Services

The following therapeutic interventions are provided using evidence based therapies such as CBT

(Cognitive Behaviour Therapy) and DBT (Dialectic Behaviour Therapy):

 

Individual therapy

This is the process of working one-on-one with the trained therapist in a safe, nurturing and confidential environment, exploring different problems, feelings and behaviours.  These include, but are not limited to:

  • Depression, Bipolar
  • Anxiety (such as Generalised Anxiety Disorder, Social Anxiety, Panic Disorder, etc.)
  • Post Natal Depression
  • Post-Traumatic Stress Disorder (PTSD)
  • Obsessive Compulsive Disorder (OCD)
  • Personality issues

 Adolescent / Family therapy

A branch of therapy which includes working with the different relationships within a family structure.

Adolescent therapy includes assisting with issues such as Anxiety, Depression, Bullying, Adjustment Difficulties, etc.

 Couples therapy

Also called marriage counselling, which is a type of therapy is working with the different conflicts and behaviours within a relationship to improve and grow the relationship.

Divorce therapy

For individuals going through the divorce process and feeling guilt, fear, anxiety and/or depression. Divorce therapy helps provide the necessary skills to be able to cope and work through the process.

Anger management

A type of therapy that helps to take action in calming down and dealing with situations in a positive and rational way without holding it in or not feeling anger at all.

Assertiveness training

Helps conditions such as depression and social anxiety to better people’s interpersonal skills and self-respect.

Career counselling

Helps those that are in the process of choosing a career and the life decisions and paths connected with it.

Grief and Bereavement

Therapy focused on the acceptance and adjustment after a loss and the complicated emotions that result from such a loss.  Grief and bereavement therapy can also include a Complicated Grief Reaction.  The latter term refers to persistent bereavement lasting one year or more.  

Trauma counselling (e.g. coping skills, debriefing)

This is a form of therapy that helps those who have experienced a traumatic event to come to terms emotionally and psychologically with it.

Stress management

Helps those who experience stress in a harmful way to cope and deal with stress in a constructive and positive way.

VIRTUAL REALITY THERAPY (VRT)

 

Virtual reality therapy (VRT) uses visual immersion devices and artificially created environments to give the individual a simulated experience that can be used to diagnose and treat psychological conditions.

The VR content is designed to treat issues including alcohol addiction, claustrophobia and teenage depression.  The VR content is also designed to aid in exposure therapy, a treatment for anxiety disorders in which patients are exposed to anxiety-inducing stimuli in a safe, controlled environment, eventually learning that the “threats” they’re worried about are not actually very dangerous. The therapist controls the intensity of the patients’ experiences.  VR shares with the brain the same basic mechanism: embodied simulations.

VRT is an immersive type of therapy with long term results.

 

Real feel

People automatically react to fear cues even in an environment they consciously know is not real.  The reason for this is because the brain’s emotional command center (limbic system) responds to stressors in a matter of milliseconds – much faster than logic can kick in.

Patients who confront their fears in VR have shown increased levels of the stress hormone cortisol as well as higher heart rate and skin conductivity, which are signs of the flight or fight response.

VR Therapy has been well researched and has shown positive results in psychology.

 

The Limbix VR system is a medical grade, wireless Virtual Reality system and can be used to address the following difficulties:

  • Anxiety / Panic Disorder
  • Depression
  • Adolescent Anxiety (School Anxiety)
  • Social Anxiety (e.g., job interview, parties)
  • Pain
  • Fear of needles (Tyranophobia)
  • Fear of driving
  • Fear of public speaking
  • Fear of heights (Acrophobia)
  • Fear of closed / small spaces (Claustrophobia)
  • Fear of open spaces (Agoraphobia)
  • Addiction (e.g., bar exposure)
  • Trauma
  • Stress
  • Mindfulness

 

Biofeedback

The Thought Technology Biofeedback System is also used in conjunction with VR therapy.  The goal of biofeedback is to teach people to identify and recognize the physical symptoms of anxiety and stress e.g., increased heart rate, body temperature and muscle tension.  It is often the body’s tendency to go into a state of “fight, flight or freeze” that exacerbates certain conditions.

Biofeedback assists people to feel more in control by teaching them how to control their own physiological responses in stressful situations.  It also helps individuals learn new techniques to manage their anxiety and emotional responses.

VR Therapy is used with the Biofeedback system for a better and more effective treatment of various disorders and problems.  The immersion of the VR creates physiological responses, which is indicated on the Biofeedback program.  An individual can then be taught to control certain physiological responses (e.g., breathing, increased heart rate) in stressful situations.

ONLINE THERAPY

 

Online therapy, involves providing mental health services and support over the internet.

Online therapy has advantages as well some disadvantages.

 

Advantages

Time efficiency

No time is wasted on travelling to the therapist’s office.

Stigma

Some individuals may feel that there is a stigma going to therapy and being spotted going to a therapist’s office.  Online therapy is a good alternative to physically visiting a therapist at their offices.

