If you or someone close to you is in danger now, get help now. Visit a nearby emergency service or hospital. The Department of Social Development Substance Abuse Helpline (Tel: 0800 12 13 14) answers day and night. Other crisis lines:
Crisis numbers in South Africa
- Department of Social Development Substance Abuse Helpline: Tel: 0800 12 13 14 | Text: 32312. 24 hours.
- Ke Moja Substance Abuse (WhatsApp): WhatsApp: 087 163 2025. 8am to 5pm.
- SADAG Suicide Crisis Helpline: Tel: 0800 567 567. 24 hours.
- Cipla Mental Health Helpline: Tel: 0800 456 789 (24 hours) | Text: 31393 | WhatsApp: 076 882 2775 (8am to 5pm). 24 hours.
- All crisis lines in South Africa
This page lists Addiction Counsellors in Cape Town. 22 in all.
What the counsellors on this page do, and how to choose one
Assessment, diagnosis and medicine sit outside counselling; ask who provides them where you are. Open the profiles below to compare experience, language, fee, and whether they work online. Ask how soon each one can see you.
What a counsellor does, and how counselling differs from psychotherapy
Everyone on this page describes their work as counselling. A counsellor listens and helps you find your own solutions to problems.
The training emphasises the conversation itself. Sessions usually stay close to something happening now: a loss, a relationship, work, a decision. That focus is what most often separates counselling from longer psychotherapy.
A counsellor is not a medical doctor and does not prescribe or diagnose. Ask a counsellor what they work with, and for how long.
What this page filters on
These are the only filters: the specialism recorded as Addiction and the professional title counsellor.
The Cape Town page answers more questions about therapy there.
Fees, insurance and lower-cost options
Do affordable options exist in Cape Town?
Groote Schuur Hospital - Psychiatry Outpatient Services. Phone +27 21 404 9111. Western Cape public hospitals charge on a means-tested scale. Patients in the lowest band pay nothing for specialist outpatient visits. Public patients are accepted by referral from a district or secondary service. Each specialty has its own eligibility criteria.
Who registers therapists in South Africa?
The title you will see is Registered Counsellor. Search the register by name at Health Professions Council of South Africa (HPCSA). Check that the name and title match and that the entry is current. If they do not, ask the practitioner why.
In South Africa psychologists and social workers must be registered to practise. No statute protects the plain title counsellor.
What these practitioners record
12 of the 22 have included their registration on their profile.
Sessions here are offered in English and Afrikaans.
Nearby places and related listings
- Female Addiction Counsellors in Cape Town
- Male Addiction Counsellors in Cape Town
- Addiction Psychiatrists in Cape Town
- Addiction Psychologists in Cape Town
- Addiction Social Workers in Cape Town
- ADHD Counsellors in Cape Town
- Psychologists in Cape Town
- Counsellors in Cape Town
- Every therapist listed in Cape Town (488)
- Marriage counselling in Cape Town
Real choice. Authentic, independent, clinician-led care.
TherapyRoute is a clinician-led directory that champions independent practitioners who answer to you and their professional ethics. We don't take commissions, sell your data, or assign therapists by algorithm. You browse, compare, and choose.
Vincenzo (Enzo) Sinisi, Clinical Psychologist (HPCSA), Psychoanalyst (IPA/SAPA), Group Analyst (IGA)


