If you are in immediate danger or thinking about harming yourself, get help now. Visit a nearby emergency service, hospital, or mental health clinic. If you are in crisis, these helplines answer now:
Crisis numbers in South Africa
- SADAG Suicide Crisis Helpline: Tel: 0800 567 567
- Gender-Based Violence Command Centre: Tel: 0800 428 428 | SMS: send the word help to 31531, published for people with disabilities
- Substance Abuse Helpline: Tel: 0800 12 13 14 | SMS: 32312
- Higher Health, for students and staff: Tel: 0800 36 36 36
- LifeLine Gender Violence Helpline: Tel: 0800 150 150 | WhatsApp: 0800 150 150
- All crisis lines in South Africa
This page lists Counsellors in Cape Town. 113 in all.
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 1.
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 professional title counsellor.
Paying for therapy in Cape Town
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.
4 of these counsellors offer a sliding scale.
The Cape Town page answers more questions about therapy there.
What these practitioners record
56 of the 113 have included their registration on their profile.
The areas of focus listed most often here are Stress / Burnout (62), Life Transitions (59) and Anxiety (50).
Sessions here are offered in English, Afrikaans, isiXhosa and German.
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). A current entry is that body's own published record of the person.
In South Africa psychologists and social workers must be registered to practise. No statute protects the plain title counsellor. See the South Africa page.
Nearby places and related listings
- Black Female Psychologists in Cape Town, two filters on the full Cape Town psychologists list
- Female Psychologists in Cape Town, one filter on the full Cape Town psychologists list
- Male Psychologists in Cape Town, one filter on the full Cape Town psychologists list
- Psychologists in Cape Town
- Social Workers in Cape Town
- Psychotherapists in Cape Town
- Cape Town: all therapists listed (465)
- Marriage counselling, Cape Town
References
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)