Client anonymity / confidentiality

Both online therapy as well as face to face counselling provide client anonymity and confidentiality.  The same laws and ethical considerations govern both types of therapy.  Online therapy also provides an individual with the opportunity to speak openly and freely and they may feel more comfortable in an online setting with sensitive issues.

Geographical and physical considerations

Online therapy is not bound by geographical issues and provide a broader range of therapists for their specific needs.  For individuals who are limited by physical issues or impairment, online therapy is also a good option.

 

Disadvantages

 Lack of physical presence

Physical cues and body language is not evident to the therapist.  Video calls may overcome this disadvantage to a certain extent.

Technology Issues

If a client does not have a strong and stable internet connection, the therapy interaction may not run as smooth as one would like.  There may be technical difficulties which will impact on the quality of the interaction.

 

NOTE OF CAUTION

 

Online Therapy Is Not Appropriate for Those with Serious Psychiatric Illnesses

Although online therapy can be useful in various situation for various problems, it is important to note that it is not suitable when it comes to more serious psychiatric illnesses that require close and direct treatment and monitoring.

If you are struggling with suicidal feelings or you find yourself in a crisis or dangerous situation e.g., domestic violence, then online therapy is not recommended.  Face to face intervention is recommended in these instances.

If you need immediate and direct assistance, the following information and resources can be accessed:

 

  • Contact the consulting rooms for face-to-face therapy
  • A medical doctor
  • SADAG: 011-234 4837 / 0800 70 80 90 / 0800 21 22 23
  • Suicide Crisis Line: 0800 567 567
  • Life Line: 0861 322 322 / 011-728 1347 / 012-342 2222

 

I offer Online Therapy services on Zoom and Doxy.me

Please contact us for more information.

 

I am a member of SAMLA (South African Medico-Legal Association) and have 15 years experience

in Medico-Legal work.

 

What is a medico-legal assessment?

Neuropsychological medico-legal assessments are performed when neuropsychological and psychological input are required to assist the legal system. These assessments are usually requested by an attorney to ensure that legal aspects are considered. Medico-legal assessments provide important information to judges, advocates and attorneys with regard to information about an individual’s cognitive and emotional functioning.

Neuropsychological and psychological assessment include the assessment of cognitive, emotional and behavioural consequences of an acquired brain injury in both adults and children after a motor vehicle accident, pedestrian motor vehicle accident, personal injury, occupational injury as well as medical negligence cases.

Road Accident Fund (RAF) Assessments

The Road Accident Fund (RAF) is a state-supported insurance fund that provides compensation to the victims of road accidents in South Africa.

Neuropsychological assessments with regard to brain injuries and psychological impact after an accident are conducted / performed.

Medical Negligence Psychological Assessments

Medical malpractice occurs when a hospital, doctor or other health care professional, through a negligent act or omission, causes an injury to a patient. The negligence might be the result of errors in diagnosis, treatment, aftercare of health management. An act or omission (failure to act) by a medical professional that deviates from the accepted medical standard of care.

Personal injury

Personal injury refers to an injury to the body, mind or emotions as opposed to injury to property or reputation.

Work Capacity

Work capacity and adjustment can be affected by mental/psychiatric illness. This can result in loss of productivity, loss of efficiency, interpersonal conflict and frequent absenteeism. Assessments to ascertain the extent of the health impairment, which includes physical or mental include factors such as concentration, memory, accuracy, efficiency, activities of daily living, personal and social functioning as well as work performance.

  • Career assessments
  • Aptitude Testing
  • Psycho diagnostic assessments (e.g. personality functioning)
  • Neuropsychological assessments
  • Intelligence Testing
  • School Readiness Testing

Mediation Services

 

What is mediation?

Mediation, as used in law, is a form of alternative dispute resolution (ADR).   It is a voluntary process for resolving disputes by mutual agreement.  In court litigation or arbitration, the outcome of a case is determined by the (past) facts of the dispute and the applicable law.  In mediation, the parties are guided by their underlying interests, needs and concerns and less so by the history of the dispute and the applicable law. The parties are not limited to the remedies prescribed by the operation of law and free to choose an outcome that is oriented more to the future than to the history of the dispute and the applicable law.

Mediation is a structured, voluntary, non-binding, without prejudice and confidential process, commencing after an agreement to mediate has been signed.

BENEFITS OF MEDIATION

  • You save time and money by avoiding the formal process of court.
  • Mediation is fair to all concerned. The mediator is a third party who has no interest in the outcome. The mediator does not stand to gain anything.
  • Mediation is a confidential process and the parties need not be concerned about private issues being aired in public. There is no public court process.
  • Mediation avoids long, drawn out litigation, saves litigation and attorney fees.

Duration of Session

The therapy sessions are between 50-60 minutes.

 

Duration of Therapy

This will depend on the nature of the problem as it varies from individual to individual.

 

Fees

Medical aid:

Most medical aids are accepted, and medical aid tariffs are charged.

Cash rates:

R850 for 50-60 minutes

R1 050 for 80-90 minutes for couples / marriage / family therapy