Online Therapy for Adults in South Africa

WELCOME TO BARNARDT & FLEMING PRIVATE PRACTICE

Professional Online Therapy for Adults across South Africa

Barnardt & Fleming is an established online clinical psychology practice, purposefully designed to deliver high quality, evidence-based therapy in a way that is flexible, accessible, and grounded in clinical expertise. All our services are provided entirely online, allowing adults anywhere in South Africa to access care from the comfort and privacy of their own space.

Our practice is built around the belief that effective therapy doesn’t depend on a physical office, it depends on a strong therapeutic relationship, a safe and respectful environment, and a commitment to meaningful change. Online therapy makes this possible while offering the added benefit of convenience and continuity, wherever life takes you.

Kirsten Barnardt
KIRSTEN BARNARDT

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

More about Kirsten

Karen Fleming
KAREN FLEMING

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

More about Karen

Clinical Psychologists Kirsten Barnardt and Karen Fleming have extensive experience in supporting individuals through a range of challenges, including:

• Anxiety and depression • Trauma and PTSD

• Stress and burnout • Life transitions and relationship concerns

• Personal growth and self-exploration

Sessions are held via a secure, encrypted video platform to ensure your confidentiality is always protected. Whether you’re at home, at work, or traveling, you can connect with your psychologist in a way that fits your life. We are committed to creating a collaborative therapeutic space where your experiences are honoured, your needs are understood, and your goals are supported. If you’re considering therapy, we invite you to reach out and see whether this online approach feels right for you.

 

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.

More info: http://mct-institute.co.uk/metacognitive-therapy

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).

More info: https://www.beckinstitute.org/get-informed/what-is-cognitive-therapy/

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: www.emdria.org

More: https://www.emdria.org/page/emdr_therapy

Professional Affiliations

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