
Carmen du Toit
Carmen is the senior addictions counsellor and head of treatment at River Manor, whish is Changes long-term secondary care facility.
Carmen has worked for Changes since 2012 and, before that, she has worked in various roles in the addiction treatment industry for 11 years. She is experienced in treating both drug and alcohol addictions as well as process addictions such as gambling and sex. She is also experienced in helping clients with a history of complex trauma.
Carmen is well-versed in treating addicts with co-occurring mental illnesses.
She has a special interest in animals, having volunteered for a number of charities including at ReWild Wildlife Rehabilitation Centre in Phalaborwa.
She uses this love for animals in her work, providing clients with equine-assisted therapy at River Manor with the help of the resident horse Snowbell.
Did you know Changes Rehab is accredited by all major healthcare associations and national health organisations and adheres to internal protocols that far exceed the codes of conduct or norms and standards for effective treatment of patients with addictions and other mental health issues.





Premium South African Medical Aid associations pay for patient treatment for the first 21 days in our private primary care facility in Johannesburg.


















Changes addiction counsellors are registered professionals who use a proven track record and therapeutic techniques to help your loved one overcome their addiction. With expertise and compassionate approaches, we are able to guide individuals towards leading a healthy, normal life, free from addiction.
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With over 100 years of collective experience, the majority of the Changes Multidisciplinary Addiction Counselling Team has faced addiction firsthand. They not only hold the qualifications but also possess the personal experience to truly understand and assist loved ones that are struggling through addiction. It is a privilege to work alongside some of the best counselling minds in South Africa.

Ingrid Ter Horst
Recovery Assistant

Bruce Hesom
Intake Coordinator

JP Le Roux
Recovery Assistant

Tanya Figueiredo
Office Manager
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