsellor
Melanie Louise Poland
Counsellor, MBACP
Verified Verified
Downpatrick BT30
“Hello and thanks for taking the time to look at my profile. I believe that we all experience difficulties in our lives and it can be difficult to speak to friends and family at times. Coming to counselling for the first time can be very challenging and it takes courage to open up and talk about how we feel. I believe that counselling can be a very liberating experience and can enhance our self-awareness and bring about positive changes in our lives as well as increasing our general well-being."
“Hello and thanks for taking the time to look at my profile. I believe that we all experience difficulties in our lives and it can be difficult to speak to friends and family at times. Coming to counselling for the first time can be very challenging and it takes courage to open up and talk about how we feel. I believe that counselling can be a very liberating experience and can enhance our self-awareness and bring about positive changes in our lives as well as increasing our general well-being."
028 9694 3262 View 028 9694 3262
Photo of Joe Carter, MBACP, Counsellor
Joe Carter
Counsellor, MBACP
Verified Verified
Downpatrick BT30  (Online Only)
Yes. Being human can be tricky. We can all get stuck. Stuck in our heads and our feelings, in relationships, work, obsessions and compulsions, stuck in unhelpful behaviours and unhelpful ways of seeing things. But, we can all get unstuck. Practicing since 2002, I would be seen as an integrative therapist and counsellor, integrating multiple therapeutic models and approaches. So, we have many ways to make better sense of life situations: 12-Step Recovery Programme, Internal Family Systems, Acceptance Commitment Therapy, Cognitive Behavioural Therapy, Humanistic, Person Centred and Psychodynamic approaches; Integrative Counselling.
Yes. Being human can be tricky. We can all get stuck. Stuck in our heads and our feelings, in relationships, work, obsessions and compulsions, stuck in unhelpful behaviours and unhelpful ways of seeing things. But, we can all get unstuck. Practicing since 2002, I would be seen as an integrative therapist and counsellor, integrating multiple therapeutic models and approaches. So, we have many ways to make better sense of life situations: 12-Step Recovery Programme, Internal Family Systems, Acceptance Commitment Therapy, Cognitive Behavioural Therapy, Humanistic, Person Centred and Psychodynamic approaches; Integrative Counselling.
028 9694 3391 View 028 9694 3391
Photo of Roisen Keaveney, MSc, Psychologist
Roisen Keaveney
Psychologist, MSc
Verified Verified
Downpatrick BT30
If you are interested in counselling feel free to contact me for a free 20 min consultation. I am a Chartered Psychologist with The Psychological Society of Ireland. I am also accredited with the BACP. I have 30 years experience of working in a wide range of settings including the statutory, voluntary & private sector. My experience includes: 5 years specialising within the mental health field including acute psychiatry and community mental health, 6 years specialising in counselling survivors of abuse including clerical abuse, 5 years specialising in University counselling and 3 years specialising in post primary counselling.
If you are interested in counselling feel free to contact me for a free 20 min consultation. I am a Chartered Psychologist with The Psychological Society of Ireland. I am also accredited with the BACP. I have 30 years experience of working in a wide range of settings including the statutory, voluntary & private sector. My experience includes: 5 years specialising within the mental health field including acute psychiatry and community mental health, 6 years specialising in counselling survivors of abuse including clerical abuse, 5 years specialising in University counselling and 3 years specialising in post primary counselling.
07480 776315 View 07480 776315

