Substance Use Therapists in Observatory

Photo of Rafiequa Saban, Registered Counsellor
Rafiequa Saban
Registered Counsellor
Verified Verified
Observatory 7925
My experience primarily focuses on substances and process addictions, but I also assist individuals with anxiety, depression, and self-esteem issues, providing insight-driven support. With warmth and empathy, I create a safe and connected space for clients to explore their challenges and foster personal growth.
My experience primarily focuses on substances and process addictions, but I also assist individuals with anxiety, depression, and self-esteem issues, providing insight-driven support. With warmth and empathy, I create a safe and connected space for clients to explore their challenges and foster personal growth.
087 250 2293 x77 View 087 250 2293 x77
Photo of Cathy Karassellos, MPsych, HPCSA - Clin. Psych., Psychologist
Cathy Karassellos
Psychologist, MPsych, HPCSA - Clin. Psych.
Verified Verified
Observatory 7925
Professional supervision for Psychologists and Counsellors in the area of adult psychotherapy, including Addictions. Therapeutic alliance; Case management; Ethics in Clinical Practice; Support and Burnout prevention. Over 30 yrs experience including managing programs and lecturing/supervision for UCT Dept of Psychiatry Postgraduate Diploma in Addictions Care. Adult Psychotherapy also offered regarding addictions, depression, anxiety and trauma.
Professional supervision for Psychologists and Counsellors in the area of adult psychotherapy, including Addictions. Therapeutic alliance; Case management; Ethics in Clinical Practice; Support and Burnout prevention. Over 30 yrs experience including managing programs and lecturing/supervision for UCT Dept of Psychiatry Postgraduate Diploma in Addictions Care. Adult Psychotherapy also offered regarding addictions, depression, anxiety and trauma.
087 250 0536 x25 View 087 250 0536 x25
Photo of Paul Brusser, MA, HPCSA - Clin. Psych., Psychologist
Paul Brusser
Psychologist, MA, HPCSA - Clin. Psych.
Verified Verified
Observatory 7925
I offer an open-hearted and authentic connection for my clients. We are all human. I am here as a confidant and facilitator to explore and face the challenges of being alive.
I offer an open-hearted and authentic connection for my clients. We are all human. I am here as a confidant and facilitator to explore and face the challenges of being alive.
087 250 2748 x82 View 087 250 2748 x82
Photo of Neesha Chhiba, HPCSA - Counsellor, Registered Counsellor
Neesha Chhiba
Registered Counsellor, HPCSA - Counsellor
Verified Verified
Observatory 7925
Life comes with many difficulties that can leave us feeling overwhelmed and uncertain about what to do next. Whether you are grappling with stress, trauma, relationship difficulties or simply want to work on your personal growth - feel free to reach out and book a session! Having a safe and non-judgemental space to navigate through those challenges can make a huge difference in living your best life as your authentic self. I graduated from a private university that provided BA and Honours which solely focused on Psychology. My skills involve career, individual and group counselling.
Life comes with many difficulties that can leave us feeling overwhelmed and uncertain about what to do next. Whether you are grappling with stress, trauma, relationship difficulties or simply want to work on your personal growth - feel free to reach out and book a session! Having a safe and non-judgemental space to navigate through those challenges can make a huge difference in living your best life as your authentic self. I graduated from a private university that provided BA and Honours which solely focused on Psychology. My skills involve career, individual and group counselling.
087 250 0442 x83 View 087 250 0442 x83
Photo of Marianda Eras, MA, HPCSA - Clin. Psych., Psychologist
Marianda Eras
Psychologist, MA, HPCSA - Clin. Psych.
Verified Verified
Observatory 7925
All of us at some point might need support to deal with the many challenges of life, whether it be a personal crisis, a loss, an addiction, a feeling of stuckness or a change in one's ability to cope. I offer compassionate and non-judgemental psychotherapy for adolescents and adults. It is not always easy to take the first step to start therapy and to be vulnerable, but allowing yourself to open up is often the start of the journey towards acceptance or change.
All of us at some point might need support to deal with the many challenges of life, whether it be a personal crisis, a loss, an addiction, a feeling of stuckness or a change in one's ability to cope. I offer compassionate and non-judgemental psychotherapy for adolescents and adults. It is not always easy to take the first step to start therapy and to be vulnerable, but allowing yourself to open up is often the start of the journey towards acceptance or change.
087 250 0536 x27 View 087 250 0536 x27

