Find a Therapist In South Africa, Akasia

The profiles listed above are practitioners who consult in Akasia, or who name Akasia as an area they work in. You can narrow the list by profession, by the difficulties someone works with, by language, by client group and by identity. That matters when the fit of the person counts for as much as the method.

You can also filter for people who work online. That opens up the list without changing what you are looking for. Choosing well is a question of its own, and we have written about what to weigh.

Read how to choose a therapist

South Africa protects some professional titles by statute and does not protect others. Psychologists, registered counsellors and psychiatrists register with the Health Professions Council of South Africa, and performing acts that pertain to the profession of psychology while unregistered is a criminal offence. Social workers register with the South African Council for Social Service Professions.

Nurses, including those holding a psychiatric qualification, register with the South African Nursing Council. Titles such as wellness counsellor and life coach carry no statutory register behind them. You can confirm a registration with the SACSSP Find a Professional search.

Some practitioners in South Africa also belong to a professional association, such as the Psychological Society of South Africa. Belonging to an association is not the same as being on a statutory register. Everyone listed must be qualified for the work they offer.

Whether that qualification is also a licence depends on the profession. A tick beside a registration, qualification or membership means we have seen evidence for that entry, not that we endorse the practitioner. The Verified mark at the top of a profile is different: the practitioner pays, submits documents and passes a closer check, so we rank them higher and show them with greater confidence.

Paying alone does not earn it. Where a profession is registered, that register is the check worth making before you book.

Read how we review and verify listings

Therapist is a colloquial word rather than a protected title. It covers everyone who offers talk-based help for emotional and relationship difficulties, and it tells you nothing on its own about training. A psychiatrist is a medical doctor who specialises in mental health.

Psychiatrists can prescribe medicine, which is the main practical difference between them and the other three. A psychologist is trained in the study of the mind and behaviour, and works by assessment and talk therapy. Where the title is protected, it takes a university degree in psychology and registration with the body that governs the profession.

Counsellors and psychotherapists work by talk therapy as well, and their training runs from a short course to years of supervised practice. In South Africa, psychologist and registered counsellor are titles held on a statutory register, and only a registered person may use them. Therapist and life coach are open words with no register behind them.

A psychiatrist is a medical doctor. The titles that carry legal weight are the registered ones. Where a title is not registered, anyone may use it, so the register is what tells you what training sits behind the word.

Read which professional titles are protected where

Therapy fees in South Africa are set by each practice and vary by the therapist's profession. If you are on a medical aid, the scheme pays a set rate per session against a tariff code, and where a psychologist charges more than that rate the difference is yours to pay. What a plan pays differs from scheme to scheme, and psychology benefits are often paid from savings or a limited annual allocation rather than from risk benefits.

Lower-cost routes exist: public hospitals and community health centres charge according to what you earn, university training clinics run on sliding scales, and community organisations offer counselling at low or no cost. It is worth asking any practice whether it keeps reduced-fee places. What a particular practitioner charges is set by them, not by any figure on this page.

Their profile lists a fee where they have given one, and asking them is the way to be sure. An online session is usually not much cheaper than one in a consulting room. Practitioners commonly charge the same rate either way, so what you save is the travelling and the time around the appointment.

See the South Africa fee guide

Cost stops many people before they start, and there is usually more than one rung below the full private fee. Many practitioners keep a few reduced-fee places. They set the reduction themselves after asking about your income, so it is worth asking rather than assuming the answer.

Group therapy costs less per session, and for a number of difficulties it works as well as individual work. Publicly funded clinics and non-profit services exist in many countries, and will often see someone without a referral.

Read how to find affordable therapy

For most common difficulties the research puts video sessions close to in-person work. That holds on the same condition that governs the rest of therapy: the working relationship between the two of you has to be a good one. It suits people who live far from a practitioner, who have little room in a week, or who want a choice their own town cannot offer.

It suits some situations less well, and a practitioner should say so. Immediate risk to safety, and having nowhere private to talk, are the usual reasons a practitioner suggests meeting in person. Text-based and on-demand app services do cost less, and they are a different product rather than a cheaper version of the same one.

The evidence behind them is thinner than for regular psychotherapy. What is being sold is often messaging rather than a scheduled hour with one practitioner who knows your history. Filtering the list above for online availability shows who offers it here.

Read the evidence on how well online therapy works

Yes. Confidentiality is the condition that makes the rest of therapy possible. A registered practitioner works inside an ethical code that requires them to keep what you say private.

Someone who belongs to a professional body is bound by that body's code as well. In South Africa a registered psychologist must follow the board's rules of conduct, and those rules carry formal disciplinary steps. The Health Professions Council of South Africa holds that register.

The limits are narrow. They commonly include a serious and immediate danger to you or to another person, and abuse of a child or of a vulnerable adult. A court order or a subpoena can also compel disclosure.

A claim to an insurer or a medical scheme usually carries some information with it. A practitioner should set those limits out in the first session. You are entitled to ask where the line sits before you say anything you would rather keep private.

The first session is an orientation and brief assessment. It's a chance to see if you feel comfortable. Sessions typically last 50-60 minutes.

What Happens:

• Introductions & Paperwork: You'll discuss confidentiality, fees, and policies.
• Your Story: The therapist will ask what brings you to therapy and what you hope to achieve.
• Questions & Answers: This is your chance to ask about their approach and experience.
• Next Steps: You'll decide if it's a good fit and schedule future sessions.

You do not need to have anything prepared. The most important thing is to show up as you are.

How to Know if It's a Good Fit:

A good therapist will listen, show empathy, and create a safe space. People experience better outcomes when the therapeutic relationship is strong.³ That relationship usually takes a few sessions to settle, so it is worth giving it some time before deciding whether the fit is right.

To learn more, read our guide on What is Therapy?

There is no single answer, and the honest version is that the match between you and the practitioner matters at least as much as the school they trained in. The names you will come across include cognitive behavioural therapy, psychodynamic therapy, EMDR, family therapy and couples therapy. What shapes the choice is the nature of the difficulty, and whether you want something short and focused or something open-ended.

It also depends on how much of the past you want to work with, and what you can sustain in time and money. A first consultation is partly for settling this. Someone trained will ask what brought you there, say what they think would suit, and say so when they are not the right person.

Read how to pick the therapy that suits you

You do not need a diagnosis to benefit from therapy.¹ Many people come because something is not working and they want to think it through with someone. If you want change, support, or clarity, therapy is likely for you.

Common reasons people seek therapy:

• Personal growth to build confidence, self-understanding, and emotional maturity²
• Low mood, worry, emptiness, or irritability
• Relationship strain and conflict
• Support for your child or teenager
• Big changes like job loss, bereavement, relocation, or divorce

About 1 in 8 people lives with a mental health condition, and many more face stress or want more from life.¹ You do not need to wait for a crisis.

To learn more, read our guide on Who Needs Therapy?

In Akasia you choose your own therapist and approach them directly. They focus on finding the right fit, tailoring sessions to your unique needs, and taking the time to understand your goals before you commit, and they set their own terms of practice rather than working to somebody else's.

This model provides several key benefits:

• Direct Relationship: You and your therapist agree on goals and methods together. You choose who you see; nobody is assigned to you.
• Tailored Methods: Clinicians can adapt their approach to your needs, including session length and pace, integrating multiple methods as you evolve.
• Privacy & Continuity: Fewer parties are involved in your care. You can see the same clinician over time, which supports deeper work.