Debbie

Debbie Bub, B.Sc.

Occupational Therapist Registered

Verified

“I work with adults across the full spectrum of mental health concerns, addiction, schizophrenia, AuDHD, grief, and more. Together, we build a strong therapeutic alliance as you embark on your journey toward lasting recovery.”

About Me

I'm a registered Occupational Therapist (HPCSA) with over 30 years of experience working in adult psychiatry and mental health. I'm committed to ongoing professional development, and as such, I am a member of SAPI (the South African Psychoanalytic Initiative), which continues to deepen how I understand and work with the underlying roots of psychological struggle. Alongside my individual practice, I run The Recovery Room, a group space where the principles from my book, How Do You Do? The Recovery Workbook are practised collectively, offering peer support. I see clients individually and in groups, working primarily from my practice, with home visits, hospital-based sessions, and online consultations available depending on your needs.

Approach

Every day, we make countless small decisions which have an enormous impact on us. Your state of mind affects what you do, and what you do affects your state of mind. This is both simple and complex. Together, we look at your patterns: identifying what strengthens and weakens you. This isn't about willpower or quick fixes. Often, the ways we struggle to care for ourselves are rooted in past hurts or patterns we're not fully aware of, so real change requires understanding, not just behaviour change alone. Within a strong, trusting relationship, we can safely explore both what you're struggling with and why, building towards practical, sustainable recovery, one small step at a time. These principles are laid out in more depth in my book, *How Do You Do? The Recovery Workbook* [https://canva.link/nr0xoo48t51b21i], for anyone who'd like a fuller sense of how I work.
Contact Debbie

Ask a quick question or arrange a time to meet.

Basic Information

In-person & Online

Services

I work with adults across a wide range of mental health concerns, including: Addiction and alcoholism ADHD, AuDHD, and neurodivergence Bipolar affective disorder Depression and anxiety Eating disorders Grief and loss Schizophrenia, schizoaffective disorder, and psychosis I offer both individual therapy and group interventions, working from a recovery-focused, psychotherapeutically-informed approach grounded in the therapeutic alliance.

Services Offered:

  • Addiction Counselling

    Counselling specifically focused on substance use or behavioural addictions, addressing the psychological drivers and patterns of dependence.

    Learn more about Addiction Counselling
  • Addiction Services

    A range of services for addiction that may include counselling, detox support, group programmes, and aftercare planning.

  • Group Therapy

    Therapy conducted with a small group of people who share similar concerns, using peer interaction and diverse perspectives as part of the healing process.

    Learn more about Group Therapy
  • Individual Therapy

    One-on-one therapy sessions between a client and a therapist, focused on that person's specific concerns and goals.

    Learn more about Individual Therapy
  • Occupational Therapy

    A therapy that helps people develop or recover the practical skills needed for daily life activities, from self-care to work and social participation.

  • Online Therapy

    Therapy sessions conducted over video call, phone, or secure messaging, using the same professional methods delivered remotely.

    Learn more about Online Therapy
  • Outpatient Services

    Mental health treatment attended during the day without hospital admission, including therapy sessions and psychiatric appointments.

  • Rehabilitation

    Structured programmes that help people recover functioning after addiction, injury, or severe mental illness through therapy, skills training, and ongoing support.

    Learn more about Rehabilitation
  • Supervision

    Professional oversight for therapists and counsellors, providing guidance, ethical support, and reflective space for their clinical work.

    Learn more about Supervision
  • Wellness Support

    Holistic support focused on overall well-being, including stress management, lifestyle balance, and building sustainable healthy habits.

Works With:

  • Adults
  • Communities
  • Groups
  • Individuals
  • Elderly

Area of Expertise

Scope of Practice:

  • ADHD / Attention Difficulties

    A neurodevelopmental condition involving persistent difficulty with attention, impulsivity, and/or hyperactivity that interferes with daily functioning.

    Learn more about ADHD / Attention Difficulties
  • Alcohol Use / Addiction

    A pattern of alcohol consumption that has become harmful to a person's health, relationships, or ability to function day-to-day.

    Learn more about Alcohol Use / Addiction
  • Anxiety

    Persistent worry, nervousness, or fear that is disproportionate to the situation and interferes with daily functioning.

    Learn more about Anxiety
  • Autism (ASD)

    A neurodevelopmental condition affecting social communication, sensory processing, and behaviour patterns, with a wide range of presentations and strengths.

  • Bipolar

    A mood disorder involving episodes of mania (abnormally elevated mood and energy) alternating with episodes of depression, affecting judgement, sleep, and daily functioning.

    Learn more about Bipolar
  • Codependency

    A relational pattern in which a person's sense of identity and self-worth becomes excessively tied to caring for or controlling another person, often at their own expense.

  • Depression

    A mood disorder marked by persistent low mood, loss of interest or pleasure, and changes in energy, sleep, or appetite that impair daily functioning.

    Learn more about Depression
  • Eating Disorders

    A group of conditions, including anorexia, bulimia, and binge eating, involving disturbed eating behaviours and a distorted relationship with food and body image.

    Learn more about Eating Disorders
  • Psychosis

    A mental state in which a person loses contact with reality, which may involve hallucinations, delusions, or severely disordered thinking.

    Learn more about Psychosis

Professional Title:

  • Occupational Therapist Registered

    A registered occupational therapist who helps people develop or recover the practical skills needed for daily life, work, and social participation.

Credentials

Qualifications

B.Sc. Occupational Therapy

University of Cape Town

Year: 1992

Service Areas

Constantia Practice

In-person & Online

Plumstead

Cape Town, Western Cape 7801

South Africa

Also serving online:

Johannesburg · Durban · Pretoria

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Plumstead, Cape Town, South Africa