Counselling in Sleaford

Photo of Csilla Varga, MA, MBACP, Counsellor
Csilla Varga
Counsellor, MA, MBACP
Verified Verified
Sleaford NG34
Hi, my name is Csilla, I am a qualified counsellor, I welcome you in a safe and confidential space to work with me either in person or online. Whatever is that you are going through, whether you are feeling anxious, depressed or if you are experiencing problems or difficulties either in your personal life or at work, we can explore these safely and confidentially. In therapy every feeling, thought or sensation you might feel is welcome.
Hi, my name is Csilla, I am a qualified counsellor, I welcome you in a safe and confidential space to work with me either in person or online. Whatever is that you are going through, whether you are feeling anxious, depressed or if you are experiencing problems or difficulties either in your personal life or at work, we can explore these safely and confidentially. In therapy every feeling, thought or sensation you might feel is welcome.
01529 404569 View 01529 404569
Photo of Esther Hastings, MBACP Accred, Counsellor
Esther Hastings
Counsellor, MBACP Accred
Verified Verified
Sleaford GU35
If you feel anxious, depressed, overwhelmed, overworked or confused or if you are experiencing specific difficulties and would benefit from help and support, please get in touch. Perhaps you are faced with an impossible decision? Asking for help can be the hardest step to take in a fast-paced world where you are just expected to cope and to 'get on with it.' Whether you want to make changes in your life, reach milestone decisions, set new goals or simply find a space to be heard and explore your feelings and thoughts without judgement, expectation or agenda then I can offer you just what you need.
If you feel anxious, depressed, overwhelmed, overworked or confused or if you are experiencing specific difficulties and would benefit from help and support, please get in touch. Perhaps you are faced with an impossible decision? Asking for help can be the hardest step to take in a fast-paced world where you are just expected to cope and to 'get on with it.' Whether you want to make changes in your life, reach milestone decisions, set new goals or simply find a space to be heard and explore your feelings and thoughts without judgement, expectation or agenda then I can offer you just what you need.
01476 851095 View 01476 851095
Photo of Joanne Wilsher-Mills - JWM Counselling, MBACP, Counsellor
JWM Counselling
Counsellor, MBACP
Verified Verified
Sleaford NG34
Are you feeling overwhelmed with difficult feelings? Have you been through a bereavement or loss that you're struggling to come to terms with? Have you experienced painful and traumatic life events that still impact on you today and stop you living the life you want. Would you like to improve your relationships with the people in your life? You may be struggling with issues life anxiety, depression or low self-worth. My focus is to offer a counselling relationship that is supportive, nurturing and empowering. I can offer practical coping strategies, better insight and understanding as well as help you find your own solutions.
Are you feeling overwhelmed with difficult feelings? Have you been through a bereavement or loss that you're struggling to come to terms with? Have you experienced painful and traumatic life events that still impact on you today and stop you living the life you want. Would you like to improve your relationships with the people in your life? You may be struggling with issues life anxiety, depression or low self-worth. My focus is to offer a counselling relationship that is supportive, nurturing and empowering. I can offer practical coping strategies, better insight and understanding as well as help you find your own solutions.
01529 400960 View 01529 400960
Photo of Daniel James Palmer, MBACP, Counsellor
Daniel James Palmer
Counsellor, MBACP
Verified Verified
Sleaford NG34
Hey my name is Dan and I offer a counselling service in Sleaford, Grantham and Lincoln. Sometimes Life is difficult and you may not know what to do. You may feel you have no one to talk to or you are not comfortable talking to friends and family. You may prefer to come and talk to someone who can offer you an emphatic and non-judgmental environment for you to discuss your problems and experiences in life.
Hey my name is Dan and I offer a counselling service in Sleaford, Grantham and Lincoln. Sometimes Life is difficult and you may not know what to do. You may feel you have no one to talk to or you are not comfortable talking to friends and family. You may prefer to come and talk to someone who can offer you an emphatic and non-judgmental environment for you to discuss your problems and experiences in life.