More Therapists Nearby

Photo of Dr. Alex Carter, PhD, HPCSA - Clin. Psych., Psychologist
Dr. Alex Carter
Psychologist, PhD, HPCSA - Clin. Psych.
Verified Verified
Cape Town City 8000
I have a psychotherapy practice that offers clients specialized psychotherapeutic care. My practice is for adults who need help with problems like mood disorders, substance use disorders and even aspects of their own personality they may find difficult to change. I like to collaborate with clients, to think together with them about what they may need to reflect on that will bring them value and meaning in their day-to-day life. In addition to this I think it is important to examine patterns of excessive or unhelpful behaviour that compromise their feeling of self-coherence, agency and place in the world.
I have a psychotherapy practice that offers clients specialized psychotherapeutic care. My practice is for adults who need help with problems like mood disorders, substance use disorders and even aspects of their own personality they may find difficult to change. I like to collaborate with clients, to think together with them about what they may need to reflect on that will bring them value and meaning in their day-to-day life. In addition to this I think it is important to examine patterns of excessive or unhelpful behaviour that compromise their feeling of self-coherence, agency and place in the world.
087 250 0902 x18 View 087 250 0902 x18
Photo of Jonathan Cupido, Social Worker
Jonathan Cupido
Social Worker
Verified Verified
Cape Town City 8001
I provide a range clinical social worker services with a specific focus on Addiction Care (Substance Use Disorders) and Mental Health Care (Mood, Anxiety, Personality Disorders) to individual, couples and families.
I believe that with the needed support services patients/ clients can regain or maintain their resilience. In doing so they are able to make a valuable contribution in life in whatever way they want to. I am providing clinical services that will allow my patients/ clients to live to their full potential.
I provide a range clinical social worker services with a specific focus on Addiction Care (Substance Use Disorders) and Mental Health Care (Mood, Anxiety, Personality Disorders) to individual, couples and families.
I believe that with the needed support services patients/ clients can regain or maintain their resilience. In doing so they are able to make a valuable contribution in life in whatever way they want to. I am providing clinical services that will allow my patients/ clients to live to their full potential.
087 250 0914 x26 View 087 250 0914 x26
Photo of Angé Nespola, MPsych, HPCSA - Couns. Psych., Psychologist
Angé Nespola
Psychologist, MPsych, HPCSA - Couns. Psych.
Verified Verified
1 Endorsed
Cape Town City 8000
Seeking therapy can be daunting, so I'd like to tell you about my therapeutic approach and what you can expect. Through psychotherapy I journey with you in the pursuit of self-awareness and healing. ​In my sessions I promote gaining insight into yourself and processing emotions linked to past and present experiences. We will work to explore current difficulties and I will provide you with valuable tools to cope with life’s obstacles. In your first session you and I will discuss your needs and treatment goals to assist in personalising your therapeutic experience. 
Seeking therapy can be daunting, so I'd like to tell you about my therapeutic approach and what you can expect. Through psychotherapy I journey with you in the pursuit of self-awareness and healing. ​In my sessions I promote gaining insight into yourself and processing emotions linked to past and present experiences. We will work to explore current difficulties and I will provide you with valuable tools to cope with life’s obstacles. In your first session you and I will discuss your needs and treatment goals to assist in personalising your therapeutic experience. 
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Photo of Michelle Smit - Michelle Smit, MA, HPCSA - Couns. Psych., Psychologist
Michelle Smit
Psychologist, MA, HPCSA - Couns. Psych.
Verified Verified
Cape Town City 8000
Based in Paarl for in person sessions. Counselling psychologist with extensive experience within the field of addiction. I have worked as the head of treatment, at in-patient facilities caring for patients that have both substance and process addiction. In addition, many of the patients I have treated over the years have a dual diagnosis, such as depression, anxiety, PTSD, personality disorders or mood disorders.
Based in Paarl for in person sessions. Counselling psychologist with extensive experience within the field of addiction. I have worked as the head of treatment, at in-patient facilities caring for patients that have both substance and process addiction. In addition, many of the patients I have treated over the years have a dual diagnosis, such as depression, anxiety, PTSD, personality disorders or mood disorders.
087 250 2389 x23 View 087 250 2389 x23
Photo of Jessica Wasserman, MA, HPCSA - Ed. Psych., Psychologist
Jessica Wasserman
Psychologist, MA, HPCSA - Ed. Psych.
Verified Verified
Cape Town City 8001
Is your child struggling to regulate his/her emotions? Does your child get into trouble at school, get called lazy, inattentive, disruptive? Is your child not fulfilling his or her fullest potential -- academically, socially, emotionally?
Is your child struggling to regulate his/her emotions? Does your child get into trouble at school, get called lazy, inattentive, disruptive? Is your child not fulfilling his or her fullest potential -- academically, socially, emotionally?
087 250 0162 x22 View 087 250 0162 x22
Photo of Kim Annette Charles, General Counsellor
Kim Annette Charles
General Counsellor
Verified Verified
Newlands 7700
