Therapists in City of Johannesburg
![Photo of Dirk Schreuder, HPCSA - Counsellor, Registered Counsellor](https://photos.psychologytoday.com/ec83c1ae-28b0-4909-8560-6a3f39870f75/1/320x400.jpeg)
Dirk is a registered counsellor, parent and engineer with a strong background in everyday counselling, helping you to disentangle yourself from the complexities of life, simplifying your lifestyle and claiming back your uniqueness and individuality. Experienced family practitioner assisting with relationship and parenting issues and everyday mental health struggles such as stress, anxiety, loss and depression. Grounded in pastoral/spiritual and mindfulness-based practices. Professional engineer, industry consultant, consummate with many aspects of life, career and business coaching.
Dirk is a registered counsellor, parent and engineer with a strong background in everyday counselling, helping you to disentangle yourself from the complexities of life, simplifying your lifestyle and claiming back your uniqueness and individuality. Experienced family practitioner assisting with relationship and parenting issues and everyday mental health struggles such as stress, anxiety, loss and depression. Grounded in pastoral/spiritual and mindfulness-based practices. Professional engineer, industry consultant, consummate with many aspects of life, career and business coaching.
![Photo of Reginald Mpho Mahlatji, MA, HPCSA - Clin. Psych., Psychologist](https://photos.psychologytoday.com/d2d45853-54de-489b-ae75-3c1bfd5de805/2/320x400.jpeg)
In my practice, I work with a diverse range of clients navigating complex life challenges. From adolescents grappling with identity crises to university students balancing academic pressures, social expectations, and personal growth into adulthood, to young professionals juggling the demands of the corporate and work world. I also assist individuals grappling with depression, grief, suicidality, anxiety, substance use, and low self-esteem, as well as those coping with the enduring impacts of trauma. Furthermore, I help individuals overcome relationship challenges and cultivate healthier connections. My approach is client-centred.
In my practice, I work with a diverse range of clients navigating complex life challenges. From adolescents grappling with identity crises to university students balancing academic pressures, social expectations, and personal growth into adulthood, to young professionals juggling the demands of the corporate and work world. I also assist individuals grappling with depression, grief, suicidality, anxiety, substance use, and low self-esteem, as well as those coping with the enduring impacts of trauma. Furthermore, I help individuals overcome relationship challenges and cultivate healthier connections. My approach is client-centred.
![Photo of Paige Stroucken, MA, HPCSA - Clin. Psych., Psychologist](https://photos.psychologytoday.com/02dba50b-884b-4a0c-b7c1-753aaff035a6/2/320x400.jpeg)
Feeling truly seen is transformative. I work psychodynamically to facilitate deep understanding into one’s ways of relating and being in the world. Acknowledging all parts of oneself with honesty and compassion can lead to meaningful and lasting change. I am dedicated to fostering a therapeutic relationship built on trust, empathy, and collaboration.
Feeling truly seen is transformative. I work psychodynamically to facilitate deep understanding into one’s ways of relating and being in the world. Acknowledging all parts of oneself with honesty and compassion can lead to meaningful and lasting change. I am dedicated to fostering a therapeutic relationship built on trust, empathy, and collaboration.
![Photo of Fran Webster, MA, HPCSA - Couns. Psych., Psychologist](https://photos.psychologytoday.com/7b60f366-6e72-490a-9f3c-7bc226c01e13/2/320x400.jpeg)
I work with children from two years, adolescents and adults that are experiencing behavioural, emotional, academic and career-related problems due to difficulties with adjustment. Having had much exposure and experience with different types of trauma, I am passionate about working with all spheres of trauma, particularly with children. Career assessment and subject choice for scholars is an area I enjoy assisting with. Having worked with many individuals that develop psychological issues from studying subjects that they are not passionate about, or being in a career that does not promote self-actualisation.
I work with children from two years, adolescents and adults that are experiencing behavioural, emotional, academic and career-related problems due to difficulties with adjustment. Having had much exposure and experience with different types of trauma, I am passionate about working with all spheres of trauma, particularly with children. Career assessment and subject choice for scholars is an area I enjoy assisting with. Having worked with many individuals that develop psychological issues from studying subjects that they are not passionate about, or being in a career that does not promote self-actualisation.
