Counselling in Fetcham

Photo of Nicola Jane Griffiths, MBACP, Counsellor
Nicola Jane Griffiths
Counsellor, MBACP
Verified Verified
Fetcham KT22
Hello Do you experience any of the following; flashbacks, nightmares, sleep disturbance, self harm, addictive behaviours, repetitive thoughts, a churning stomach, headaches, relationship problems, family issues, angry outbursts, low self esteem, depression, or anxiety, body tension, lack of focus?
Hello Do you experience any of the following; flashbacks, nightmares, sleep disturbance, self harm, addictive behaviours, repetitive thoughts, a churning stomach, headaches, relationship problems, family issues, angry outbursts, low self esteem, depression, or anxiety, body tension, lack of focus?
01372 233640 View 01372 233640
Photo of Vicky Rauch, MBACP, Counsellor
Vicky Rauch
Counsellor, MBACP
Verified Verified
Fetcham KT22
Are you overwhelmed by anxious thoughts and self-doubt? Emotional pain can feel isolating and I understand that you may feel nervous about sharing your experiences. As your counsellor, I strive to create a safe, non-judgmental space where you can freely express yourself and enable you to unburden. At the core of my therapeutic approach lies a commitment to enhancing your sense of wellbeing. I offer a calm, supportive approach to help you work through your difficult feelings, navigate life's challenges and create positive change in your life.
Are you overwhelmed by anxious thoughts and self-doubt? Emotional pain can feel isolating and I understand that you may feel nervous about sharing your experiences. As your counsellor, I strive to create a safe, non-judgmental space where you can freely express yourself and enable you to unburden. At the core of my therapeutic approach lies a commitment to enhancing your sense of wellbeing. I offer a calm, supportive approach to help you work through your difficult feelings, navigate life's challenges and create positive change in your life.
01737 926549 View 01737 926549
Photo of Linda Thorden, HCPC - Clin. Psych., Psychologist
Linda Thorden
Psychologist, HCPC - Clin. Psych.
Verified Verified
Fetcham KT22
I’m a Clinical Psychologist and a CBT therapist and and EMDR consultant. I provide a variety of interventions including EMDR therapy for trauma, CBT for anxiety, stress and depression. I have 15 years experience working with clients within the NHS and in my private practise in addressing presenting problems in a collaborative way. I have extensive supervision training in variety of modalities. I'm an accredited Emdr Consultant and provide supervision to professionals and services. I charge £110 to £120 per session depending on the interventions.
I’m a Clinical Psychologist and a CBT therapist and and EMDR consultant. I provide a variety of interventions including EMDR therapy for trauma, CBT for anxiety, stress and depression. I have 15 years experience working with clients within the NHS and in my private practise in addressing presenting problems in a collaborative way. I have extensive supervision training in variety of modalities. I'm an accredited Emdr Consultant and provide supervision to professionals and services. I charge £110 to £120 per session depending on the interventions.
07929 656863 View 07929 656863
Photo of Sharmila Logathas, PsychD, HCPC - Clin. Psych., Psychologist
Sharmila Logathas
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Fetcham KT22
You've reached this page for many reasons, from being diagnosed with a mental health problem to feeling stuck and unable to progress in particular areas of life. I work from the premise that you are an active participant in therapy and hold choice and responsibility in how you want to move forward, whether this includes making sense of, accepting and processing things that have happened to you, or developing existing skills and building new strategies to cope with life's challenges.
You've reached this page for many reasons, from being diagnosed with a mental health problem to feeling stuck and unable to progress in particular areas of life. I work from the premise that you are an active participant in therapy and hold choice and responsibility in how you want to move forward, whether this includes making sense of, accepting and processing things that have happened to you, or developing existing skills and building new strategies to cope with life's challenges.
07749 555969 View 07749 555969
Photo of Josephine Bird, MBACP, Counsellor
Josephine Bird
Counsellor, MBACP
Verified Verified
Fetcham KT22
We all struggle with life at times. situations and people can challenge us and the feeling of being alone or not knowing where to turn can be overwhelming.When you can no longer see joy in the world maybe you need some help finding yourself again. I will help you lift that heavy weight that is keeping you down. If anxiety is affecting your life we can explore the triggers and find ways to alleviate the symptoms and bring control back to your life.  This will improve sleep and allow you to access the world fully again.
We all struggle with life at times. situations and people can challenge us and the feeling of being alone or not knowing where to turn can be overwhelming.When you can no longer see joy in the world maybe you need some help finding yourself again. I will help you lift that heavy weight that is keeping you down. If anxiety is affecting your life we can explore the triggers and find ways to alleviate the symptoms and bring control back to your life.  This will improve sleep and allow you to access the world fully again.
01306 775129 View 01306 775129

