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

Gareth Carter

Gareth Carter

Director · Internationally Qualified Counsellor

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Kate Saxton

Kate Saxton

Group Practice Director · Counselling Psychologist

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Dr. Thea van der Merwe

Dr. Thea van der Merwe

Resident Psychiatrist

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Dr. Rajesh Bhoola

Dr. Rajesh Bhoola

Group Medical Practitioner

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Lolly Kikine

Lolly Kikine

Occupational Therapist

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Christianne Jones

Christianne Jones

Counselling Psychologist

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Skye Warrener

Skye Warrener

Addictions Counsellor

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Melissa Adendorff

Melissa Adendorff

Registered Counsellor

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Otsile Ramarumo

Otsile Ramarumo

Recovery Assistant

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Brian Muhumuza

Brian Muhumuza

Addictions Counsellor

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Ingrid Ter Horst

Ingrid Ter Horst

Recovery Assistant

Dominique Roussouw

Dominique Roussouw

Social Worker

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Bruce Hesom

Bruce Hesom

Intake Coordinator

JP Le Roux

JP Le Roux

Recovery Assistant

Tanya Figueiredo

Tanya Figueiredo

Office Manager

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Fast authorisation and a confirmed bed reduce delays—early treatment is linked to better outcomes.

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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.

Changes Addiction Rehab professional memberships and accreditations

Changes Addiction Rehab is licensed by the South African Department of Social Development (Practice No. 0470000537861) and the Department of Health, and is a registered detox facility and practice with the Board of Healthcare Funders. Our treatment programme is led by counsellors registered with the HPCSA, working alongside a multidisciplinary team of medical professionals under a unified practice. We are proud, standing members of the International Certification & Reciprocity Consortium (IC&RC), the Occupational Therapy Association of South Africa, the South African Council for Social Service Professions, the South African Medical Association, the South African Nursing Council and the South African Society of Psychiatrists. Changes Addiction Rehab has been in continuous professional operation since 2007, when it was founded by Sheryl Rahme, who has worked in the addiction treatment field since 1984. Our core clinical team brings over 100 years of combined professional addiction recovery experience.