More Therapists Nearby

Photo of Rachael Morrison, MSc, MBACP Accred, Counsellor
Rachael Morrison
Counsellor, MSc, MBACP Accred
Verified Verified
Ballynahinch BT24
Adults, children and adolescents all need a space to explore and express their experiences, and for some this tends to be more difficult as they struggle to understand what they're feeling, never mind find the words to describe them to someone. People often find that when they voice their experiences, feelings, and worries, and confide in a professional who can offer support and help them make sense of these, they feel heard, understood, and often a little lighter from sharing the weight of these. I aim to help my clients to feel that little bit lighter.
Adults, children and adolescents all need a space to explore and express their experiences, and for some this tends to be more difficult as they struggle to understand what they're feeling, never mind find the words to describe them to someone. People often find that when they voice their experiences, feelings, and worries, and confide in a professional who can offer support and help them make sense of these, they feel heard, understood, and often a little lighter from sharing the weight of these. I aim to help my clients to feel that little bit lighter.
028 9694 3247 View 028 9694 3247
Photo of Paul Hazzard - Shimna Therapy, BACP, Psychotherapist
Shimna Therapy
Psychotherapist, BACP
Verified Verified
Castlewellan BT31
Are you struggling? Anxious? Challenged? Lonely? In despair? Lost confidence? Low self-esteem? In need of direction, new confidence, raised self-esteem ... ? At Shimna Therapy we have almost four decades of no nonsense, person-centred counselling to help guide and support you when times are challenging and you need to regain control, find new direction and feel more confident and assured with yourself, others and in managing situations. We focus on helping you find the best version of you so you can focus on living a full, happy and fulfilled life.
Are you struggling? Anxious? Challenged? Lonely? In despair? Lost confidence? Low self-esteem? In need of direction, new confidence, raised self-esteem ... ? At Shimna Therapy we have almost four decades of no nonsense, person-centred counselling to help guide and support you when times are challenging and you need to regain control, find new direction and feel more confident and assured with yourself, others and in managing situations. We focus on helping you find the best version of you so you can focus on living a full, happy and fulfilled life.
028 9694 3460 View 028 9694 3460
Photo of Linda Ward - lindaelisabeth counselling, MSc, MNCPS Acc., Counsellor
lindaelisabeth counselling
Counsellor, MSc, MNCPS Acc.
Verified Verified
Ballynahinch BT24
Being human means there are complex, varying, and unbelievable situations and circumstances in life that need to be navigated and sometimes pushed through. It can be fun, and exciting but often it can be plain difficult and overwhelming.
Being human means there are complex, varying, and unbelievable situations and circumstances in life that need to be navigated and sometimes pushed through. It can be fun, and exciting but often it can be plain difficult and overwhelming.
028 9694 3494 View 028 9694 3494

