Photo of Alanah Garrard, MUKCP, Psychotherapist
Alanah Garrard
Psychotherapist, MUKCP
Verified Verified
There are periods of time when our lives and choices feel difficult and it can seem quite overwhelming. Whether that is presented in feelings of anxiety, depression, sadness, isolation, feelings of not being able to cope, a general feeling of dissatisfaction or relying on external elements such as alcohol or drugs for relief. I am here to provide support and to offer a non-judgemental empathic approach. The goal is to assist you in making the changes you need by talking things through in a safe environment.
There are periods of time when our lives and choices feel difficult and it can seem quite overwhelming. Whether that is presented in feelings of anxiety, depression, sadness, isolation, feelings of not being able to cope, a general feeling of dissatisfaction or relying on external elements such as alcohol or drugs for relief. I am here to provide support and to offer a non-judgemental empathic approach. The goal is to assist you in making the changes you need by talking things through in a safe environment.
020 3389 7591 View 020 3389 7591
Photo of Rayna Denitsova, PhD, MUKCP, Psychotherapist
Rayna Denitsova
Psychotherapist, PhD, MUKCP
Verified Verified
I use a combination of psychodynamic, attachment-based and Jungian approaches to help individuals think about their relationships. Relationships can be the place where we feel the most creative and alive but they can also leave us vulnerable to abandonment, unhealthy dependancy, feelings of impotence and despair. If you are struggling with intimate relationships, it feels difficult to find a partner, a recent break-up is keeping you hostage or your relationships are following the same pattern, it might be crucial to explore what might be going on underneath the surface.
I use a combination of psychodynamic, attachment-based and Jungian approaches to help individuals think about their relationships. Relationships can be the place where we feel the most creative and alive but they can also leave us vulnerable to abandonment, unhealthy dependancy, feelings of impotence and despair. If you are struggling with intimate relationships, it feels difficult to find a partner, a recent break-up is keeping you hostage or your relationships are following the same pattern, it might be crucial to explore what might be going on underneath the surface.
01748 902419 View 01748 902419
Photo of Georgia Davison, BACP, Psychotherapist
Georgia Davison
Psychotherapist, BACP
Verified Verified
Regardless of whether in a crisis or not, therapy is a carved out space solely for you. A space of exploration, reflection and contemplation. I am here to honour that space and walk alongside you as we explore together the foundations that make you who are. I offer a versatile, updated form of therapy that adapts to our every day nomadic and digital needs. My work is focused on empowering victims of abuse through their own narrative and working in preventative measures with perpetrators. My online digital therapy practice, ONIS, provides a special focus on therapy for those in the Entertainment Service Industries.
Regardless of whether in a crisis or not, therapy is a carved out space solely for you. A space of exploration, reflection and contemplation. I am here to honour that space and walk alongside you as we explore together the foundations that make you who are. I offer a versatile, updated form of therapy that adapts to our every day nomadic and digital needs. My work is focused on empowering victims of abuse through their own narrative and working in preventative measures with perpetrators. My online digital therapy practice, ONIS, provides a special focus on therapy for those in the Entertainment Service Industries.
020 4538 4727 View 020 4538 4727
Photo of Tara Saglio, MBACP Accred, Psychotherapist
Tara Saglio
Psychotherapist, MBACP Accred
Verified Verified
I am a Couple and Individual Psychotherapist with over 25yrs experience both in private practice and the NHS. I work with couples and individuals who are struggling with a wide range of difficulties including stress, depression and anxiety, OCD, BPD etc. In a supportive and confidential setting I regularly help clients with relationship and communication difficulties, trust issues, sexuality, infidelity, stress and problems at work, children/family issues, financial concerns, infidelity etc. I also have lots of experience working with individuals for both short-term and long-term work and I run a Private Practice in Notting Hill.
I am a Couple and Individual Psychotherapist with over 25yrs experience both in private practice and the NHS. I work with couples and individuals who are struggling with a wide range of difficulties including stress, depression and anxiety, OCD, BPD etc. In a supportive and confidential setting I regularly help clients with relationship and communication difficulties, trust issues, sexuality, infidelity, stress and problems at work, children/family issues, financial concerns, infidelity etc. I also have lots of experience working with individuals for both short-term and long-term work and I run a Private Practice in Notting Hill.