ARE YOU FEELING OVER WHELMED BY LIFE CHALLENGES? ARE CONFLICTS WITHIN IN YOUR FAMILY UNIT CAUSING YOU TO FEEL DSYREGULATED AND POWERLESS? I work in a collaborative manner with my clients to build their mental immunity by developing skills and coping mechanisms to assist them to navigate a more effective path through life obstacles. I offer affordable and accessible rates, which fill the gap in the mental health space. I have been married for 28 years and have 3 young adult daughters, and have therefore had both the personal, and counselling experience of maintaining healthy and functional family interactions.
ARE YOU FEELING OVER WHELMED BY LIFE CHALLENGES? ARE CONFLICTS WITHIN IN YOUR FAMILY UNIT CAUSING YOU TO FEEL DSYREGULATED AND POWERLESS? I work in a collaborative manner with my clients to build their mental immunity by developing skills and coping mechanisms to assist them to navigate a more effective path through life obstacles. I offer affordable and accessible rates, which fill the gap in the mental health space. I have been married for 28 years and have 3 young adult daughters, and have therefore had both the personal, and counselling experience of maintaining healthy and functional family interactions.
087 250 0049 x94 View 087 250 0049 x94
Photo of Pieter Carst, ASCHP Wellness Counsellor, General Counsellor
Pieter Carst
General Counsellor, ASCHP Wellness Counsellor
Verified Verified
Newlands 7700  (Online Only)
Change and transition happen throughout life. Some of these changes lead to happiness whilst others bring on sadness and confusion. If you are finding such events challenging or stressful then I can provide a safe space for you to share your feelings and experiences where we can work together to create an atmosphere of hope for the future.
Change and transition happen throughout life. Some of these changes lead to happiness whilst others bring on sadness and confusion. If you are finding such events challenging or stressful then I can provide a safe space for you to share your feelings and experiences where we can work together to create an atmosphere of hope for the future.
087 250 3069 x24 View 087 250 3069 x24
Photo of Christine Fenemore, BSocSci Hons, HPCSA - Counsellor, Registered Counsellor
Christine Fenemore
Registered Counsellor, BSocSci Hons, HPCSA - Counsellor
Verified Verified
Cape Town City 8000  (Online Only)
One always assumes that counselling is for those who are facing hardships. I believe that it is so much more than that. It’s about sharing the good, the bad, and the ugly in a safe and confidential space. I hope to be that lifeline and source of motivation for you, no matter what the circumstances. I am registered with the HPCSA as a Registered Counsellor and adhere to there ethical standards and code of conduct.
One always assumes that counselling is for those who are facing hardships. I believe that it is so much more than that. It’s about sharing the good, the bad, and the ugly in a safe and confidential space. I hope to be that lifeline and source of motivation for you, no matter what the circumstances. I am registered with the HPCSA as a Registered Counsellor and adhere to there ethical standards and code of conduct.
087 250 0160 x90 View 087 250 0160 x90
Photo of Ayesha Abdullah, General Counsellor
Ayesha Abdullah
General Counsellor
Verified Verified
Cape Town City 8000  (Online Only)
Life is tough, sometimes very tough. Us, as human beings often forget to take care of the most basic of our needs in favor of immediate responsibilities and often put off the things that fuel us - when our fuel runs out, we are left with the wreckage and very little motivation to pick up those pieces. The healing journey offers a space to recuperate and learn to know and love ourselves again and to remember that sometimes its okay to not be okay. I journey with those who come see me, and noting is more beautiful and rewarding for to see someone transform their lives into something they have always wanted.
Life is tough, sometimes very tough. Us, as human beings often forget to take care of the most basic of our needs in favor of immediate responsibilities and often put off the things that fuel us - when our fuel runs out, we are left with the wreckage and very little motivation to pick up those pieces. The healing journey offers a space to recuperate and learn to know and love ourselves again and to remember that sometimes its okay to not be okay. I journey with those who come see me, and noting is more beautiful and rewarding for to see someone transform their lives into something they have always wanted.
087 250 0719 x56 View 087 250 0719 x56
Photo of Karen Jooste, BSocSci Hons, General Counsellor
Karen Jooste
General Counsellor, BSocSci Hons
Verified Verified
Cape Town City 8000  (Online Only)
When you feel that your life has become unmanageable, it can be difficult to know which direction to go in. It takes bravery to reach out and to admit that you feel overwhelmed. You need a place where you will feel accepted and not judged. I offer on-line addiction counseling sessions to adolescents and adults. I offer a space where you will feel safe and supported. I have worked in the field of addiction for 8 years and I have a degree in Social Sciences, specializing in substance abuse. I work from a positive psychology approach, focusing on a range of treatments such as DBT, CBT and Motivation Interviewing.
When you feel that your life has become unmanageable, it can be difficult to know which direction to go in. It takes bravery to reach out and to admit that you feel overwhelmed. You need a place where you will feel accepted and not judged. I offer on-line addiction counseling sessions to adolescents and adults. I offer a space where you will feel safe and supported. I have worked in the field of addiction for 8 years and I have a degree in Social Sciences, specializing in substance abuse. I work from a positive psychology approach, focusing on a range of treatments such as DBT, CBT and Motivation Interviewing.
072 408 7481 View 072 408 7481
