Agents of Change
With over a century of combined experience, the majority of the Changes Multidisciplinary Addiction Counselling Team has confronted addiction disorders both personally and professionally. We are here to understand and support you or your loved one’s battle with addiction. Changes collaborative framework for recovery puts our patients in direct counselling with some of South Africa’s best addiction care professionals.
Meet Your Team of Change Makers

Sheryl Rahme
Founder & Director
Head of Treatment for Primary Care

Gareth Carter
Director
Internationally Qualified Counsellor

Kate Saxton
Group Practice Director
Counselling Psychologist

Dr. Thea van der Merwe
Resident Psychiatrist

Dr. Rajesh Bhoola
Group Medical Practitioner

Lolly Kikine
Occupational Therapist

Christianne Jones
Counselling Psychologist

Carmen Du Toit
Head of Treatment at River Manor

Skye Warrener
Addictions Counsellor

Melissa Adendorff
Registered Counsellor

Otsile Ramarumo
Recovery Assistant

Brian Muhumuza
Addictions Counsellor

Ingrid Ter Horst
Recovery Assistant

Dominique Roussouw
Social Worker

Bruce Hesom
Intake Coordinator

JP Le Roux
Recovery Assistant

Tanya Figueiredo
Office Manager
Having a strong multidisciplinary counselling team is crucial, as it brings together professionals from various fields such as psychology, psychiatry, medicine, social work, and addiction counselling, ensuring all aspects of a patient’s health are addressed. Each team member contributes their unique insights and skills, creating a well-rounded treatment plan tailored to each individual.
When patients book into rehab and work with a multidisciplinary team, the most obvious benefit is the broader range of therapeutic options that allows treatment to be fine-tuned to what is actually required for the patient. Increased support means not only more personalised care options are available but also that problems that arise can be dealt with by the most appropriate specialist. The collective expertise ultimately leads to better, more comprehensive treatment plans that address all aspects of addiction and recovery, making the care more effective and patient-centric.