020 3831 3850 View 020 3831 3850
Photo of Daska Hatton, MUKCP, Psychotherapist
Daska Hatton
Psychotherapist, MUKCP
Verified Verified
1 Endorsed
Come home to yourself. Allow the mind to calm and the body to soften and release. Who are you underneath the noise of the world?  What needs to be heard today and on what level? For over 25 years, I have assisted people in profound transformation through bodywork and psychotherapy. As I am trained in Integrative Transpersonal Psychotherapy, the Alexander Technique and Craniosacral Therapy, my work can help to identify and resolve pain and discomfort, whether manifesting in the body, mind, or more usually a combination of both. Where, after all, do your thoughts and feelings occur if not in the body?
Come home to yourself. Allow the mind to calm and the body to soften and release. Who are you underneath the noise of the world?  What needs to be heard today and on what level? For over 25 years, I have assisted people in profound transformation through bodywork and psychotherapy. As I am trained in Integrative Transpersonal Psychotherapy, the Alexander Technique and Craniosacral Therapy, my work can help to identify and resolve pain and discomfort, whether manifesting in the body, mind, or more usually a combination of both. Where, after all, do your thoughts and feelings occur if not in the body?
020 3871 8332 View 020 3871 8332
Photo of Libby Morgan, MSc, MBACP, Psychotherapist
Libby Morgan
Psychotherapist, MSc, MBACP
Verified Verified
Hello, I'm Libby. I am a trained counsellor and psychotherapist. Life can be overwhelming and we can all find ourselves at times struggling and unsure how to move forward. My job is to listen to you with compassion, openness and curiosity and to help you come to a better understanding of yourself and your situation. I offer a supportive, confidential space for you to make sense of your life, reflect on your feelings and patterns of behaviour and practice new ways of being in a safe environment.
Hello, I'm Libby. I am a trained counsellor and psychotherapist. Life can be overwhelming and we can all find ourselves at times struggling and unsure how to move forward. My job is to listen to you with compassion, openness and curiosity and to help you come to a better understanding of yourself and your situation. I offer a supportive, confidential space for you to make sense of your life, reflect on your feelings and patterns of behaviour and practice new ways of being in a safe environment.
020 3889 7890 View 020 3889 7890
Photo of Valia Tzoka, MSc, MBACP, Counsellor
Valia Tzoka
Counsellor, MSc, MBACP
Verified Verified
I am a BACP Accredited Gestalt therapist who works holistically and creatively, accompanying you in getting to know and accept all sides of yourself and live a joyous life. I believe that every symptom that manifests in our body (physical, emotional or spiritual) is not separate from our whole existence. Gestalt is a german word that the closest translation is "whole" or "pattern" and as a Gestalt therapist I work with the whole person. I am a long-term yoga and meditation practicioner and I bring my knowledge and experience of the link between mind and body into my sessions.
I am a BACP Accredited Gestalt therapist who works holistically and creatively, accompanying you in getting to know and accept all sides of yourself and live a joyous life. I believe that every symptom that manifests in our body (physical, emotional or spiritual) is not separate from our whole existence. Gestalt is a german word that the closest translation is "whole" or "pattern" and as a Gestalt therapist I work with the whole person. I am a long-term yoga and meditation practicioner and I bring my knowledge and experience of the link between mind and body into my sessions.
020 7046 0523 View 020 7046 0523
Photo of Christina Macadam, MA, BPC, Psychotherapist
Christina Macadam
Psychotherapist, MA, BPC
Verified Verified
I am an experienced psychodynamic psychotherapist working with adolescents and young people since 2015. I have worked in NHS CAMHS, the third sector and schools, and currently work in private practice and the Nightingale Hospital. I support adolescents and young adults with a range of emotional, behavioural, social and mental health difficulties, such as anxiety, depression, bereavement and loss, self-destructive thoughts and low self-esteem. I work collaboratively to explore and make sense of some of the difficulties that individuals are experiencing and how it might be affecting their behaviour, thoughts or feelings.