![Photo of Renée Zenadia Ramdin, HPCSA - Ed. Psych., Psychologist](https://photos.psychologytoday.com/e4ef6194-c0fe-41fc-a791-789cabeea6a0/3/320x400.jpeg)
I have many years of experience in helping people of all ages and cultures. My deep respect for others, acceptance, open-mindedness and being authentic have always been a priority in maintaining good relationships. In this way I am able to create and maintain a safe, supportive and containing environment to anyone who is looking for a space to explore and gain insight into the way they are functioning so that they can better themselves and achieve a healthier quality of life and wellbeing.
I have many years of experience in helping people of all ages and cultures. My deep respect for others, acceptance, open-mindedness and being authentic have always been a priority in maintaining good relationships. In this way I am able to create and maintain a safe, supportive and containing environment to anyone who is looking for a space to explore and gain insight into the way they are functioning so that they can better themselves and achieve a healthier quality of life and wellbeing.
![Photo of Nicole Cooke, MA, HPCSA - Couns. Psych., Psychologist](https://photos.psychologytoday.com/e2b02902-bd1a-4786-a0e0-3fc97b8efed7/3/320x400.jpeg)
I firmly believe that your greatest instrument in life is you, as you are. Yet, the work of self understanding is endless and we all continue to learn throughout our life stages. I offer psychological services to individual adults, adolescents, children, couples, and families. I assist clients with a wide variety of emotional and psychological difficulties that range from mild to moderate severity, as well as assisting with general life difficulties, adjustments, and personal development .
I firmly believe that your greatest instrument in life is you, as you are. Yet, the work of self understanding is endless and we all continue to learn throughout our life stages. I offer psychological services to individual adults, adolescents, children, couples, and families. I assist clients with a wide variety of emotional and psychological difficulties that range from mild to moderate severity, as well as assisting with general life difficulties, adjustments, and personal development .
![Photo of Beyzanur Erol - Beyzanur Erol - Bloom Counselling, BSocSci Hons, ASCHP Specialist Wellness Counsellor, General Counsellor](https://photos.psychologytoday.com/993aacd2-0739-4f04-990b-7a2f071962f9/4/320x400.jpeg)
Beyzanur Erol - Bloom Counselling
General Counsellor, BSocSci Hons, ASCHP Specialist Wellness Counsellor
Verified Verified
Midrand 1685 (Online Only)
Central to my approach is deep compassion, ensuring each person feels acknowledged, heard, and valued. I offer personalized services such as trauma counselling, life coaching, and holistic wellness strategies. My goal is to create a nurturing environment where clients can explore their thoughts, emotions, and goals freely. Whether you're navigating adolescence, managing academic and personal responsibilities as a student, or seeking clarity as a young adult, I provide empathetic guidance and steadfast support.
Central to my approach is deep compassion, ensuring each person feels acknowledged, heard, and valued. I offer personalized services such as trauma counselling, life coaching, and holistic wellness strategies. My goal is to create a nurturing environment where clients can explore their thoughts, emotions, and goals freely. Whether you're navigating adolescence, managing academic and personal responsibilities as a student, or seeking clarity as a young adult, I provide empathetic guidance and steadfast support.
![Photo of Thuraisha Moodley, PhD, HPCSA - Clin. Psych., Psychologist](https://photos.psychologytoday.com/e61f0d39-f531-4b0f-8c3e-acc548076dde/1/320x400.jpeg)
Dr Moodley as been a practicing psychotherapist for over twenty years and works with a diverse population of clients in individual, couple, family and group settings. She is known for her direct and driven approach to therapy. An expert in professional counselling , inner healing and growth, stress-related issues and various forms of abuse and disempowerment. Dr Moodley’s heart-centred and compassionate approach helps her identify root causes to problems in order to heal and positively transform your life. She has contributed to various community programmes, spoken at forums and has run and facilitated workshops in the area
Dr Moodley as been a practicing psychotherapist for over twenty years and works with a diverse population of clients in individual, couple, family and group settings. She is known for her direct and driven approach to therapy. An expert in professional counselling , inner healing and growth, stress-related issues and various forms of abuse and disempowerment. Dr Moodley’s heart-centred and compassionate approach helps her identify root causes to problems in order to heal and positively transform your life. She has contributed to various community programmes, spoken at forums and has run and facilitated workshops in the area
![Photo of Bronwen L Davies, MA, HPCSA - Clin. Psych., Psychologist](https://photos.psychologytoday.com/51303452-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Do you need help with any of the following: Depression, or other mood disorders? Anxiety or stress? Relationship difficulties? Grief and bereavement? Coping with cancer, as a patient or family member? Personal growth and self acceptance? Religious trauma or de-converting from religion? Gender identity?
