Therapists in Knysna
![Photo of Michelle Booth, MSc](https://photos.psychologytoday.com/cbbda624-2c55-4169-a076-76163aa24073/1/320x400.jpeg)
I am passionate about the art of therapy – co-creating a unique therapeutic space that makes each client feel safe, heard and emotionally held so that they can embark on a journey of self-discovery, insight, and authentic empowerment. Art therapy is a powerful tool for self-expression a helpful way of working with whatever is going on that is making us stuck, unhappy, angry including experiences of grief, depression, inadequacy, fear, loneliness, addiction, and conflict.. Art therapy can lead you to unexpected insights, enable you to access your inner world and facilitate a meaningful exploration of difficult experiences.
I am passionate about the art of therapy – co-creating a unique therapeutic space that makes each client feel safe, heard and emotionally held so that they can embark on a journey of self-discovery, insight, and authentic empowerment. Art therapy is a powerful tool for self-expression a helpful way of working with whatever is going on that is making us stuck, unhappy, angry including experiences of grief, depression, inadequacy, fear, loneliness, addiction, and conflict.. Art therapy can lead you to unexpected insights, enable you to access your inner world and facilitate a meaningful exploration of difficult experiences.
![Photo of Christine Adendorff, BSocSci Hons, Registered Counsellor](https://photos.psychologytoday.com/12929ad9-23ec-4abf-92b6-2b590c0a5332/1/320x400.jpeg)
Wellness counselling is a primary health care service focussed on holistic wellness. This is shift away from the medical model and towards a holistic approach where the interplay between mind, body and spirit is acknowledged. I believe that the quality of the therapeutic relationship is vital in a person's healing journey. Every person has the capacity to heal and to thrive. It all starts from within, reconnecting to ourselves using mind, heart and intuition. Through mindfulness and compassion we learn to respond rather than react, we become kind towards ourselves, we nourish ourselves and we allow a new way of knowing to arise.
Wellness counselling is a primary health care service focussed on holistic wellness. This is shift away from the medical model and towards a holistic approach where the interplay between mind, body and spirit is acknowledged. I believe that the quality of the therapeutic relationship is vital in a person's healing journey. Every person has the capacity to heal and to thrive. It all starts from within, reconnecting to ourselves using mind, heart and intuition. Through mindfulness and compassion we learn to respond rather than react, we become kind towards ourselves, we nourish ourselves and we allow a new way of knowing to arise.
![Photo of Amy Shirley, MA, HPCSA - Couns. Psych., Psychologist](https://photos.psychologytoday.com/c49707b2-c2f4-4f87-ade9-b64a7ed240d8/2/320x400.png)
Amy Shirley
Psychologist, MA, HPCSA - Couns. Psych.
Verified Verified
Knysna 6571 (Online Only)
Not accepting new clients
I am a warm, passionate and professional Counselling Psychologist. I work with teens, adults and couples online. I have worked with a vast array of presenting difficulties in varied contexts, and tailor therapy to your needs.
I am a warm, passionate and professional Counselling Psychologist. I work with teens, adults and couples online. I have worked with a vast array of presenting difficulties in varied contexts, and tailor therapy to your needs.
![Photo of Sue-Ann Bright, MA, HPCSA - Couns. Psych., Psychologist](https://photos.psychologytoday.com/5cd7515c-a80f-4a95-ab45-83e6720260a5/1/320x400.jpeg)
Sue-Ann Bright
Psychologist, MA, HPCSA - Couns. Psych.
Verified Verified
Knysna 6571
Not accepting new clients
I work with adults only and in my experience, it seems many of us present with elements of ‘dysfunction’; that it is the human condition to be somewhat flawed, imperfect, damaged or messed-up. Our ‘dysfunction’ can often be exposed (to ourselves and others) at points of challenge or change; what I refer to as ‘growing pains’ (this is not reserved for childhood; us adults can also undergo mild, moderate and sever growing pains)
I work with adults only and in my experience, it seems many of us present with elements of ‘dysfunction’; that it is the human condition to be somewhat flawed, imperfect, damaged or messed-up. Our ‘dysfunction’ can often be exposed (to ourselves and others) at points of challenge or change; what I refer to as ‘growing pains’ (this is not reserved for childhood; us adults can also undergo mild, moderate and sever growing pains)
![Photo of Susan Louise McGarvie, PhD, General Counsellor](https://photos.psychologytoday.com/bc78e23c-8903-4f71-a9f7-112d63906471/1/320x400.jpeg)
Whether you're struggling to navigate difficult life circumstances, or feeling like you're ready to take action and make positive life changes, finding someone to support and guide you is a healthy and courageous step.