I am an experienced psychodynamic psychotherapist working with adolescents and young people since 2015. I have worked in NHS CAMHS, the third sector and schools, and currently work in private practice and the Nightingale Hospital. I support adolescents and young adults with a range of emotional, behavioural, social and mental health difficulties, such as anxiety, depression, bereavement and loss, self-destructive thoughts and low self-esteem. I work collaboratively to explore and make sense of some of the difficulties that individuals are experiencing and how it might be affecting their behaviour, thoughts or feelings.
020 4538 8639 View 020 4538 8639
Photo of Adela Victoria Vinader, MA, MBACP Accred, Counsellor
Adela Victoria Vinader
Counsellor, MA, MBACP Accred
Verified Verified
London W11  (Online Only)
Choosing a counsellor is an important step. I offer a free 15-minute chat to support you in this process. Whether you are going through a crisis in your life or experiencing a difficult emotional time, speaking to a counsellor can be life-changing. I have been told by my clients that they initially feel relief, deeper self-understanding and acceptance, followed by a sense of being more resourceful, creative and happy in themselves.
Choosing a counsellor is an important step. I offer a free 15-minute chat to support you in this process. Whether you are going through a crisis in your life or experiencing a difficult emotional time, speaking to a counsellor can be life-changing. I have been told by my clients that they initially feel relief, deeper self-understanding and acceptance, followed by a sense of being more resourceful, creative and happy in themselves.
020 4538 9816 View 020 4538 9816
Photo of Becky Sarah Burnett, MA, HCPC-Art Therap., Psychotherapist
Becky Sarah Burnett
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
Waitlist for new clients
I've worked for six years supporting people suffering with eating disorders, body image issues, anxiety, depression and various addictions. My extensive experience has shown me that these symptoms are often a response to distressing or painful situations which can come from all areas of life, perhaps difficult relationships, grief or troubling events. I strive to meet all my clients with unconditional positive regard, with compassion and empathy. I work alongside my clients to nurture a space where they feel they can bring all of themselves, and meet even the most painful or shamed parts without judgment or criticism.
I've worked for six years supporting people suffering with eating disorders, body image issues, anxiety, depression and various addictions. My extensive experience has shown me that these symptoms are often a response to distressing or painful situations which can come from all areas of life, perhaps difficult relationships, grief or troubling events. I strive to meet all my clients with unconditional positive regard, with compassion and empathy. I work alongside my clients to nurture a space where they feel they can bring all of themselves, and meet even the most painful or shamed parts without judgment or criticism.
020 3984 8731 View 020 3984 8731
Photo of Helen Woods, MA, MBABCP, Psychotherapist
Helen Woods
Psychotherapist, MA, MBABCP
Verified Verified
London W11  (Online Only)
I provide highly specialist Cognitive Behavioural Therapy (CBT), Interpersonal Psychotherapy (IPT), Psychodynamic Psychotherapy, and Person Centred Experiential Therapy. Working as a Senior Psychotherapist/Supervisor in the NHS I have helped many people overcome depression, low self-esteem, social anxiety, OCD, PTSD, panic, phobias, eating disorders, relationship issues, as well as helping to manage living with Long Term Conditions such as IBS and Long Covid. My postgraduate training was at the Institute of Psychiatry, Psychology and Neuroscience, King’s College, London, where I received tuition from world leading experts in CBT.
I provide highly specialist Cognitive Behavioural Therapy (CBT), Interpersonal Psychotherapy (IPT), Psychodynamic Psychotherapy, and Person Centred Experiential Therapy. Working as a Senior Psychotherapist/Supervisor in the NHS I have helped many people overcome depression, low self-esteem, social anxiety, OCD, PTSD, panic, phobias, eating disorders, relationship issues, as well as helping to manage living with Long Term Conditions such as IBS and Long Covid. My postgraduate training was at the Institute of Psychiatry, Psychology and Neuroscience, King’s College, London, where I received tuition from world leading experts in CBT.
020 7870 3429 View 020 7870 3429
Photo of Sophie Worthington, MA, MBACP, Psychotherapist
Sophie Worthington
Psychotherapist, MA, MBACP
Verified Verified
Are you looking for a safe and supportive space to explore difficult feelings, relationships, or experiences? We all encounter difficulties at some points in our lives: problems with relationships, anxiety or depression, sexual concerns, low self-esteem, addiction to alcohol or drugs, bereavement, trauma or feelings of anger, grief or panic. As a qualified psychotherapist and counsellor, I offer a non-judgemental, confidential space in which to explore the conflicts and issues that bring you to therapy and to start to address the underlying patterns that may prevent you from moving forward in your life.
