Kirsten Barnardt and Karen Fleming are Cape Town based Clinical Psychologists specializing in psychotherapy and consultation. We provide evidence-based treatments to children, teens and adults.Our focus areas include anxiety, depression, trauma, stress management and personal development.


For those who could benefit from support to cope with difficulties such as life transitions, depression, social anxiety, generalized anxiety and loss or bereavement.

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For young adults who may be experiencing a range of life transitions and challenges related to studies, leaving home, entering the job market and navigating relationships in new ways.

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For teenagers who may be struggling with challenges related to self esteem, identity, communication, the need for independence, regulating emotions and navigating peer relationships.

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For children with difficulties such as anxiety, separation difficulties, bereavement, behavioural challenges, adjusting to changes such as coping with the birth of sibling or going to a new school.

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Therapy Approaches

Short and Longer Term

Metacognitive Therapy (MCT)

Metacognitive Therapy (MCT) is a relatively new therapy approach. It’s efficacy has been demonstrated in a wide range of studies, particularly for anxiety and depression. Evidence shows that emotional distress is maintained by a style of thinking that is characterised by worry (concerns about the future) and rumination (dwelling on the past). MCT helps people become more flexible with their focus of attention and dwell less on distressing thoughts, which in turn has a positive effect on mood.

In addition, underlying meta-beliefs such as, ““I must worry in order to cope,” also maintain unhelpful thinking patterns. MCT helps people address these meta-beliefs in more effective ways. Unhelpful coping strategies are also identified and replaced with more effective strategies. In the process, unhelpful underlying beliefs and coping strategies are adjusted resulting in an alleviation of psychological distress.  MCT has been used to treat disorders such as generalised anxiety disorder, post-traumatic stress, obsessive-compulsive disorder, social anxiety, depression, and health-anxiety.

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Cognitive Behavioural Therapy

Cognitive Behavioural Therapy (CBT) is a relatively short-term,  solution-focused approach that equips clients with skills to help manage current difficulties. As a client, you would  play an active role in this structured therapeutic process which focuses on identifying unhelpful thoughts and behaviours in order to develop healthier skills and habits. CBT has been researched extensively, and has demonstrated effectiveness for many different problems and psychiatric difficulties.  Additional therapeutic approaches involving CBT include Mindfulness Based Cognitive Therapy (MBCT).

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Psychodynamic Therapy

Psychodynamic therapy aims to explore and understand the psychological roots of emotional distress. Self-reflection is encouraged to better understand the influences of the past on present patterns of thoughts, emotions, behaviours, self concept and relationships. At times, unhelpful patterns can lead to painful emotions and a feeling of being stuck. If unhelpful patterns are identified and understood, new ways of relating to self and others can start to develop. As psychodynamic therapy is insight orientated, it can facilitate this process.​

Trauma Focused Therapy

Kirsten Barnardt and Karen Fleming are both EMDR Practitioners

EMDR - Eye Movement Desensitization and Reprocessing

“Eye Movement Desensitization and Reprocessing (EMDR) therapy is an integrative psychotherapy approach that has been extensively researched and proven effective for the treatment of trauma. The current treatment guidelines of the American Psychiatric Association and the International Society for Traumatic Stress Studies designate EMDR as an effective treatment for post traumatic stress.” EMDR was also found effective by a number of international health and governmental agencies such as the World Health Organization (WHO), the United Kingdom Department of Health and the Israeli National Council for Mental Health.” – EMDR International Association. Source:



Clinical Psychologists

Clinical Psychologist Kirsten Barnardt Cape Town Therapy

Kirsten Barnardt

M.A.Clinical Psychology & Community Counselling (SU)

Clinical Psychologist Karen Fleming  Cape Town Therapy Karen Fleming

Karen Fleming

M.A.Clinical Psychology & Community Counselling (SU)

Professional Affiliations

The Practice Location

Situated at The White Lotus Wellness Center, 79 Kloof Street, Gardens, Cape Town.

Conveniently situated in Cape Town’s CBD at The White Lotus Wellness Center
Contact Karen Fleming:
Office Hours: 8am-6pm, Mon-Fri
Contact Kirsten Barnardt:

Barnardt & Fleming Private Practice

Commonly asked Questions and Answers

What can I expect in the first three sessions?

The first three to four sessions will be focused on gathering information so that I can better understand your concerns in context. We refer to this as the clinical assessment. During the first session we will mostly discuss your main reason for seeking therapy. Over your second and third sessions, you will be asked to answer questions related to your early experiences, medical, education, social and work history. You might also be asked to complete some general screening measures to help us gain further clarity on goals for therapy.

How long will the therapy process take?

After the initial assessment phase which usually takes three to four sessions, we will discuss a therapy plan and a proposed number of anticipated sessions moving forward. The length of therapy varies depending on the presenting problem and goals of therapy. Medium-term therapy typically lasts around 12-15 sessions.

How frequently will I attend sessions?

Sessions typically take place once a week.

How long is each session?

Each session lasts 50 minutes.

How much does each session cost?

The 2022 fee from 1 March is R910.00 per session. Consultation payments are due via EFT directly following your appointment. If your medical aid approves Prescribed Minimum Benefits, we charge the medical aid rate.

Will my medical aid cover the cost of session?

Kirsten Barnardt and Karen Fleming are both registered with the Board of Healthcare Funders and as such, clients attending therapy may be able to claim full or partial reimbursement from their medical aid if these psychology services are included in your benefits. It is recommended that you contact your medical aid in advance to determine what benefits you have available. Accounts are to be settled directly after each session. You will be provided with an invoice which you can then  submit to your medical aid.

What are your office hours?

Office hours are 8am – 5pm, Monday to Friday. All sessions are to be booked in advance.

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