Online Therapists

Photo of Seán McCann, MBACP, Counsellor
Seán McCann
Counsellor, MBACP
Verified Verified
Belfast BT15
Hi, my name is Seán and I am a fully qualified integrative counsellor and a registered member of the BACP. Thank you for taking the time to read my profile. I believe that counselling can not only help us explore, understand and address difficult thoughts, feelings and behaviours, but can also support us in becoming the best version of ourselves possible. By helping us explore our relationships, embrace change and grow in self awareness, a positive therapeutic experience can ultimately help us feel more content with our lives and who we are as individuals.
Hi, my name is Seán and I am a fully qualified integrative counsellor and a registered member of the BACP. Thank you for taking the time to read my profile. I believe that counselling can not only help us explore, understand and address difficult thoughts, feelings and behaviours, but can also support us in becoming the best version of ourselves possible. By helping us explore our relationships, embrace change and grow in self awareness, a positive therapeutic experience can ultimately help us feel more content with our lives and who we are as individuals.
028 9344 7275 View 028 9344 7275
Photo of Connie Chaudhry, MA, MBACP Accred, Counsellor
Connie Chaudhry
Counsellor, MA, MBACP Accred
Verified Verified
Antrim BT41
Hello and welcome to my profile.I am an experienced counsellor, EMDR trauma therapist and counselling supervisor working in Antrim town & online. I work with mental illness including post-traumatic stress disorder, personality disorders, anxiety, depression and OCD, but I also work with improving mental wellness. This includes setting goals, improving sleep and other routines, life coaching, and working on and with relationships.
Hello and welcome to my profile.I am an experienced counsellor, EMDR trauma therapist and counselling supervisor working in Antrim town & online. I work with mental illness including post-traumatic stress disorder, personality disorders, anxiety, depression and OCD, but I also work with improving mental wellness. This includes setting goals, improving sleep and other routines, life coaching, and working on and with relationships.
07588 744248 View 07588 744248
Photo of Samantha Taitt, MRes, MBACP, Counsellor
Samantha Taitt
Counsellor, MRes, MBACP
Verified Verified
Londonderry BT47
My name is Samantha and I am a qualified registered counsellor with a passion for helping people to achieve their goals and do so by giving you a space to feel heard, understood and not judged. I believe you are the expert of your life and that by sharing your feelings with me we can work to build on areas of low confidence, self doubt, insecurities, stress, anxiety and low mood to a position where you feel more empowered to manage what life has to throw at you. I am here to share your exploration, supporting you to access better self-awareness in a confidential space. I have experience counselling from the age of 11 years and up.
My name is Samantha and I am a qualified registered counsellor with a passion for helping people to achieve their goals and do so by giving you a space to feel heard, understood and not judged. I believe you are the expert of your life and that by sharing your feelings with me we can work to build on areas of low confidence, self doubt, insecurities, stress, anxiety and low mood to a position where you feel more empowered to manage what life has to throw at you. I am here to share your exploration, supporting you to access better self-awareness in a confidential space. I have experience counselling from the age of 11 years and up.
028 9124 8967 View 028 9124 8967
Photo of Richard McGuffin, MBACP, Counsellor
Richard McGuffin
Counsellor, MBACP
Verified Verified
Londonderry BT47
I am a North West Northern Ireland based experienced BACP registered counsellor providing a non-judgemental, understanding and safe place to explore your inner world. I use a number of different theories and approaches which I can draw on depending on your needs. I have training in person-centred, psychodynamic and cognitive therapies. I offer services through video, phone and in-person. I can help with Abuse, Addictions, Anger management, Anxiety, Bereavement, Child related issues, Cultural issues, Depression, Obsessions, Phobias, Relationships, Self esteem, Self-harm, Sexuality, Spirituality, Stress, Substance Dependency, Suicide.
I am a North West Northern Ireland based experienced BACP registered counsellor providing a non-judgemental, understanding and safe place to explore your inner world. I use a number of different theories and approaches which I can draw on depending on your needs. I have training in person-centred, psychodynamic and cognitive therapies. I offer services through video, phone and in-person. I can help with Abuse, Addictions, Anger management, Anxiety, Bereavement, Child related issues, Cultural issues, Depression, Obsessions, Phobias, Relationships, Self esteem, Self-harm, Sexuality, Spirituality, Stress, Substance Dependency, Suicide.
028 9104 2316 View 028 9104 2316
Photo of Claire McGleenan, MBACP, Counsellor
Claire McGleenan
Counsellor, MBACP
Verified Verified
1 Endorsed
Dungannon BT71
Asking for help is one of the hardest things to do. By reading this, you've already achieved something amazing to start your journey. I'm experienced working with all different age groups, from children to adults. No issue is too big or too small to take the time to understand your healing journey in a safe and confidential space. I'm experienced working with with anxiety, depression, low mood, self esteem issues, bullying, bereavement/loss to name a few. I offer a relaxed counselling experience, within a warm and comfortable environment. Why not send an email today so we can work together to help make sense of your situation.
Asking for help is one of the hardest things to do. By reading this, you've already achieved something amazing to start your journey. I'm experienced working with all different age groups, from children to adults. No issue is too big or too small to take the time to understand your healing journey in a safe and confidential space. I'm experienced working with with anxiety, depression, low mood, self esteem issues, bullying, bereavement/loss to name a few. I offer a relaxed counselling experience, within a warm and comfortable environment. Why not send an email today so we can work together to help make sense of your situation.
028 9163 8625 View 028 9163 8625
Photo of Dr Terence A J McIvor
Dr Terence A J McIvor
Verified Verified
Londonderry BT48
As a dedicated practitioner in the fields of coaching, mentoring, and psychology , I am committed to guiding individuals on their journey toward personal growth and transformation. With over two decades of experience, I have honed my skills to provide personalized support and guidance tailored to each individual's unique needs. My passion for helping others achieve their full potential drives me to continually innovate and refine my approach, ensuring that my clients receive the highest level of care and support on their path to fulfillment and success.
As a dedicated practitioner in the fields of coaching, mentoring, and psychology , I am committed to guiding individuals on their journey toward personal growth and transformation. With over two decades of experience, I have honed my skills to provide personalized support and guidance tailored to each individual's unique needs. My passion for helping others achieve their full potential drives me to continually innovate and refine my approach, ensuring that my clients receive the highest level of care and support on their path to fulfillment and success.