Photo of Cyria Nyambi, MSocSci, SACSSP, Social Worker
Cyria Nyambi
Social Worker, MSocSci, SACSSP
Verified Verified
Cape Town City 8000
The step you have taken to seek professional help is a positive sign that the counseling process will be a success because counseling works best for those who believe in it. I am a qualified Social Worker with more than 10 years of experience. I help couples with marital and family-related problems, substance abuse, stress, and work-related problems. I offer online and face-to-face service.
The step you have taken to seek professional help is a positive sign that the counseling process will be a success because counseling works best for those who believe in it. I am a qualified Social Worker with more than 10 years of experience. I help couples with marital and family-related problems, substance abuse, stress, and work-related problems. I offer online and face-to-face service.
087 250 0592 x28 View 087 250 0592 x28
Photo of Sasha Talia Pather, General Counsellor
Sasha Talia Pather
General Counsellor
Verified Verified
1 Endorsed
Cape Town City 8000
Welcome to Sasha Talia Counselling. I consult in areas of Abuse/ Addiction/ Trauma/ Narcissism/ Relationships/ Depression/ Anxiety / Pregnancy related, Child welfare, as well as other general counselling requirements. This is a safe space where you journey through your heart and mind to function holistically as the best version of yourself. With innovative techniques in counselling this dynamic therapy practice pioneers the process of counselling in excellence. Happiness prioritized.
Welcome to Sasha Talia Counselling. I consult in areas of Abuse/ Addiction/ Trauma/ Narcissism/ Relationships/ Depression/ Anxiety / Pregnancy related, Child welfare, as well as other general counselling requirements. This is a safe space where you journey through your heart and mind to function holistically as the best version of yourself. With innovative techniques in counselling this dynamic therapy practice pioneers the process of counselling in excellence. Happiness prioritized.
087 250 2837 x83 View 087 250 2837 x83
Photo of Hannelie L Spies, MPsych, HPCSA - Ed. Psych., Psychologist
Hannelie L Spies
Psychologist, MPsych, HPCSA - Ed. Psych.
Verified Verified
1 Endorsed
Cape Town City 8000
There are times in life when we feel stuck and there seems to be no way forward. You might struggle to concentrate, feel anxious and stressed all the time, lie awake at night, and get angry for no apparent reason. You might also experiences more severe symptoms like phobias, panic attacks, social anxiety, depression, PTSD, substance abuse, self harm, eating disorders etc. The reason might not be apparent, but sometimes it might relate back to unresolved traumatic experiences you've had growing up like bullying, sexual abuse or rape, family violence, sibling rivalry, parents divorce, death of a loved one.
There are times in life when we feel stuck and there seems to be no way forward. You might struggle to concentrate, feel anxious and stressed all the time, lie awake at night, and get angry for no apparent reason. You might also experiences more severe symptoms like phobias, panic attacks, social anxiety, depression, PTSD, substance abuse, self harm, eating disorders etc. The reason might not be apparent, but sometimes it might relate back to unresolved traumatic experiences you've had growing up like bullying, sexual abuse or rape, family violence, sibling rivalry, parents divorce, death of a loved one.
087 250 0442 x38 View 087 250 0442 x38
Photo of Angie Rambaran, General Counsellor
Angie Rambaran
General Counsellor
Verified Verified
Cape Town City 8000
Everyone today is facing many challenges and lack of belongingness within the society. The difficult circumstances that they face are because of limited opportunities, viable employment and health and social services. These challenges that they endure affect them both internally and externally which can be overwhelming and thus inhibits them from reaching their full potential.
Everyone today is facing many challenges and lack of belongingness within the society. The difficult circumstances that they face are because of limited opportunities, viable employment and health and social services. These challenges that they endure affect them both internally and externally which can be overwhelming and thus inhibits them from reaching their full potential.
087 250 2748 x25 View 087 250 2748 x25
Photo of Monika MacNaughton - Monika MacNaughton Counselling , HPCSA - Counsellor, Registered Counsellor
Monika MacNaughton Counselling
Registered Counsellor, HPCSA - Counsellor
Verified Verified
Rosebank 7700
I have been working as a Registered Counsellor since 2008; and my focus areas are Anxiety, Depression, Substance Abuse / Addiction, Perimenopause and Menopause Counselling. I worked at a mental healthcare clinic for some time and have been in private practice since 2015, offering counselling and hypnotherapy to individuals (over the age of 19). I also offer online / in-person talks for various companies and high schools around Mental Wellbeing. My approach is a holistic one, incorporating principles of Cognitive Behaviour Therapy, Mindfulness, Neuro-Linguistic Programming, and Motivational Interviewing.
I have been working as a Registered Counsellor since 2008; and my focus areas are Anxiety, Depression, Substance Abuse / Addiction, Perimenopause and Menopause Counselling. I worked at a mental healthcare clinic for some time and have been in private practice since 2015, offering counselling and hypnotherapy to individuals (over the age of 19). I also offer online / in-person talks for various companies and high schools around Mental Wellbeing. My approach is a holistic one, incorporating principles of Cognitive Behaviour Therapy, Mindfulness, Neuro-Linguistic Programming, and Motivational Interviewing.
087 250 2748 x42 View 087 250 2748 x42

