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 LGBTQIA+ Counsellors in Cape Town. 10 in all.
That is 10 of the 125 counsellors listed in Cape Town.
These are practitioners who identify as LGBTQIA+ on their profile. It is their own answer. We do not verify it, and nothing here is ranked.
An identity and affirmative practice are not the same, and affirmative practice is trained. LGBTQIA+-affirmative psychotherapy is a set of professional guidelines and treatment protocols, tested across settings 1. Ask a practitioner what training and experience they have with LGBTQIA+ clients.
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 2.
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 practitioner's stated LGBTQIA+ identity and the professional title counsellor.
What therapy costs here
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.
The Cape Town page answers more questions about therapy there.
4 of the 10 have included their registration on their profile.
The areas of focus listed most often here are LGBTQI+ Support (7), Stress / Burnout (7) and Trauma (7).
Sessions here are offered in English and Afrikaans.
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
- Counsellors in Cape Town
- Psychotherapists in Cape Town
- All therapists listed in Cape Town (565)
- Marriage counselling in 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)