01529 404436 View 01529 404436
Photo of Claire Clancey, MBACP, Counsellor
Claire Clancey
Counsellor, MBACP
Verified Verified
Sleaford NG34  (Online Only)
Sometimes in life we can find ourselves feeling lost, confused, hurt, alone, overwhelmed or not feeling anything at all. Life’s journey is not always smooth and at times we need to reach for a space to talk. Counselling can offer a safe, confidential and respectful place to talk through your feelings and experiences. It can be daunting stepping into therapy and I will strive to make the process as smooth as possible for you.
Sometimes in life we can find ourselves feeling lost, confused, hurt, alone, overwhelmed or not feeling anything at all. Life’s journey is not always smooth and at times we need to reach for a space to talk. Counselling can offer a safe, confidential and respectful place to talk through your feelings and experiences. It can be daunting stepping into therapy and I will strive to make the process as smooth as possible for you.
01529 401125 View 01529 401125
Photo of Melisa Claire Griffiths - Inclusive Counselling & Psychotherapy, DCounsPsych, Psychotherapist
Inclusive Counselling & Psychotherapy
Psychotherapist, DCounsPsych
Verified Verified
Sleaford NG34
Maybe you feel confused, sad, numb, guilty, ashamed, lost, alone or anxious, with no clear idea of where to turn. Do you need understanding or, empathic support whilst you work through loss, anxiety, negative thoughts and behaviour, relationship problems, or natural life transition and personal crisis? I can help you. I whole heartedly understand how difficult sharing emotions can be, but allow me to reassure you that together we can find different or new ways of understanding your problems by discovering new insights/empowerment/self acceptance & resilience.
Maybe you feel confused, sad, numb, guilty, ashamed, lost, alone or anxious, with no clear idea of where to turn. Do you need understanding or, empathic support whilst you work through loss, anxiety, negative thoughts and behaviour, relationship problems, or natural life transition and personal crisis? I can help you. I whole heartedly understand how difficult sharing emotions can be, but allow me to reassure you that together we can find different or new ways of understanding your problems by discovering new insights/empowerment/self acceptance & resilience.
01529 404439 View 01529 404439
Photo of Christopher Brown - Click Therapies, MSc, GMBPsS, Psychotherapist
Click Therapies
Psychotherapist, MSc, GMBPsS
Verified Verified
Sleaford NG34
Click Therapies are a small team of UK accredited therapists, nurses and doctors. We are a dedicated online psychological wellbeing service that meets the challenges of the 21st century. We work collaboratively with all our clients to offer a personalised therapy experience to achieve the best recovery outcomes for you. Our service is flexible to meet your needs needs. You can access therapy, anytime, anywhere at your convenience . We deliver evidence based treatments in line with National Guidelines and World Health Organisation. Why not connect with us for your FREE 15min consultation, you have nothing to lose...
Click Therapies are a small team of UK accredited therapists, nurses and doctors. We are a dedicated online psychological wellbeing service that meets the challenges of the 21st century. We work collaboratively with all our clients to offer a personalised therapy experience to achieve the best recovery outcomes for you. Our service is flexible to meet your needs needs. You can access therapy, anytime, anywhere at your convenience . We deliver evidence based treatments in line with National Guidelines and World Health Organisation. Why not connect with us for your FREE 15min consultation, you have nothing to lose...
0117 456 2766 View 0117 456 2766
Photo of Victoria Oliver, MBACP, Counsellor
Victoria Oliver
Counsellor, MBACP
Verified Verified
Sleaford NG34
Looking for a deeper understanding about yourself and how you relate to the world? If you're feeling lost, stuck or experiencing low self esteem. I offer supportive space to help you think, feel and reflect. Offering you compassion and non-judgemental approach. I recognise how much courage it can take to reach out for support and to sit with difficult feelings. I aim to develop a relationship of mutual trust. It is through this relationship where I can help support you in learning about yourself, understand aspects of your life that cause distress and help to empower you to uncover your own inner resilience to make effective change.