See more therapy options for Observatory

Substance Use Counsellors

How do substance and drug recovery or rehabilitation programs work?

In inpatient programs, individuals live in a facility with other clients in recovery; in outpatient programs, individuals reside at home. These facilities are staffed with healthcare professionals including physicians, nurses, psychologists, counsellors, and psychotherapists. Staff often also includes people who have recovered themselves, serving as mentors and guides. These programs may use abstinence, harm reduction, detoxification, psychotherapy, and other methods.

How do 12-step programs combined with psychotherapy work?

Members of 12-step programs help each other reach abstinence and work to maintain it. These programs promote complete change in the individual’s emotional, mental, physical, and even spiritual perspectives. Some programs require that new members attend 90 meetings in 90 days. Many people do attend these programs in conjunction with their work in psychotherapy; the combination of therapy along with 12-step can be extremely effective.

How does harm reduction combined with psychotherapy work?

According to the Substance Abuse and Mental Health Services Administration, harm reduction prevents death, injury, disease, overdose, and substance misuse. People who choose harm reduction for substance use reduce the amount of drugs they consume. It is not abstinence-based like a 12-step program, but combining harm reduction with psychotherapy proves to be effective for many people.

Are there specific medications for substance and drug use?

There are medications approved to treat substance use disorder—such as buprenorphine, methadone, naltrexone, and acamprosate. These medications do help people cope with substance use as well as avoid the problem of relapse. Naltrexone can help reduce cravings, methadone is an opioid medication used to treat severe pain, and acamprosate may help ease symptoms like poor sleep and anxious feelings.