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

Read bio

Kate Saxton

Kate Saxton

Group Practice Director · Counselling Psychologist

Read bio

Dr. Thea van der Merwe

Dr. Thea van der Merwe

Resident Psychiatrist

Read bio

Dr. Rajesh Bhoola

Dr. Rajesh Bhoola

Group Medical Practitioner

Read bio

Lolly Kikine

Lolly Kikine

Occupational Therapist

Read bio

Christianne Jones

Christianne Jones

Counselling Psychologist

Read bio

Skye Warrener

Skye Warrener

Addictions Counsellor

Read bio

Melissa Adendorff

Melissa Adendorff

Registered Counsellor

Read bio

Otsile Ramarumo

Otsile Ramarumo

Recovery Assistant

Read bio

Brian Muhumuza

Brian Muhumuza

Addictions Counsellor

Read bio

Ingrid Ter Horst

Ingrid Ter Horst

Recovery Assistant

Dominique Roussouw

Dominique Roussouw

Social Worker

Read bio

Bruce Hesom

Bruce Hesom

Intake Coordinator

JP Le Roux

JP Le Roux

Recovery Assistant

Tanya Figueiredo

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.

Why Families Choose Changes

Experienced clinicians, trauma-informed care, and outcomes that hold at home.

Read more

Clients Questions

Why does it matter who is actually on the treatment team, not just the brand name?

The quality of your care depends on the people in the rooms with you, their training, experience and ethics, not on the logo at the gate or the promises on a website.

How does having staff with lived experience change the tone of treatment?

Professionals who have been through addiction themselves can call out denial sharply but compassionately, and their presence reminds patients that honest change is possible without sugar coating the work.

What is the value of a multidisciplinary team instead of one hero therapist?

Doctors, psychiatrists, counsellors and social workers each see different parts of the picture, and when they work together they can build safer, more realistic plans than any single person working alone.

How do I know if a rehab team is being properly supervised and held accountable?

Ask about registrations, clinical leadership, regular supervision and complaints processes; vague or defensive answers suggest a culture that protects itself more than its patients.

What should I feel when I read about or meet the Changes team?

You should feel that they are competent, direct and human, able to handle hard truths without flinching, and more interested in your long term stability than in keeping you comfortable in the short term.

Start Admission Now

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

Read more