Addictions Therapists in Cape Town, South Africa

Addictions are typically an honest attempt to feel relief from real emotional pain. But such relief just cannot last - so you keep needing more and more of what you're addicted to. Meanwhile, unfortunately, the pathways to real healing are being disrupted or blocked. If you're ready to do the work, I can help you reveal and heal the root cause of your pain. And this will support you to let go of your addiction.

My work with addiction is grounded in the understanding that substance use is often an adaptive response to distress. Through a trauma-informed lens and a focus on trauma endurance, we explore the patterns that have developed to manage overwhelm, disconnection, or pain. This allows for a shift from self-criticism to understanding, creating the foundation for meaningful and lasting change.

Cape Town is South Africa's legislative capital and one of its most sought-after cities, but its beauty masks stark inequality between wealthy areas like the Atlantic Seaboard and Constantia, and the difficult conditions faced by residents of the Cape Flats. The mental health landscape is shaped by crime anxiety, economic stress, and a legacy of racial and social trauma; demand for therapy is high among professionals, creatives, and the expat and tourism-adjacent communities. A strong private therapy sector operates in the Southern Suburbs, City Bowl, Sea Point, and De Waterkant, with many practitioners offering expertise in trauma, identity, and relationship work. English is the primary language of therapy in private practice, and many therapists also offer telehealth for clients in surrounding towns and rural areas.

Gender ID

	50%	Female
	50%	Male

Session Type

100%

In Person and Online

Top Treatment Approaches

100%	Experiential Therapy
100%	Somatic Therapy
50%	Behavioral Therapy
50%	Cognitive Behavioral Therapy (CBT)
50%	Equine-Assisted Therapy (Horse Therapy)
50%	Eye Movement Desensitization and Reprocessing (EMDR)
50%	Family Systems Therapy

Ages Served

100%	Adult
100%	Children
100%	Teen
100%	Young Adult
50%	Senior

Addictions therapists in Cape Town, South Africa

Rephael Perkel - Lifestream Coaching

Dr Jody Eiser