More Therapists Nearby

Photo of Charlotte Musgrove, MBACP, Counsellor
Charlotte Musgrove
Counsellor, MBACP
Verified Verified
1 Endorsed
Leatherhead KT22
I welcome your needs, be that uncovering the source of your anxiety, beginning to work with your depression, reflecting on relationships and your own patterns of relating, or together voyaging into what is your extrinsic meaning, who and how am I in this world? The therapeutic space I offer is yours to focus on any aspect of life. I am a committed, genuine, caring therapist, that is invested in developing our therapeutic relationship. Together, every step of the way and in your own time, we can explore your life experience and discover where emotions may have got stuck and are now impacting your present.
I welcome your needs, be that uncovering the source of your anxiety, beginning to work with your depression, reflecting on relationships and your own patterns of relating, or together voyaging into what is your extrinsic meaning, who and how am I in this world? The therapeutic space I offer is yours to focus on any aspect of life. I am a committed, genuine, caring therapist, that is invested in developing our therapeutic relationship. Together, every step of the way and in your own time, we can explore your life experience and discover where emotions may have got stuck and are now impacting your present.
01483 968825 View 01483 968825
Photo of Diana Thornton, MHGI, Psychotherapist
Diana Thornton
Psychotherapist, MHGI
Verified Verified
Leatherhead KT22
I am a registered Human Givens therapist and mindful self-compassion teacher. I understand that you want to feel better quickly. I will listen, guide and respond with warmth and respect using the best evidence-based techniques to suit you and your particular needs. These might include CBT, compassion based approaches, explanations about brain function, relaxation and visualisations together with NICE approved techniques to work on traumatic triggers. Without unduly dwelling upon the past we can deal with old difficulties, current situations and learn new skills to approach the future with a renewed sense of wellbeing.
I am a registered Human Givens therapist and mindful self-compassion teacher. I understand that you want to feel better quickly. I will listen, guide and respond with warmth and respect using the best evidence-based techniques to suit you and your particular needs. These might include CBT, compassion based approaches, explanations about brain function, relaxation and visualisations together with NICE approved techniques to work on traumatic triggers. Without unduly dwelling upon the past we can deal with old difficulties, current situations and learn new skills to approach the future with a renewed sense of wellbeing.
01372 677209 View 01372 677209
Photo of David Campbell, MBACP, Counsellor
David Campbell
Counsellor, MBACP
Verified Verified
Leatherhead KT22
My name is David and I offer outcome based therapy for complex based issues like depression, anxiety, addiction, and relationship challenges whether that is at home or work. We can only truly move past them by understanding where they originate from and deal with them as they present in your current life. This may involve looking at past experiences and the emotions associated with them in a compassionate, empathic, non-judgmental, curious way, creating the right conditions for you to get to the source of your problem and see how certain triggers from the past directly inform how you think, feel, and behave in the present moment.
My name is David and I offer outcome based therapy for complex based issues like depression, anxiety, addiction, and relationship challenges whether that is at home or work. We can only truly move past them by understanding where they originate from and deal with them as they present in your current life. This may involve looking at past experiences and the emotions associated with them in a compassionate, empathic, non-judgmental, curious way, creating the right conditions for you to get to the source of your problem and see how certain triggers from the past directly inform how you think, feel, and behave in the present moment.
01372 664327 View 01372 664327
Photo of Anna Gosling, PsychD, HCPC - Clin. Psych., Psychologist
Anna Gosling
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Leatherhead KT22
I work with people who are struggling to manage a range of issues - including anxiety, stress, depression, phobias, OCD, grief, trauma, relationship issues, bi-polar disorder, hoarding issues. I offer a non-judgemental, warm, safe space to think about the main issue troubling you at the moment, how it may be effecting your mood, your relationships, your day to day activities. We will also think about strengths you have and how you can build on these to develop more useful and helpful coping strategies.