Looking for a deeper understanding about yourself and how you relate to the world? If you're feeling lost, stuck or experiencing low self esteem. I offer supportive space to help you think, feel and reflect. Offering you compassion and non-judgemental approach. I recognise how much courage it can take to reach out for support and to sit with difficult feelings. I aim to develop a relationship of mutual trust. It is through this relationship where I can help support you in learning about yourself, understand aspects of your life that cause distress and help to empower you to uncover your own inner resilience to make effective change.
01522 459283 View 01522 459283
Photo of Leanne Roughton - New Horizons Counselling, MA, MBACP, Counsellor
New Horizons Counselling
Counsellor, MA, MBACP
Verified Verified
Sleaford NG34
I am an integrative therapist with a Masters degree in contemporary relationship studies and I specialise in working with individuals, couples and children and young people. I am a member of the BACP (British Association for Counselling and Psychotherapy) and a registered member of the COSRT (College of Sexual and Relationship Therapy).
I am an integrative therapist with a Masters degree in contemporary relationship studies and I specialise in working with individuals, couples and children and young people. I am a member of the BACP (British Association for Counselling and Psychotherapy) and a registered member of the COSRT (College of Sexual and Relationship Therapy).
01522 302695 View 01522 302695
Photo of Claire Cowper - Claire Cowper Lighthouse counselling services, DCounsPsych, MBACP, Counsellor
Claire Cowper Lighthouse counselling services
Counsellor, DCounsPsych, MBACP
Verified Verified
Sleaford NG34
In life we can all lose our way. This can lead to anxiety, depression, confusion, low self-esteem and other negative thoughts, feelings and behaviours.
In life we can all lose our way. This can lead to anxiety, depression, confusion, low self-esteem and other negative thoughts, feelings and behaviours.
01778 309994 View 01778 309994
Photo of Natasha Miller, BACP, Counsellor
Natasha Miller
Counsellor, BACP
Verified Verified
Sleaford NG34
I work with people who experience anxiety, depression, low self-confidence/self-esteem, poor sense of self, relationship issues, poor emotional regulation (EUPD/BPD) and have experienced trauma & abuse. i work with people who identify or are diagnosed with ADHD, OCD, GAD, Autism/ASD, Bipolar Disorder and PTSD. Using a person-centred relational approach to counselling, I am able to gain a deep understanding of what is important to you and support you so you can take back control and gain understanding in your life.
I work with people who experience anxiety, depression, low self-confidence/self-esteem, poor sense of self, relationship issues, poor emotional regulation (EUPD/BPD) and have experienced trauma & abuse. i work with people who identify or are diagnosed with ADHD, OCD, GAD, Autism/ASD, Bipolar Disorder and PTSD. Using a person-centred relational approach to counselling, I am able to gain a deep understanding of what is important to you and support you so you can take back control and gain understanding in your life.
01476 852605 View 01476 852605
Photo of David Langdown, MNCPS Acc., Counsellor
David Langdown
Counsellor, MNCPS Acc.
Verified Verified
Sleaford NG34
We dream of success, money, holidays, happy families and good health, but life doesn't always go to plan. When we are hit with the unexpected, a loss, a relationship that goes wrong, unbearable work pressures, troubled by unresolved experiences of the past or hopelessness about the future, our mental health is affected. We can feel sad, overwhelmed, fearful. We lose confidence and self-esteem. Our physical health suffers too and we can become dependent on medication, alcohol or other non-prescribed solutions. Counselling is a way out, providing support in a confidential, non-judgmental, understanding and empathetic relationship.
We dream of success, money, holidays, happy families and good health, but life doesn't always go to plan. When we are hit with the unexpected, a loss, a relationship that goes wrong, unbearable work pressures, troubled by unresolved experiences of the past or hopelessness about the future, our mental health is affected. We can feel sad, overwhelmed, fearful. We lose confidence and self-esteem. Our physical health suffers too and we can become dependent on medication, alcohol or other non-prescribed solutions. Counselling is a way out, providing support in a confidential, non-judgmental, understanding and empathetic relationship.
01778 309974 View 01778 309974
Photo of Marie Morgan - Lead The Way Counselling , MNCPS Acc., Counsellor
Lead The Way Counselling
Counsellor, MNCPS Acc.
Verified Verified
Sleaford NG34