Are you looking for a safe and supportive space to explore difficult feelings, relationships, or experiences? We all encounter difficulties at some points in our lives: problems with relationships, anxiety or depression, sexual concerns, low self-esteem, addiction to alcohol or drugs, bereavement, trauma or feelings of anger, grief or panic. As a qualified psychotherapist and counsellor, I offer a non-judgemental, confidential space in which to explore the conflicts and issues that bring you to therapy and to start to address the underlying patterns that may prevent you from moving forward in your life.
020 3974 1299 View 020 3974 1299
Photo of Juliette Andre, MSc, MBACP, Psychotherapist
Juliette Andre
Psychotherapist, MSc, MBACP
Verified Verified
London W11  (Online Only)
Problems with a particular relationship is often what brings individuals and couples to relationship counselling and psychotherapy. As an experienced counsellor and psychotherapist I offer a non judgmental space where we can think together about the interaction and the conflicts of this relationship, seek to understand the recurrent patterns of difficulties you are facing and resolve the underlying issues. Counselling and psychotherapy may involve exploring the past to the extent that it influences the present.
Problems with a particular relationship is often what brings individuals and couples to relationship counselling and psychotherapy. As an experienced counsellor and psychotherapist I offer a non judgmental space where we can think together about the interaction and the conflicts of this relationship, seek to understand the recurrent patterns of difficulties you are facing and resolve the underlying issues. Counselling and psychotherapy may involve exploring the past to the extent that it influences the present.
020 3856 3916 View 020 3856 3916
Photo of Darren Knight, DCounsPsych, BACP, Psychotherapist
Darren Knight
Psychotherapist, DCounsPsych, BACP
Verified Verified
With experience working in various clinical settings, including the NHS's inpatient and outpatient services and bereavement services, I can help you navigate a range of issues, including anxiety, depression, disrupted attachments, loss, trauma, and more.
With experience working in various clinical settings, including the NHS's inpatient and outpatient services and bereavement services, I can help you navigate a range of issues, including anxiety, depression, disrupted attachments, loss, trauma, and more.
020 3871 8345 View 020 3871 8345
Photo of Tim Thomas, MUKCP, Psychotherapist
Tim Thomas
Psychotherapist, MUKCP
Verified Verified
MA; IGA(memb.); UKCP. Many years teaching at Goldsmiths College as well as conducting psychotherapy training groups at Tavistock Couples Counselling, and patient groups at Hillingdon Hospital and Chelsea & Westminster Hospitals. Individual work for depression/anxiety, work related issues, mentoring (member of Association of Management Education), couples, perplexity. Also see Groups Online.
MA; IGA(memb.); UKCP. Many years teaching at Goldsmiths College as well as conducting psychotherapy training groups at Tavistock Couples Counselling, and patient groups at Hillingdon Hospital and Chelsea & Westminster Hospitals. Individual work for depression/anxiety, work related issues, mentoring (member of Association of Management Education), couples, perplexity. Also see Groups Online.
020 4524 2898 View 020 4524 2898
Photo of Dr Elena De Giacomi, PsychD, HCPC - Couns. Psych., Psychologist
Dr Elena De Giacomi
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
1 Endorsed
London W11  (Online Only)
I am a Chartered Counselling Psychologist registered with the Health and Care Professions Council and British Psychological Society. I am trained at doctoral level to deliver psychological therapy based on a variety of therapeutic models, I can therefore adapt my approach to suit each client’s unique needs and preferences, whilst also keeping in mind the evidence base for their presenting difficulties. I have over 10 years’ experience working in mental health services, supporting clients with a wide range of mild to severe difficulties in the NHS, private healthcare and third sector organisations.
I am a Chartered Counselling Psychologist registered with the Health and Care Professions Council and British Psychological Society. I am trained at doctoral level to deliver psychological therapy based on a variety of therapeutic models, I can therefore adapt my approach to suit each client’s unique needs and preferences, whilst also keeping in mind the evidence base for their presenting difficulties. I have over 10 years’ experience working in mental health services, supporting clients with a wide range of mild to severe difficulties in the NHS, private healthcare and third sector organisations.
020 3835 6013 View 020 3835 6013
Photo of Lucy Reid, MA, MBACP, Psychotherapist
Lucy Reid
Psychotherapist, MA, MBACP
Verified Verified
2 Endorsed