Whether you're struggling to navigate difficult life circumstances, or feeling like you're ready to take action and make positive life changes, finding someone to support and guide you is a healthy and courageous step.
![Photo of Wayne Kelsall Hadley, General Counsellor](https://photos.psychologytoday.com/f7c07637-7a74-473d-800c-3dae0bda055f/1/320x400.jpeg)
Hi thank you for your interest in my profile, whatever your need, this journey is confidential. I have first hand experience and knowledge of addiction, infidelity, marriage, relationships, loss / grief & bereavement. Let’s address the issue and it’s crippling effects and how to best move forward in a constructive sensitively planned manner. Gain the knowledge and tools to overcome and deal with life in a newly empowered way. It seems an impossible task now, however I can guarantee you will feel liberated and able to address the issue with new found hope & vigour
Hi thank you for your interest in my profile, whatever your need, this journey is confidential. I have first hand experience and knowledge of addiction, infidelity, marriage, relationships, loss / grief & bereavement. Let’s address the issue and it’s crippling effects and how to best move forward in a constructive sensitively planned manner. Gain the knowledge and tools to overcome and deal with life in a newly empowered way. It seems an impossible task now, however I can guarantee you will feel liberated and able to address the issue with new found hope & vigour
![Photo of Izak Malan, MA, HPCSA - Couns. Psych., Psychologist](https://photos.psychologytoday.com/ec1cdc4f-ea5d-4fdb-86ef-62af9358a1e7/1/320x400.jpeg)
Christian Psychologist providing therapy Online and In-person (George). I integrate Christian and psychological principles to guide people to experience well-being in body, soul and spirit. I use the Word of God as standard, together with my qualifications and experience. Life is beautiful and I help people to experience the beauty of life despite the situation they are in. Are you facing a challenge in your marriage, work or life in general? Then it’s time for professional assistance to experience joy and meaning in your life. Under the guidance of the Holy Spirit it will be possible. Look forward meeting with you.
Christian Psychologist providing therapy Online and In-person (George). I integrate Christian and psychological principles to guide people to experience well-being in body, soul and spirit. I use the Word of God as standard, together with my qualifications and experience. Life is beautiful and I help people to experience the beauty of life despite the situation they are in. Are you facing a challenge in your marriage, work or life in general? Then it’s time for professional assistance to experience joy and meaning in your life. Under the guidance of the Holy Spirit it will be possible. Look forward meeting with you.
![Photo of Hester Katarina de Lange - HybridAcademy.org, BSocSci Hons, PsySSA Counsellor, General Counsellor](https://photos.psychologytoday.com/87911d07-d40f-4a28-ab37-c21fe10f7103/1/320x400.jpeg)
Hester Katarina de Lange practice is based on a Neurodiversity perspective. Your brain is made up of networks of small cells called Neurons that communicate Electro-Chemically to enable you to think, feel, and interact with the world around you. When this system becomes overwhelmed we become anxious or stressed. Counseling helps reduce stress and improve your well-being, by addressing the causes of stress or by reducing the impact of stress on your body and on your mind. Key support focus areas: Stress-Attachment-Sleep-Anxiety-Neurodiversity.
Hester Katarina de Lange practice is based on a Neurodiversity perspective. Your brain is made up of networks of small cells called Neurons that communicate Electro-Chemically to enable you to think, feel, and interact with the world around you. When this system becomes overwhelmed we become anxious or stressed. Counseling helps reduce stress and improve your well-being, by addressing the causes of stress or by reducing the impact of stress on your body and on your mind. Key support focus areas: Stress-Attachment-Sleep-Anxiety-Neurodiversity.