I am an experienced NCPS accredited Counsellor Psychotherapist offering both short and long term therapy. I specialise in working with trauma and offer a confidential, non-judgemental, empathic safe space in which adults, children and young people can explore, express and acknowledge what's going on in their life both past and present. I have a relaxed, nurturing and laid back approach which helps in allowing my clients to feel relaxed and safe, and vital for working in depth on issues such as historical trauma, sexual, physical and psychological abuse which require a strong therapeutic connection and trust.
I am an experienced NCPS accredited Counsellor Psychotherapist offering both short and long term therapy. I specialise in working with trauma and offer a confidential, non-judgemental, empathic safe space in which adults, children and young people can explore, express and acknowledge what's going on in their life both past and present. I have a relaxed, nurturing and laid back approach which helps in allowing my clients to feel relaxed and safe, and vital for working in depth on issues such as historical trauma, sexual, physical and psychological abuse which require a strong therapeutic connection and trust.
01476 852956 View 01476 852956
Photo of Sharon Williams - Sharon Williams - Blue Light Counselling, DCounsPsych, MBACP, Counsellor
Sharon Williams - Blue Light Counselling
Counsellor, DCounsPsych, MBACP
Verified Verified
Sleaford NG34
Hi, I’m Sharon. Is your work/life balance out of kilter? Finding more stress at every turn? Never catching up on sleep and rest? I too have felt overwhelmed with the pressure and dangers of the job. I have been exhausted after a shift but when my head hits the pillow, I’m wide awake. I’m visualising what I’ve seen and I’m reviewing, wondering if I could have done better. I have felt trapped and stuck in the job and have felt very demotivated and unsupported… I get it. I can offer you unrestricted therapy sessions with no detriment to your career. You decide when to start and when to stop.
Hi, I’m Sharon. Is your work/life balance out of kilter? Finding more stress at every turn? Never catching up on sleep and rest? I too have felt overwhelmed with the pressure and dangers of the job. I have been exhausted after a shift but when my head hits the pillow, I’m wide awake. I’m visualising what I’ve seen and I’m reviewing, wondering if I could have done better. I have felt trapped and stuck in the job and have felt very demotivated and unsupported… I get it. I can offer you unrestricted therapy sessions with no detriment to your career. You decide when to start and when to stop.
01522 302562 View 01522 302562
Photo of Clare Brown, MSc, MBACP, Psychotherapist
Clare Brown
Psychotherapist, MSc, MBACP
Verified Verified
Sleaford NG34
Are you finding it hard to connect with people and feel understood? Maybe you’re trying to make sense of a relationship; you used to get on but something’s changed and the idea of talking about it makes your heart race? Or perhaps you have tried but it’s left you feeling ashamed and hurt. Counselling can make room for change.
Are you finding it hard to connect with people and feel understood? Maybe you’re trying to make sense of a relationship; you used to get on but something’s changed and the idea of talking about it makes your heart race? Or perhaps you have tried but it’s left you feeling ashamed and hurt. Counselling can make room for change.
01205 331866 View 01205 331866
Photo of Estelle Cooper, MNCPS Acc., Counsellor
Estelle Cooper
Counsellor, MNCPS Acc.
Verified Verified
Sleaford NG34
Starting counselling can feel like a daunting experience, but you have already made the first move by searching for a counsellor. My approach is flexible to suit your needs, as we are all individuals with unique qualities. Within our sessions I can draw on a range of models from my training and experience. This helps in understanding any worries or thoughts you are experiencing, how they are impacting your life and to move forward. I am passionate about counselling and truly believe in the unique connection that person-centred counselling offers. The open non-judgemental space I offer provides you with a safe and confidential space.
Starting counselling can feel like a daunting experience, but you have already made the first move by searching for a counsellor. My approach is flexible to suit your needs, as we are all individuals with unique qualities. Within our sessions I can draw on a range of models from my training and experience. This helps in understanding any worries or thoughts you are experiencing, how they are impacting your life and to move forward. I am passionate about counselling and truly believe in the unique connection that person-centred counselling offers. The open non-judgemental space I offer provides you with a safe and confidential space.
01529 404576 View 01529 404576