I work with people who are struggling to manage a range of issues - including anxiety, stress, depression, phobias, OCD, grief, trauma, relationship issues, bi-polar disorder, hoarding issues. I offer a non-judgemental, warm, safe space to think about the main issue troubling you at the moment, how it may be effecting your mood, your relationships, your day to day activities. We will also think about strengths you have and how you can build on these to develop more useful and helpful coping strategies.
01306 775785 View 01306 775785
Photo of David Corr, MUKCP, Psychotherapist
David Corr
Psychotherapist, MUKCP
Verified Verified
Ashtead KT21
I am an integrative therapist. This means that I have received training in a number of therapeutic approaches and can draw upon their various core philosophies and techniques. These approaches include: humanistic/person-centered, Ericksonian hypno-psychotherapy, depth-oriented brief therapy, eye movement desensitisation and reprocessing (EMDR), self-relations psychotherapy, neuro-linguistic programming (NLP), and Internal Family Systems Therapy. So, whatever issue you may be facing, I can tailor my approach to best meet your individual needs.
I am an integrative therapist. This means that I have received training in a number of therapeutic approaches and can draw upon their various core philosophies and techniques. These approaches include: humanistic/person-centered, Ericksonian hypno-psychotherapy, depth-oriented brief therapy, eye movement desensitisation and reprocessing (EMDR), self-relations psychotherapy, neuro-linguistic programming (NLP), and Internal Family Systems Therapy. So, whatever issue you may be facing, I can tailor my approach to best meet your individual needs.
01798 302024 View 01798 302024
Photo of Siobhain Clancy, BPC, Psychotherapist
Siobhain Clancy
Psychotherapist, BPC
Verified Verified
1 Endorsed
Leatherhead KT22
All of us experience challenges in our lives and sometimes these challenges are difficult to carry. You may be feeling stressed, angry, anxious, confused, inadequate or overwhelmed with sadness. You may feel isolated with your thoughts and feelings. Sitting within a confidential and supportive environment with someone you can trust and who will listen, can help you understand and make sense of your situation.
All of us experience challenges in our lives and sometimes these challenges are difficult to carry. You may be feeling stressed, angry, anxious, confused, inadequate or overwhelmed with sadness. You may feel isolated with your thoughts and feelings. Sitting within a confidential and supportive environment with someone you can trust and who will listen, can help you understand and make sense of your situation.
07775 187184 View 07775 187184
Photo of Carla Morrell - Counselling with Carla, MSc, MBACP, Counsellor
Counselling with Carla
Counsellor, MSc, MBACP
Verified Verified
1 Endorsed
Leatherhead KT22
If you find circling worries occupying your thoughts, making it difficult to focus and draining your time and energy, get in touch because it doesn't need to be this way. Are you having trouble falling asleep due to anxious thoughts and feeling restless? Worriers tend to struggle with making decisions, seek reassurance or experience panic attacks. Therapy can support you to feel calmer and more confident. We all experience worry sometimes, and it can help us come up with solutions. But when worry becomes too much and isn't helpful anymore, therapy can support you in taking control and making worry work for you!
If you find circling worries occupying your thoughts, making it difficult to focus and draining your time and energy, get in touch because it doesn't need to be this way. Are you having trouble falling asleep due to anxious thoughts and feeling restless? Worriers tend to struggle with making decisions, seek reassurance or experience panic attacks. Therapy can support you to feel calmer and more confident. We all experience worry sometimes, and it can help us come up with solutions. But when worry becomes too much and isn't helpful anymore, therapy can support you in taking control and making worry work for you!
01372 664315 View 01372 664315
Photo of Freya Rudigier, MSc, MBACP, Counsellor
Freya Rudigier
Counsellor, MSc, MBACP
Verified Verified
Leatherhead KT22
Waitlist for new clients
Clients often come to see me with struggles in their relationships, symptoms of anxiety or experiences of depression. Sometimes people know of relationships, specific events, or thinking patterns that are causing them difficulties, other times they just know they are feeling low and are looking for help. Guided by my clients, I set out to establish individual goals for therapy and hope to tailor the sessions as much as possible to the person. Your sessions, will be what you need them to be, whether that is sitting with grief and silence, understanding the nervous system, or getting expressive with crayons.