Do you need help with any of the following: Depression, or other mood disorders? Anxiety or stress? Relationship difficulties? Grief and bereavement? Coping with cancer, as a patient or family member? Personal growth and self acceptance? Religious trauma or de-converting from religion? Gender identity?
![Photo of Dr. Nelmarie Boshoff, PhD, HPCSA - Couns. Psych., Psychologist](https://photos.psychologytoday.com/f647d647-b2b2-4beb-8175-531fd2018c94/1/320x400.jpeg)
I offer individual therapy in Afrikaans & English. I am a solution-orientated therapist who aims to assist clients in finding the best and most effective solution to their problem. I focus on creating a safe environment where clients can resolve past problems, deal more successfully with current life challenges and strive towards a more fulfilled future.
I offer individual therapy in Afrikaans & English. I am a solution-orientated therapist who aims to assist clients in finding the best and most effective solution to their problem. I focus on creating a safe environment where clients can resolve past problems, deal more successfully with current life challenges and strive towards a more fulfilled future.
![Photo of Seleme Revelation Melato - Dr Seleme Melato PhD (Clincal Psychologist, PhD, HPCSA - Clin. Psych., Psychologist](https://photos.psychologytoday.com/e23168a8-7af0-46e6-a18d-6fd5c2ae416e/1/320x400.png)
Dr Seleme Melato PhD (Clincal Psychologist
Psychologist, PhD, HPCSA - Clin. Psych.
Verified Verified
Morningside 2057
Are you in need of professional help or clarity with regards to your personal life, relationships, or your mental health? Do you have any life goals, needs or challenges, wherein you need guidance, support, towards understanding yourself and others? Your holistic mental health is my passion. I will help you navigate your journey towards self-discovery and understanding, as well as improving your relationships on a personal or professional level. Sessions are tailor made for the youth, adults, couples and families striving for psychosocial wellbeing.
Are you in need of professional help or clarity with regards to your personal life, relationships, or your mental health? Do you have any life goals, needs or challenges, wherein you need guidance, support, towards understanding yourself and others? Your holistic mental health is my passion. I will help you navigate your journey towards self-discovery and understanding, as well as improving your relationships on a personal or professional level. Sessions are tailor made for the youth, adults, couples and families striving for psychosocial wellbeing.
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![Photo of Taryn Nunn, BSocSci Hons, ASCHP Specialist Wellness Counsellor, General Counsellor](https://photos.psychologytoday.com/e0dca53c-07ec-4c60-81d7-964a4304ba4b/2/320x400.jpeg)
Taryn Nunn
General Counsellor, BSocSci Hons, ASCHP Specialist Wellness Counsellor
Verified Verified
Randburg 2169
It's easy to feel unheard and even unseen when faced with the overwhelm of trying to navigate life challenges and all kinds of different circumstances. Finding a safe space to lay it all out there can be challenging too. As a Specialist Wellness Counsellor, I provide personalized and practical wellness services that includes individual & group counselling as well as interactive psycho-educational workshops.
It's easy to feel unheard and even unseen when faced with the overwhelm of trying to navigate life challenges and all kinds of different circumstances. Finding a safe space to lay it all out there can be challenging too. As a Specialist Wellness Counsellor, I provide personalized and practical wellness services that includes individual & group counselling as well as interactive psycho-educational workshops.