028 9694 3726 View 028 9694 3726
Photo of Rita Hashemipour, MBACP Accred, Counsellor
Rita Hashemipour
Counsellor, MBACP Accred
Verified Verified
Belfast BT9
Do you feel like you are stuck at a cross roads and not sure which way to turn? Are you feeling overwhelmed with life’s challenges, feeling anxious, depressed or trapped in an impossible situation? Maybe you are struggling with an addiction or need to talk about something that is bothering you to someone who doesn’t have an agenda. We all experience struggles at times and these can be distressing or get in the way of our everyday lives. No matter what the issue is, counselling can help shed new light on problems and help you understand your feelings with a view to gaining new insights and developing better ways of coping.
Do you feel like you are stuck at a cross roads and not sure which way to turn? Are you feeling overwhelmed with life’s challenges, feeling anxious, depressed or trapped in an impossible situation? Maybe you are struggling with an addiction or need to talk about something that is bothering you to someone who doesn’t have an agenda. We all experience struggles at times and these can be distressing or get in the way of our everyday lives. No matter what the issue is, counselling can help shed new light on problems and help you understand your feelings with a view to gaining new insights and developing better ways of coping.
028 9124 4013 View 028 9124 4013
Photo of Emma Elizabeth Rion, MA, UKCP Trainee, Counsellor
Emma Elizabeth Rion
Counsellor, MA, UKCP Trainee
Verified Verified
Banbridge BT32  (Online Only)
My name is Emma Rion and I’m a a trainee psychotherapeutic counsellor offering online counselling at a low cost while I complete my Masters. I have years of experience in coaching and mentoring and I aim is to offer a warm and non judgmental space for you to explore what might be difficult for you and to work together to help you thrive.
My name is Emma Rion and I’m a a trainee psychotherapeutic counsellor offering online counselling at a low cost while I complete my Masters. I have years of experience in coaching and mentoring and I aim is to offer a warm and non judgmental space for you to explore what might be difficult for you and to work together to help you thrive.
View
Photo of Lorraine Fitzsimmons, MBACP, Counsellor
Lorraine Fitzsimmons
Counsellor, MBACP
Verified Verified
1 Endorsed
Irvine KA11
Each person is unique and are THEE experts in their own life, but sometimes when faced with particular challenges, fears, or difficulties including, low self-esteem, anxiety, depression, grief, life transitions (e.g new parents or menopause), or relationship problems, it can often feel that no matter how hard you've tried, you're unable to find resolutions or solutions to the issues being faced. You feel overwhelmed, isolated, unheard and, STUCK. It doesn't have to be that way and I can help. You will be heard and I'm here for you. I'll support you to explore, address, and overcome the challenges negatively impacting your wellbeing.
Each person is unique and are THEE experts in their own life, but sometimes when faced with particular challenges, fears, or difficulties including, low self-esteem, anxiety, depression, grief, life transitions (e.g new parents or menopause), or relationship problems, it can often feel that no matter how hard you've tried, you're unable to find resolutions or solutions to the issues being faced. You feel overwhelmed, isolated, unheard and, STUCK. It doesn't have to be that way and I can help. You will be heard and I'm here for you. I'll support you to explore, address, and overcome the challenges negatively impacting your wellbeing.
01294 445380 View 01294 445380
Photo of Emma Harrison, MBACP Accred, Counsellor
Emma Harrison
Counsellor, MBACP Accred
Verified Verified
Randalstown BT41
I was in counselling during my mid twenties for trauma, depression and anxiety. I became fascinated by the process. It led to empowerment and growth, which peaked my interest to study myself. Because of my own background and self awareness, I feel this helps greatly within the client - therapist relationship. I like my clients to feel 'heard' and understood. I enjoy working collaboratively with them to attain their own set goals or process feelings around events which may have caused distress.
I was in counselling during my mid twenties for trauma, depression and anxiety. I became fascinated by the process. It led to empowerment and growth, which peaked my interest to study myself. Because of my own background and self awareness, I feel this helps greatly within the client - therapist relationship. I like my clients to feel 'heard' and understood. I enjoy working collaboratively with them to attain their own set goals or process feelings around events which may have caused distress.
028 9694 3284 View 028 9694 3284
Photo of Sarah McClenaghan, MBACP Accred, Counsellor
Sarah McClenaghan
Counsellor, MBACP Accred
Verified Verified
Ballymena BT43
I am passionate about creating a safe and non judgemental and confidential space in which you feel comfortable to explore the issues and concerns you are facing at present. Everyone is the expert of their own life and it’s my job to help you to make the changes that are important to you. I aim to provide you with a genuine and real experience, understanding and walking alongside you in your journey. I believe in a compassionate collaborative approach between you and myself, to support your right to happiness, healthy relationships and healing your past.
I am passionate about creating a safe and non judgemental and confidential space in which you feel comfortable to explore the issues and concerns you are facing at present. Everyone is the expert of their own life and it’s my job to help you to make the changes that are important to you. I aim to provide you with a genuine and real experience, understanding and walking alongside you in your journey. I believe in a compassionate collaborative approach between you and myself, to support your right to happiness, healthy relationships and healing your past.
028 9694 3959 View 028 9694 3959
Photo of Linda Duncan, MNCPS Acc., Counsellor
Linda Duncan
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Strabane BT82
I believe everyone has the ability to overcome any issues that arise within the stresses and strains of modern life. Sometimes we all need a little help to get through the tough times and towards a brighter future. I can offer a warm, friendly, non-judgemental, safe place to explore whatever is causing you stress and anxiety at the moment.
I believe everyone has the ability to overcome any issues that arise within the stresses and strains of modern life. Sometimes we all need a little help to get through the tough times and towards a brighter future. I can offer a warm, friendly, non-judgemental, safe place to explore whatever is causing you stress and anxiety at the moment.
07449 021526 View 07449 021526

See more therapy options for Downpatrick

How does your Counsellor compare?

Number of Counsellors in Downpatrick

< 10

Counsellors in Downpatrick who prioritize treating:

100% Relationship Issues
100% Anxiety
100% Bereavement
100% Self Esteem
80% Depression
60% Addiction
60% Domestic Abuse

Average years in practice

22 Years

Gender breakdown

80% Female
20% Male

How Counsellors in Downpatrick see their clients

80% In Person and Online
20% Online Only
FAQs - About Therapy and Counselling

How can I find a therapist in Downpatrick?

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.