Clients often come to see me with struggles in their relationships, symptoms of anxiety or experiences of depression. Sometimes people know of relationships, specific events, or thinking patterns that are causing them difficulties, other times they just know they are feeling low and are looking for help. Guided by my clients, I set out to establish individual goals for therapy and hope to tailor the sessions as much as possible to the person. Your sessions, will be what you need them to be, whether that is sitting with grief and silence, understanding the nervous system, or getting expressive with crayons.
01737 302357 View 01737 302357
Photo of Charlotte Crompton - CBT with Charlotte , MBABCP, Psychotherapist
CBT with Charlotte
Psychotherapist, MBABCP
Verified Verified
Leatherhead KT22
Are you struggling with feelings of anxiety, low mood, depression? Or perhaps you are struggling to adjust following a traumatic life event? These are all things that I can help you with. If you are looking to work together with a therapist to understand yourself, your thinking and behavioural patterns better in order to make meaningful change to your wellbeing, then I would love to work with you. I also have a special interest in supporting new parents with adjusting to their new role as a parent, whilst maintaining a sense of themselves.
Are you struggling with feelings of anxiety, low mood, depression? Or perhaps you are struggling to adjust following a traumatic life event? These are all things that I can help you with. If you are looking to work together with a therapist to understand yourself, your thinking and behavioural patterns better in order to make meaningful change to your wellbeing, then I would love to work with you. I also have a special interest in supporting new parents with adjusting to their new role as a parent, whilst maintaining a sense of themselves.
01306 773103 View 01306 773103
Photo of Joanna Seller, PsychD, HCPC - Clin. Psych., Psychologist
Joanna Seller
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Ashtead KT21
I am a Clinical Psychologist working to support adults, children, young people and their families to understand and make sense of emotional or behaviour issues, and work together using psychological therapy on issues such as depression and low mood, anxiety and panic, OCD, trauma, and low self esteem. I have experience and expertise in working with adults adapting to pregnancy and new parenthood. I can also help with adapting to life events including bullying, bereavement, pre school and school based difficulties, behaviour difficulties associated with ADHD and Autism, parenting advice and family and relationship issues.
I am a Clinical Psychologist working to support adults, children, young people and their families to understand and make sense of emotional or behaviour issues, and work together using psychological therapy on issues such as depression and low mood, anxiety and panic, OCD, trauma, and low self esteem. I have experience and expertise in working with adults adapting to pregnancy and new parenthood. I can also help with adapting to life events including bullying, bereavement, pre school and school based difficulties, behaviour difficulties associated with ADHD and Autism, parenting advice and family and relationship issues.
01372 233630 View 01372 233630
Photo of Dr Claire Hepworth, PsychD, HCPC - Clin. Psych., Psychologist
Dr Claire Hepworth
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Leatherhead KT22
Have you found yourself feeling stuck, over-whelmed, anxious, stressed or noticing yourself being self-critical? I am an experienced Consultant Clinical Psychologist and Chartered Coaching Psychologist. I can help you if you experience Anxiety, Worry, Perfectionism, Procrastination, Self-criticism, Shame, Stress and Burnout, Phobias, Social anxiety, Obsessive Compulsive Disorder, Panic, low self-esteem, emotional difficulties, please get in touch. I offer both Psychological intervention and Coaching.
Have you found yourself feeling stuck, over-whelmed, anxious, stressed or noticing yourself being self-critical? I am an experienced Consultant Clinical Psychologist and Chartered Coaching Psychologist. I can help you if you experience Anxiety, Worry, Perfectionism, Procrastination, Self-criticism, Shame, Stress and Burnout, Phobias, Social anxiety, Obsessive Compulsive Disorder, Panic, low self-esteem, emotional difficulties, please get in touch. I offer both Psychological intervention and Coaching.
View
Photo of Camelia Burn - Connected Wellbeing, MSc, MBACP, Counsellor
Connected Wellbeing
Counsellor, MSc, MBACP
Verified Verified
4 Endorsed
Cobham KT11
Thank you for visiting my profile. I can support you through life transitions, relationship concerns, low self-esteem, perfectionism and impostor feelings, workplace stress and burnout, self-doubt, depression and anxiety. Additionally, I have been volunteering with a bereavement counselling charity in Greater London and specialise in loss and bereavement.
