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.
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.
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/