![Photo of Samantha Heald - shcounsellingservices , BSocSci Hons, General Counsellor](https://photos.psychologytoday.com/3fef9396-4965-416f-90ce-1a67cf3c28f0/1/320x400.jpeg)
Life presents many challenges, which at times can feel overwhelming. It takes great courage to seek help and support, and know that by simply reading this, you are already much stronger than you know. As a Specialist Wellness Counselor I offer individual, relationship, addiction, grief and loss and adolescent counselling sessions, in person and online. As well as training and talks on a variety of mental health and wellness topics
Life presents many challenges, which at times can feel overwhelming. It takes great courage to seek help and support, and know that by simply reading this, you are already much stronger than you know. As a Specialist Wellness Counselor I offer individual, relationship, addiction, grief and loss and adolescent counselling sessions, in person and online. As well as training and talks on a variety of mental health and wellness topics
![Photo of Tshilidzi Netshiluvhi, BSocSci Hons, Registered Counsellor](https://photos.psychologytoday.com/8c08f835-91c1-40b6-a2e3-33f41f2d06c6/1/320x400.jpeg)
Tshilidzi is a specialist wellness counselor, very passionate about her work and mental health in general. providing a safe environment for clients to express their fears in their different languages. Specialization children within the ages of 8 and 19 behavioral issues trauma anxiety depression grief marriage counseling family related issues work related issues
Tshilidzi is a specialist wellness counselor, very passionate about her work and mental health in general. providing a safe environment for clients to express their fears in their different languages. Specialization children within the ages of 8 and 19 behavioral issues trauma anxiety depression grief marriage counseling family related issues work related issues
![Photo of Siphesihle Mwelase, MA, HPCSA - Clin. Psych., Psychologist](https://photos.psychologytoday.com/ef49219b-ed83-4fce-81db-10879803ee24/2/320x400.jpeg)
Life's challenges can be daunting, especially when it seems like those around us struggle to provide the support we need. Embarking on therapy reflects a courageous and vulnerable decision. It may stem from various losses, a shift from your usual self, or a desire for a deeper self-understanding. Therapy serves as a supportive space to navigate these experiences, discover new ways of being, and overcome life's challenges. The objective of therapy, in alignment with the client's goals, is to fundamentally address how individuals relate to themselves and the world. We support the pursuit of the client's desired quality of life.
Life's challenges can be daunting, especially when it seems like those around us struggle to provide the support we need. Embarking on therapy reflects a courageous and vulnerable decision. It may stem from various losses, a shift from your usual self, or a desire for a deeper self-understanding. Therapy serves as a supportive space to navigate these experiences, discover new ways of being, and overcome life's challenges. The objective of therapy, in alignment with the client's goals, is to fundamentally address how individuals relate to themselves and the world. We support the pursuit of the client's desired quality of life.
![Photo of Phiwe Lufele - Phiwe Lufele, MA, HPCSA - Clin. Psych., Psychologist](https://photos.psychologytoday.com/bb8b1fa9-79aa-40e9-9094-9469b4884bf7/2/320x400.jpeg)
I am a psycho-dynamically trained therapist with a vested interest in working from an integrated approach that best fits the client and their needs. I believe in a wholistic approach to therapy and treatment that is rooted within the clients unique social context. I have a keen interest in working with couples and young professionals.
I am a psycho-dynamically trained therapist with a vested interest in working from an integrated approach that best fits the client and their needs. I believe in a wholistic approach to therapy and treatment that is rooted within the clients unique social context. I have a keen interest in working with couples and young professionals.
![Photo of Fortunate Hope Mokoena, MA, SACSSP, Social Worker](https://photos.psychologytoday.com/0d382e94-7e49-442a-9b31-8ef5d2c068b5/2/320x400.jpeg)
Relationship problems, Divorce, Violence (GBV), Work Stress, Workload, Relationships Restructuring, Change management, Depression, Anxiety, Bereavement, Trauma, Anger, Dependancy (Alcohol, Drugs, Smoking, Medication, Gambling, Sex) and Disease Management (Infected, Affected, Medication Treatment Support)
Relationship problems, Divorce, Violence (GBV), Work Stress, Workload, Relationships Restructuring, Change management, Depression, Anxiety, Bereavement, Trauma, Anger, Dependancy (Alcohol, Drugs, Smoking, Medication, Gambling, Sex) and Disease Management (Infected, Affected, Medication Treatment Support)
![Photo of Tam Korodi, MA, General Counsellor](https://photos.psychologytoday.com/6f1f7555-04c0-42d8-8731-8b88ddde0d57/1/320x400.jpeg)
Hi, I'm Tam! I am an attachment expert, specialising in relationship issues. Whether you're single and seeking your happily-ever-after, trying to save your marriage, or picking yourself up after a shattering divorce or breakup, I can help you. I also work with clients who have toxic and high-conflict familial or professional relationships. For my single female clients, I offer my signature 10-session program designed to help you find the right partner and build a healthy, lasting relationship. I provide online sessions to both individuals and couples using the most up-to-date scientific methods.
Hi, I'm Tam! I am an attachment expert, specialising in relationship issues. Whether you're single and seeking your happily-ever-after, trying to save your marriage, or picking yourself up after a shattering divorce or breakup, I can help you. I also work with clients who have toxic and high-conflict familial or professional relationships. For my single female clients, I offer my signature 10-session program designed to help you find the right partner and build a healthy, lasting relationship. I provide online sessions to both individuals and couples using the most up-to-date scientific methods.
