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, bereavement, relational dynamics, 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.

Read More


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.

Read More


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

Read More


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.

Read More

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. MCT is based on the principal that many psychological disorders such as depression and anxiety are caused by a pattern of worry or rumination, fixed attention on the self and on threat. Certain underlying meta-beliefs such as, ““I must worry in order to cope,” also maintain unhelpful thinking patterns. Metacognitive therapy helps people find more effective and flexible ways of focusing their attention and relating to negative beliefs and thoughts.  In addition, unhelpful coping strategies are 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.

For more information:

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).

For more information:

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.​

Clinical Psychologists

Clinical Psychologist Kirsten Barnardt Cape Town Therapy

Kirsten Barnardt

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

More about Kirsten

Clinical Psychologist Karen Fleming  Cape Town Therapy Karen Fleming

Karen Fleming

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

More about Karen

The Practice Location

Situated in Sea Point, 10 minutes from the CBD.

home clinical psychologist cape town sea point promenade
Conveniently situated along the Atlantic Seaboard, Cape Town
Barnardt & Fleming Offices clinical-psychologist-cape-town-sea-point-piazza-da-luz
Barnardt & Fleming Offices psychologist cape town sea point
Office Hours: 8am-6pm, Mon-Fri
home barnardt fleming clinical psychologist cape town office
Underground parking available.

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.

What long is each session?

Each session lasts 50 minutes.

How much does each session cost?

The 2018 fee from 1 March is R800 per session. Consultation payments are due directly following your appointment.

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 – 6pm, Monday to Friday. All sessions are to be booked in advance.

Contact Us

  • 94 Regent Road, Suite 7, 2nd Floor, Piazza da Luz, Sea Point, Cape Town, 8005
  • 071 385 2861