It is my belief that a team approach is sometimes most beneficial for client well being including your therapist being able to provide you best care practice. Anything beyond my personal qualifications and skills will be referred via your medical doctor with his or her agreement to a psychiatrist for evaluation and treatment. Psychiatric consultation and collaboration is very important for good therapy when a client has a diagnosed condition. Sometimes a client will arrive for therapy when psychiatric assessment needs to precede counselling and especially before any depth therapy. If your psychiatrist recommends stabilization before your doing therapy this is all important for your well being. It is very important in your therapy for you to disclose if you are currently under the care of a psychiatrist. Very occasionally a client arrives for therapy and there are obvious thought disorders, psychotic features, imminent suicidal risk, extreme untreated depression, or other clear evidence of very serious problems for a client who has discontinued medications or are experiencing a very serious mental health concern. Therapy obviously is not helpful at the time and psychiatric assessment and care at the Emergency Centre of the hospitable is imperative. In this case the client will be assisted and directed to Emergency Services.