Online Therapists
![Photo of Janie Loubser, MPsych, HPCSA - Clin. Psych., Psychologist](https://photos.psychologytoday.com/889856c4-26e9-47fb-9d6c-2273d644e3d7/2/320x400.jpeg)
Are you feeling overwhelmed and unsure about your mental health journey? Are you looking for a compassionate yet solution-focused clinical psychologist who can help you overcome barriers and transform your fears into solutions? Then I'm the ideal therapist for you. My mission is to make mental health care accessible and enjoyable for all, breaking down the barriers and stigmas surrounding mental health. I believe that with the right tools, roadmap, and support, you can achieve your goals and live a fulfilling, well-lived life. If you've been disappointed or disillusioned by previous psychologists, I dare you to experience different!
Are you feeling overwhelmed and unsure about your mental health journey? Are you looking for a compassionate yet solution-focused clinical psychologist who can help you overcome barriers and transform your fears into solutions? Then I'm the ideal therapist for you. My mission is to make mental health care accessible and enjoyable for all, breaking down the barriers and stigmas surrounding mental health. I believe that with the right tools, roadmap, and support, you can achieve your goals and live a fulfilling, well-lived life. If you've been disappointed or disillusioned by previous psychologists, I dare you to experience different!
![Photo of Irene Strydom - Dr Irene Strydom On-line Psychologist, PhD, HPCSA - Couns. Psych., Psychologist](https://photos.psychologytoday.com/60172715-6960-455e-b140-7f676e811900/2/320x400.jpeg)
Dr Irene Strydom On-line Psychologist
Psychologist, PhD, HPCSA - Couns. Psych.
Verified Verified
Mossel Bay 6506 (Online Only)
On-line psychotherapy sessions. A safe space will be created in which clients can unload, share and heal from the effects of emotional turmoil and trauma.
On-line psychotherapy sessions. A safe space will be created in which clients can unload, share and heal from the effects of emotional turmoil and trauma.
![Photo of Carin Olwagen, HPCSA - Counsellor, Registered Counsellor](https://photos.psychologytoday.com/23348bab-8cf6-495e-ba71-07434bbe1d2d/1/320x400.jpeg)
Psychological counsellor for any problems e.g. relationships, work issues, self esteem, symptoms of depression, mental health issues, suicidal ideation, debriefing trauma, career choices, subject choices, substance abuse, social issues etc/
Psychological counsellor for any problems e.g. relationships, work issues, self esteem, symptoms of depression, mental health issues, suicidal ideation, debriefing trauma, career choices, subject choices, substance abuse, social issues etc/
![Photo of Miles Bean, MA, HPCSA - Clin. Psych., Psychologist](https://photos.psychologytoday.com/09225e9a-5e46-41bb-9657-ea597a5233e7/1/320x400.jpeg)
I am a registered clinical psychologist in George/Wilderness on the Garden route. I have extensive experience working in an integrative framework with adults and adolescents. Together we can explore feelings, thoughts and actions so as to optimize growth and development towards a more authentic way of being.
I am a registered clinical psychologist in George/Wilderness on the Garden route. I have extensive experience working in an integrative framework with adults and adolescents. Together we can explore feelings, thoughts and actions so as to optimize growth and development towards a more authentic way of being.
![Photo of Ashley Wendy Lourens, General Counsellor](https://photos.psychologytoday.com/c453df44-c5b0-4ccd-80d2-7d545d0c400c/1/320x400.jpeg)
A particular area of interest for me is the effects of the hormonal and reproductive system on women’s mental health. Additionally, I have extensive experience with clients experiencing grief, depression, relationship difficulties, burnout, anxiety and trauma. I also have experience assisting clients to navigate and develop in the workplace. I prefer for my clients and me to focus on healing holistically. This means simultaneously addressing personal, relational and environmental (past/present) factors rather than focusing on a specific label.
