Kirsten Barnardt
Clinical Psychologist
Integrating current research with a personalised approach tailored to each individual's needs and goals.
View profileClinical Psychologists · Cape Town · Online across South Africa
A space for you to
Evidence-based online therapy for adults — a calm, confidential space to understand what feels heavy and move toward steadier ground.
HPCSA registered
Online across SA
Private & secure
The Practice
An established clinical psychology practice in Cape Town
Barnardt & Fleming is a clinical psychology practice in Cape Town offering evidence-based online therapy for adults across South Africa, grounded in clinical care and a genuine therapeutic relationship.
The practice is built around a safe and respectful space, and a commitment to meaningful change from the comfort and privacy of your own home.
Why we work onlineMeet the psychologists
In private practice since 2016 in Cape Town
Kirsten and Karen provided in-person therapy from their practices in Sea Point and later Gardens before moving online, where they continue to provide considered, evidence-based therapy for adults across South Africa.
Karen Fleming
Clinical Psychologist
Focus areas include EMDR therapy, trauma recovery, anxiety, and supporting adults through significant life transitions.
View profileProfessional Affiliations
Registered, recognised & accountable
Our practice is registered and affiliated with South Africa's professional and healthcare bodies.
2
Clinical psychologists
28+
Years’ combined clinical experience
9
Provinces reached online
100%
Online
Care you can trust
What guides our work
A genuine relationship
Real change grows from a safe, respectful therapeutic relationship — that comes first.
Evidence-based & ethical
HPCSA-registered clinical psychologists practising recognised, research-backed approaches.
Private & confidential
Secure online sessions, handled with care and aligned with POPIA privacy standards.
What you may be carrying
Therapy offers a supportive space to begin
Whatever feels heavy right now, you don't have to make sense of it alone.
Anxiety
Worry, racing thoughts and tension that won't settle.
Depression
Low mood, flatness and a loss of motivation.
Trauma & PTSD
Memories and reactions that feel stuck or unresolved.
Burnout & Stress
Running on empty with nothing left to give.
Grief & Loss
Finding your way through after someone or something is gone.
Relationships
Patterns and difficulties in how you relate and connect.
Life Transitions
Change, uncertainty and figuring out what comes next.
Emotional Regulation
Feelings that overwhelm or feel hard to steady.
Therapy Approach
Individual Therapy
Support for anxiety, depression, stress, grief, relationships and life transitions — tailored to what feels most helpful and sustainable for you.
Metacognitive Therapy (MCT) — change how you relate to worry and rumination.
Cognitive Behavioural Therapy (CBT) — work with the patterns in thoughts, feelings and behaviour.
Psychodynamic Therapy — explore deeper patterns and how the past shapes the present.
Trauma Focused Therapy
EMDR Therapy
A trauma-focused therapy for distressing memories, PTSD symptoms and experiences that continue to feel emotionally stuck or unresolved.
EMDR (Eye Movement Desensitisation and Reprocessing) is a structured approach that helps the brain process difficult experiences in a steadier, more manageable way.
Trauma & PTSD
Distressing memories
Structured & evidence-based
Learn more
How it works
Starting therapy, made simple
Four gentle steps from first contact to ongoing support.
Reach out
Make the first step. Send a short enquiry form or get in touch by email.
Booking
We'll respond by email with an available appointment or alternative referral options.
First session
Meet securely online from a private space, at a time that suits your life.
Ongoing support
Continue at a pace that feels right, working toward meaningful change.
Common questions
Frequently asked questions
A few things people often want to know about online therapy with us.
Do you offer online therapy across South Africa?
Yes. Barnardt & Fleming is a Cape Town–based online practice working with adults anywhere in South Africa through secure video sessions, so you can attend therapy from wherever you feel comfortable.
How does online therapy work?
After you send a short enquiry, we help match you with a psychologist and book your first session. You join a private, secure video call from a quiet space — much like in-person therapy, without the travel.
What is EMDR therapy?
EMDR (Eye Movement Desensitisation and Reprocessing) is a structured, evidence-based therapy that helps the brain process distressing memories, trauma and PTSD so they feel less overwhelming over time.
Can I claim from my medical aid?
We invoice with standard practice codes so you can submit your sessions to your medical scheme. Cover depends on your specific plan, so it's best to confirm your psychology benefits with your medical aid.
Are your psychologists registered?
Yes. Kirsten Barnardt and Karen Fleming are both clinical psychologists registered with the HPCSA (Health Professions Council of South Africa).
Is online therapy confidential?
Your privacy matters. Sessions are held over a secure connection and your information is handled in line with South Africa's POPIA privacy standards.
Take the first step
Reach out when you feel ready to begin
Learn more about the online therapy process, or send an enquiry whenever you're ready to start the conversation.