More Therapists Nearby

Photo of Natalie Meek, MSc, MBABCP, Psychotherapist
Natalie Meek
Psychotherapist, MSc, MBABCP
Verified Verified
Bordon GU35  (Online Only)
Not accepting new clients
I have a particular passion for supporting people who are living with Long Term Physical health conditions, such as chronic pain, IBS, and Long COVID utilising Cognitive Behavioural Therapy (CBT) and Acceptance Commitment Therapy (ACT) approaches. I also provide clinical supervision to trainee CBT therapists and accredited therapists. I also frequently work with neurodivergent people who may be struggling with stress, anxiety, emotional regulation, or low mood. I have delivered workshops for the BABCP on working with members LQBTQIA+ community and deliver inclusive CBT for all genders and sexualities.
I have a particular passion for supporting people who are living with Long Term Physical health conditions, such as chronic pain, IBS, and Long COVID utilising Cognitive Behavioural Therapy (CBT) and Acceptance Commitment Therapy (ACT) approaches. I also provide clinical supervision to trainee CBT therapists and accredited therapists. I also frequently work with neurodivergent people who may be struggling with stress, anxiety, emotional regulation, or low mood. I have delivered workshops for the BABCP on working with members LQBTQIA+ community and deliver inclusive CBT for all genders and sexualities.
01529 404558 View 01529 404558
Photo of Henry King, MBACP Accred, Psychotherapist
Henry King
Psychotherapist, MBACP Accred
Verified Verified
Bordon GU35  (Online Only)
Henry is a MBACP accredited relational counsellor and psychotherapist offering long and short term working for a wide range of presentations. Henry works face to face and online with clients both in the UK and abroad. He works with many issues including social anxiety, generalised anxiety disorder, managing anxiety, low moods, depression, coping skills, feeling overwhelmed, isolation, loneliness, suicidal thoughts, abuse, and trauma.
Henry is a MBACP accredited relational counsellor and psychotherapist offering long and short term working for a wide range of presentations. Henry works face to face and online with clients both in the UK and abroad. He works with many issues including social anxiety, generalised anxiety disorder, managing anxiety, low moods, depression, coping skills, feeling overwhelmed, isolation, loneliness, suicidal thoughts, abuse, and trauma.
020 4538 8093 View 020 4538 8093
Photo of Rachel Sheridan, MBACP Accred, Counsellor
Rachel Sheridan
Counsellor, MBACP Accred
Verified Verified
Bordon GU35
Counselling can help you work through troubling emotions, thoughts or behaviour. This might include recurring thoughts, anxiety, depression and compulsive or unwanted behaviour. Counselling can also provide a space for those who wish to explore issues from their past including childhood and how these may be impacting them today. Sometimes clients find a few sessions just having the space and time to voice their concerns helps them to clarify things and make connections. Other clients will want to look more deeply into their past and current issues and may require more sessions. I work with individual adults (aged 18+).
Counselling can help you work through troubling emotions, thoughts or behaviour. This might include recurring thoughts, anxiety, depression and compulsive or unwanted behaviour. Counselling can also provide a space for those who wish to explore issues from their past including childhood and how these may be impacting them today. Sometimes clients find a few sessions just having the space and time to voice their concerns helps them to clarify things and make connections. Other clients will want to look more deeply into their past and current issues and may require more sessions. I work with individual adults (aged 18+).
01420 552583 View 01420 552583
Photo of Sharon White, HCPC - Forensic Psych., Psychologist
Sharon White
Psychologist, HCPC - Forensic Psych.
Verified Verified
Liphook GU30
Hi I'm Sharon, a Registered Psychologist and Psychotherapist. I understand the difficulties, struggles and unease that can arise following experiences of trauma, or of difficult times, transition periods or general dissatisfaction with life. I can help move you through and past these. I have many years experience helping people work through trauma, anxiety, fear, frustration, stress, depression, anger, loneliness, illness, surgery, loss, relationships and low self esteem. I am passionate about supporting people to heal, grow and thrive following challenging times and onwards to an improved quality of life.
Hi I'm Sharon, a Registered Psychologist and Psychotherapist. I understand the difficulties, struggles and unease that can arise following experiences of trauma, or of difficult times, transition periods or general dissatisfaction with life. I can help move you through and past these. I have many years experience helping people work through trauma, anxiety, fear, frustration, stress, depression, anger, loneliness, illness, surgery, loss, relationships and low self esteem. I am passionate about supporting people to heal, grow and thrive following challenging times and onwards to an improved quality of life.
01428 770596 View 01428 770596

See more therapy options for Sleaford

How does your Counsellor compare?

Number of Counsellors in Sleaford

10+

Average cost per session

£50

Counsellors in Sleaford who prioritize treating:

94% Self Esteem
88% Depression
88% Anxiety
88% Stress
81% Relationship Issues
75% Trauma and PTSD
75% Coping Skills

Average years in practice

8 Years

How Counsellors in Sleaford see their clients

94% In Person and Online
6% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Sleaford?

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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