I see clients ranging in age from teenagers to the elderly, who present a wide span of issues including anxiety, depression, anger, and family crises. I have experience in working with people who are recovering from addictions and from issues arising from past traumatic events including physical and sexual abuse, illness and bereavement. For many years I have worked at a community-based counselling service where I have engaged with a broad spectrum of clients, living in both rural and urban environments as well as with clients that have peripatetic or military lifestyles.
I see clients ranging in age from teenagers to the elderly, who present a wide span of issues including anxiety, depression, anger, and family crises. I have experience in working with people who are recovering from addictions and from issues arising from past traumatic events including physical and sexual abuse, illness and bereavement. For many years I have worked at a community-based counselling service where I have engaged with a broad spectrum of clients, living in both rural and urban environments as well as with clients that have peripatetic or military lifestyles.
020 4538 8784 View 020 4538 8784
Photo of Lea Kristensen, MUKCP, Psychotherapist
Lea Kristensen
Psychotherapist, MUKCP
Verified Verified
I am a fully qualified psychodynamic psychotherapist with experience in clinical and private settings. I have completed extensive and rigorous training at WPF Therapy, one of the leading and most established training institutions in UK.
I am a fully qualified psychodynamic psychotherapist with experience in clinical and private settings. I have completed extensive and rigorous training at WPF Therapy, one of the leading and most established training institutions in UK.
020 3870 2423 View 020 3870 2423
Photo of Mina Minozzi, MSc, GMBPsS, Psychologist
Mina Minozzi
Psychologist, MSc, GMBPsS
Verified Verified
London W11  (Online Only)
Is your child struggling emotionally? Understanding your child's feelings and how to respond can be challenging, especially if you were not parented that way. As an empathetic and experienced child emotion specialist, I use a creative, emotion-coaching approach tailored to your child's needs. Whether it’s bullying, confidence issues, exam stress, or social anxiety, I help build your child's resilience, teach important social skills, and boost their self-esteem. Through our sessions, your child will develop their emotional intelligence and regulation skills, equipping them with lifelong tools and positively shaping their future.
Is your child struggling emotionally? Understanding your child's feelings and how to respond can be challenging, especially if you were not parented that way. As an empathetic and experienced child emotion specialist, I use a creative, emotion-coaching approach tailored to your child's needs. Whether it’s bullying, confidence issues, exam stress, or social anxiety, I help build your child's resilience, teach important social skills, and boost their self-esteem. Through our sessions, your child will develop their emotional intelligence and regulation skills, equipping them with lifelong tools and positively shaping their future.
020 3675 0456 View 020 3675 0456
Sangita Mulji
Psychotherapist, MSc, BPC
Verified Verified
I am an experienced counsellor and psychotherapist. I offer telephone and webcam appointments. Please contact me if you would like to arrange a confidential meeting to see if my approach might be right for you. You might have a specific problem such as anxiety, depression, relationship difficulties or something very specific that you want to talk about or you might not know exactly what is wrong but would like to take some time to understand yourself better. You don’t have to be a weird person with an unusual problem to have counselling or psychotherapy
I am an experienced counsellor and psychotherapist. I offer telephone and webcam appointments. Please contact me if you would like to arrange a confidential meeting to see if my approach might be right for you. You might have a specific problem such as anxiety, depression, relationship difficulties or something very specific that you want to talk about or you might not know exactly what is wrong but would like to take some time to understand yourself better. You don’t have to be a weird person with an unusual problem to have counselling or psychotherapy
020 3872 2347 View 020 3872 2347

See more therapy options for W11

How does your Counsellor compare?

Number of Counsellors in W11

100+

Average cost per session

£80

Counsellors in W11 who prioritize treating:

91% Anxiety
87% Depression
85% Relationship Issues
85% Self Esteem
82% Stress
65% Trauma and PTSD
60% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

73% Aviva
59% Vitality
52% AXA PPP

How Counsellors in W11 see their clients

74% In Person and Online
26% Online Only

Gender breakdown

74% Female
25% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in W11?

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.