![Photo of Sybrand Hagan, MA, HPCSA - Clin. Psych., Psychologist](https://photos.psychologytoday.com/4cc3d7f9-0d72-4685-b743-65bba0e89f6a/2/320x400.jpeg)
My name is Sybrand Hagan. I am a clinical psychologist based in Blairgowrie, Johannesburg. I offer psychotherapy for adolescents and adults who experience a range of psychological difficulties. I believe that therapy is a collaborative process and I tailor my therapeutic approach to suit the specific needs of each person. My aim is to offer a safe and non-judgemental space where you are able to explore the difficulties in your life, whether these are difficulties that you are currently facing or a pattern in your thoughts and behaviours that have caused a lack of satisfaction in your life.
My name is Sybrand Hagan. I am a clinical psychologist based in Blairgowrie, Johannesburg. I offer psychotherapy for adolescents and adults who experience a range of psychological difficulties. I believe that therapy is a collaborative process and I tailor my therapeutic approach to suit the specific needs of each person. My aim is to offer a safe and non-judgemental space where you are able to explore the difficulties in your life, whether these are difficulties that you are currently facing or a pattern in your thoughts and behaviours that have caused a lack of satisfaction in your life.
![Photo of Cynthia Anne Pottier, MA, HPCSA - Ed. Psych., Psychologist](https://photos.psychologytoday.com/227337c1-7298-4129-a50a-0a84192ebbd7/2/320x400.jpeg)
I assist kids, teens and young adults who are struggling with barriers to learning, emotional difficulties or career-related challenges (subject choice and Grade 12 career guidance).
I assist kids, teens and young adults who are struggling with barriers to learning, emotional difficulties or career-related challenges (subject choice and Grade 12 career guidance).
See more therapy options for City of Johannesburg
How does your Counsellor compare?
Number of Counsellors in City of Johannesburg
600+
Average cost per session
R800
Counsellors in City of Johannesburg who prioritize treating:
71% | Anxiety |
69% | Relationship Issues |
65% | Self Esteem |
65% | Stress |
61% | Depression |
60% | Bereavement |
59% | Trauma and PTSD |
Average years in practice
7 Years
Top 3 insurances accepted
94% | Discovery Health |
87% | Bonitas |
81% | Momentum |
How Counsellors in City of Johannesburg see their clients
86% | In Person and Online | |
14% | Online Only |
Gender breakdown
81% | Female | |
18% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counselling
How can I find a therapist in City of Johannesburg?
Search for nearby psychologists 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
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
Psychologists listed in the directory are registered with the Health Professions Council of South Africa (HPCSA). The majority of General Counsellors featured in the directory align themselves with reputable professional bodies, particularly the Association for Supportive Counsellors and Holistic Practitioners. All Registered Counsellors listed must be registered with the Health Professions Council of South Africa (HPCSA). Social Workers listed in the directory must be registered with the South African Council for Social Service Professionals.
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 general counsellors in South Africa, 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.
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 general counsellors in South Africa, 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?
Psychologists, counsellors and social workers can all provide counselling or talking therapy and have credentials and supervised, practical experience that enable them to do so in South Africa.
Psychologists have five years training in psychology, have completed an internship over 12 months, and have completed the National Examination of the Professional Board for Psychology. They must be registered with Health Professions Council of South Africa (HPCSA). Registered Counsellors must have at least four years of study at a university or college, such as the Bachelor of Psychology and have completed the National Examination of the Professional Board for Psychology. General counsellors, such as Supportive Counsellors, Holistic Counsellors, and Wellness Counsellors, registered with the ASCHP must possess at least an NQF Level 4 qualification. Social Workers must possess a Bachelor of Social Work and must have completed an approved internship in the social service sector.
Psychologists have five years training in psychology, have completed an internship over 12 months, and have completed the National Examination of the Professional Board for Psychology. They must be registered with Health Professions Council of South Africa (HPCSA). Registered Counsellors must have at least four years of study at a university or college, such as the Bachelor of Psychology and have completed the National Examination of the Professional Board for Psychology. General counsellors, such as Supportive Counsellors, Holistic Counsellors, and Wellness Counsellors, registered with the ASCHP must possess at least an NQF Level 4 qualification. Social Workers must possess a Bachelor of Social Work and must have completed an approved internship in the social service sector.
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, the cost of a therapy session in South Africa could be between R600 and R1,500. 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.
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 registered with the HPCSA and professional organisations such as PsySSA or the ASCHP 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 is the potential or known harm to the client, or as required by law, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.