A particular area of interest for me is the effects of the hormonal and reproductive system on women’s mental health. Additionally, I have extensive experience with clients experiencing grief, depression, relationship difficulties, burnout, anxiety and trauma. I also have experience assisting clients to navigate and develop in the workplace. I prefer for my clients and me to focus on healing holistically. This means simultaneously addressing personal, relational and environmental (past/present) factors rather than focusing on a specific label.
I am an experienced Clinical Psychologist that works from an integrative perspective. I assist adolescents and adults with a wide range of psychological challenges and endeavor to provide a compassionate and meaningful therapeutic experience for those I work with.
I am an experienced Clinical Psychologist that works from an integrative perspective. I assist adolescents and adults with a wide range of psychological challenges and endeavor to provide a compassionate and meaningful therapeutic experience for those I work with.
![Photo of Chanté Kruger, General Counsellor](https://photos.psychologytoday.com/b0a4d61a-64d9-4135-bfb1-a341bdd79598/2/320x400.jpeg)
Hi, I’m Chanté a Specialist Wellness Counsellor and Therapeutic Play Practitioner based in George. I have an Honours Degree in Psychology and am currently specialising in Play Therapy. I am registered with the ASCHP as well as PTI. I am also fully insured and comply to your safeguarding and child protection procedures and policies. I have also gained training in other areas such as basic counselling, trauma debriefing, HIV care and education, and caring for people in crises counselling specifically teenage pregnancy. I have volunteered at Life Community Centre, CANSA, Options and am currently involved at Rosemoor Primary School.
Hi, I’m Chanté a Specialist Wellness Counsellor and Therapeutic Play Practitioner based in George. I have an Honours Degree in Psychology and am currently specialising in Play Therapy. I am registered with the ASCHP as well as PTI. I am also fully insured and comply to your safeguarding and child protection procedures and policies. I have also gained training in other areas such as basic counselling, trauma debriefing, HIV care and education, and caring for people in crises counselling specifically teenage pregnancy. I have volunteered at Life Community Centre, CANSA, Options and am currently involved at Rosemoor Primary School.
![Photo of Dr. Christina van der Merwe, PhD, HPCSA - Clin. Psych., Psychologist](https://photos.psychologytoday.com/878688fa-2edc-4135-ab80-b84bcd62cf1d/2/320x400.jpeg)
I am a clinical (child) psychologist specializing in helping young people and their families face a wide range of mental health challenges. My aim in our engagement is to create a nurturing, compassionate, and safe environment where you can feel truly supported. Employing evidence-based strategies tailored to your unique circumstances, we will collaborate to address the challenges you're encountering, fostering resilience, and facilitating lasting positive change. I have a specific interest and experience in treating individuals with disordered eating.
I am a clinical (child) psychologist specializing in helping young people and their families face a wide range of mental health challenges. My aim in our engagement is to create a nurturing, compassionate, and safe environment where you can feel truly supported. Employing evidence-based strategies tailored to your unique circumstances, we will collaborate to address the challenges you're encountering, fostering resilience, and facilitating lasting positive change. I have a specific interest and experience in treating individuals with disordered eating.
![Photo of Ciska Botha - Anew Life & Wellness, BSocSci Hons, ASCHP Wellness Counsellor, General Counsellor](https://photos.psychologytoday.com/822160d4-6963-4221-a647-044202be8531/1/320x400.jpeg)
Anew Life & Wellness
General Counsellor, BSocSci Hons, ASCHP Wellness Counsellor
Verified Verified
George 6529
Everybody deserves to live a purposeful and meaningful life. As a Wellness Life coach I will assist you to find balance in all domains of your life, set realistic goals to bring you closer to your dreams. Together we will discover your highest values, explore your passions and purpose and discover what is holding you back in reaching your dream. With the newest MLNP technique I can help you to resolve past trauma and negative or false beliefs you may hold. I can also assist in setting realistic goals for health and weight loss following a more natural and holistic approach.
Everybody deserves to live a purposeful and meaningful life. As a Wellness Life coach I will assist you to find balance in all domains of your life, set realistic goals to bring you closer to your dreams. Together we will discover your highest values, explore your passions and purpose and discover what is holding you back in reaching your dream. With the newest MLNP technique I can help you to resolve past trauma and negative or false beliefs you may hold. I can also assist in setting realistic goals for health and weight loss following a more natural and holistic approach.