Thank you for visiting my profile. I can support you through life transitions, relationship concerns, low self-esteem, perfectionism and impostor feelings, workplace stress and burnout, self-doubt, depression and anxiety. Additionally, I have been volunteering with a bereavement counselling charity in Greater London and specialise in loss and bereavement.
01737 301481 View 01737 301481
Photo of Debbie Allen, MBACP, Counsellor
Debbie Allen
Counsellor, MBACP
Verified Verified
Epsom KT18
Face to face and online, I have helped many clients recover from anxiety disorders, depression and self-esteem issues. I have helped clients with abandonment and rejection fears work on relationship issues so that they are able to live in harmony with others. We will work together with your presenting issues and we will also journey into your past to see if we can get to the root of why you feel the way you do and together we will work through any triggers so that your life becomes more manageable. There is nothing more enlightening than self discovery and becoming a more confident version of yourself is extremely empowering.
Face to face and online, I have helped many clients recover from anxiety disorders, depression and self-esteem issues. I have helped clients with abandonment and rejection fears work on relationship issues so that they are able to live in harmony with others. We will work together with your presenting issues and we will also journey into your past to see if we can get to the root of why you feel the way you do and together we will work through any triggers so that your life becomes more manageable. There is nothing more enlightening than self discovery and becoming a more confident version of yourself is extremely empowering.
01798 305049 View 01798 305049
Photo of Sharon Green, MBACP Accred, Counsellor
Sharon Green
Counsellor, MBACP Accred
Verified Verified
Leatherhead KT23
Are you struggling to work through a difficulty? Do you feel overwhelmed by your thoughts and feelings? Are you feeling depressed and isolated from others? Do you need help to make sense of what's going on for you? I offer one to one support at a difficult time in your life. Benefits of counselling include: increased self-esteem and self-confidence; greater self-acceptance; improved awareness of yourself and how you relate to others; increased resilience to help you to deal with life's challenges and to cope with change.
Are you struggling to work through a difficulty? Do you feel overwhelmed by your thoughts and feelings? Are you feeling depressed and isolated from others? Do you need help to make sense of what's going on for you? I offer one to one support at a difficult time in your life. Benefits of counselling include: increased self-esteem and self-confidence; greater self-acceptance; improved awareness of yourself and how you relate to others; increased resilience to help you to deal with life's challenges and to cope with change.
01372 677203 View 01372 677203
Photo of Claire Feldman - Claire Feldman - Binge Eating Therapist, MBACP Accred, Psychotherapist
Claire Feldman - Binge Eating Therapist
Psychotherapist, MBACP Accred
Verified Verified
2 Endorsed
Leatherhead KT22
Have you ever found yourself constantly thinking about food and weight? Does it seem like the more you try to control your eating, the more you end up bingeing? Maybe you overeat in secret or alone and then feel guilty about it? Or perhaps you've tried every diet, even thought about weight loss injections or considered bariatric surgery? I've been there too. I understand how you feel because I struggled with disordered eating for years, not knowing what to do or where to turn for help. You don’t have to go through this alone.
Have you ever found yourself constantly thinking about food and weight? Does it seem like the more you try to control your eating, the more you end up bingeing? Maybe you overeat in secret or alone and then feel guilty about it? Or perhaps you've tried every diet, even thought about weight loss injections or considered bariatric surgery? I've been there too. I understand how you feel because I struggled with disordered eating for years, not knowing what to do or where to turn for help. You don’t have to go through this alone.
01248 665952 View 01248 665952

See more therapy options for Fetcham

How does your Counsellor compare?

Number of Counsellors in Fetcham

< 10

Counsellors in Fetcham who prioritize treating:

100% Depression
100% Anxiety
100% Bereavement
100% Trauma and PTSD
100% Women's Issues
100% Stress
80% Relationship Issues

Average years in practice

16 Years

Top 3 insurances accepted

100% AXA PPP
50% Cigna and Evernorth
50% Other

How Counsellors in Fetcham see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counselling

How can I find a therapist in Fetcham?

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.

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