![Photo of Carel Pj Mouton, MA, Social Worker](https://photos.psychologytoday.com/39866bb5-a2ef-4d6c-b550-2b46f4943e0f/3/320x400.jpeg)
I aim to enable men and women to thrive by becoming the best version of themselves. The process addresses trauma, anger, stress and anxiety within themselves and their relationships through emotional awareness and practical interventions. During the sessions, I strive to enable my clients to experience physical and emotional relief from stress, anxiety and embodied trauma.
I aim to enable men and women to thrive by becoming the best version of themselves. The process addresses trauma, anger, stress and anxiety within themselves and their relationships through emotional awareness and practical interventions. During the sessions, I strive to enable my clients to experience physical and emotional relief from stress, anxiety and embodied trauma.
![Photo of Leonie M Dippenaar, General Counsellor](https://photos.psychologytoday.com/0544de59-263e-4be2-810d-27f0119829bf/1/320x400.jpeg)
Leonie is a Transformative Mindset Coach/counselor. Are you tired of being stuck in survival mode? Grief, sadness, Loss over what if? Are guil and shame holding you in bonda? Do you question life, wanting to give up? Is living a lie draining your life force? With Abandonment issues, comes Fear, Anxiety, and Trauma. Do you not feel being heard? Old coping self-destructive bad habits block your life and repeatedly set yourself up for failure! Let Leonie help you Reset that feeling of loss and hopelessness. Learn to Regain self-control, bring in balance, and find your Joy through acceptance.
Leonie is a Transformative Mindset Coach/counselor. Are you tired of being stuck in survival mode? Grief, sadness, Loss over what if? Are guil and shame holding you in bonda? Do you question life, wanting to give up? Is living a lie draining your life force? With Abandonment issues, comes Fear, Anxiety, and Trauma. Do you not feel being heard? Old coping self-destructive bad habits block your life and repeatedly set yourself up for failure! Let Leonie help you Reset that feeling of loss and hopelessness. Learn to Regain self-control, bring in balance, and find your Joy through acceptance.
![Photo of Gertruida Susanna Dowse, BSocSci Hons, Social Worker](https://photos.psychologytoday.com/6a6b8e9d-9f21-48a6-8c35-98fe4eeed85d/1/320x400.jpeg)
Feeling anxious and unsure what the next step is? Finding it difficult to relate to your partner? Finding it difficult to cope at work or finding it difficult to relate with employer/employee? Don’t know how to cope with addiction in the family or yourself? Are you in a overly toxic relationship? Do you want to start a new beginning/ business, but just can't!, struggling to stay motivated? Are you caught in a depressive situation? Do you want to change to a healthier relationship with yourself and others? Are you constantly in conflict with yourself or others? Do you experience obsessive fear?
Feeling anxious and unsure what the next step is? Finding it difficult to relate to your partner? Finding it difficult to cope at work or finding it difficult to relate with employer/employee? Don’t know how to cope with addiction in the family or yourself? Are you in a overly toxic relationship? Do you want to start a new beginning/ business, but just can't!, struggling to stay motivated? Are you caught in a depressive situation? Do you want to change to a healthier relationship with yourself and others? Are you constantly in conflict with yourself or others? Do you experience obsessive fear?
See more therapy options for Knysna
How does your Counsellor compare?
Number of Counsellors in Knysna
< 10
Counsellors in Knysna who prioritize treating:
78% | Relationship Issues |
78% | Anxiety |
78% | Bereavement |
67% | Depression |
67% | Stress |
67% | Life Transitions |
56% | Life Coaching |
Average years in practice
14 Years
Top 3 insurances accepted
100% | Momentum |
100% | GEMS |
100% | Fedhealth |
How Counsellors in Knysna see their clients
89% | In Person and Online | |
11% | Online Only |
Gender breakdown
78% | Female | |
22% | Male |
FAQs - About Therapy and Counselling
How can I find a therapist in Knysna?
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.