Cape Town Therapy Hub |
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ABOUT US

The Cape Town Therapy Hub is a therapeutic centre conveniently located in Green Point, Cape Town. The centre offers psychological servicesspeech therapyoccupational therapy, dietetics, psychiatric services, diagnostic educational assessments, neuropsychological assessments, parent support as well as autism and special needs support. At the Cape Town Therapy Hub we are fortunate to have a multidisciplinary team of passionate therapists who have a wealth of experience in working with children, families and adolescent/adult clients. The Cape Town Therapy Hub opened its doors with the vision of providing a professional and individualised therapeutic service to clients in a multidisciplinary team environment.

OUR SERVICES

SPEECH THERAPY

Our Speech Therapist is a qualified DIRFloortime® Practitioner. She has a special interest in working with children on the autism spectrum and children with other language and developmental delays, early childhood intervention and speech, language and auditory processing therapy for school-aged children. Therapy is offered in both Afrikaans and English.

PSYCHOLOGY CHILDREN

Our Clinical Psychologists work with children, adolescents, and families. Their approach is broadly psychodynamic, but depending on the specific needs of the client, an eclectic approach to therapy is frequently used. Therapy may include individual therapy, play therapy, family therapy, and/or parental guidance and support.

PSYCHOLOGY ADULTS

Our Clinical Psychologists provide short and long-term individual therapy for adults. They work from an integrative psychodynamic framework - in addition to alleviating symptoms, the focus is on understanding the meaning of those symptoms in the context of the client’s history and current circumstances. Areas of interest include adjustment to life changes and stress, mood disorders, anxiety, trauma, loss, relationship difficulties, chronic medical conditions, and personal growth and development.

OCCUPATIONAL THERAPY

Focus areas include but are not limited to: Sensory Integration Therapy (SI) and Sensory Processing, Developmental Individual-differences Relationship-based model (DIR®/Floortime™), Neurodevelopmental Therapy (NDT), Therapeutic Listening and Solisten, Gross and fine motor skills, School based intervention and Extra time assessments.

DIETETICS

At the Cape Town Therapy Hub, our Dietitian offers clients a supportive and hands-on approach through individualised consultations. The sessions include practical advice and guidelines, meal plans, health and nutrition education, motivation and positive reinforcement all aimed towards our clients’ sustained health and wellbeing.

PSYCHIATRY

Working at a variety of hospitals in and around Cape Town, our specialist psychiatrist has gained experience in treating a wide range of psychiatric conditions. She has a particular interest in child and adolescent psychiatry as well as the treatment of young adults and patients with ADHD. With a focus on recovery and maximising potential, our specialist psychiatrist is dedicated to helping patients overcome their condition no matter their emotional or behavioural difficulties.

PSYCHOLOGY (ASSESSMENT PORTFOLIO)

Our Psychometric Assessments are conducted by a registered Psychologist with experience working with children, adolescents and adults who experience academic, social or emotional difficulties. By using her knowledge of the stages of child development, children and young people can be helped to achieve their full potential. Through the assessment process, our psychologist can help identify problems that may hinder the child’s successful learning by using a range of appropriate interventions in collaboration with their families and other professionals.

NEUROPSYCHOLOGY

A neuropsychologist uses non-invasive, game-like tasks to assess and establish current levels of cognitive (brain) function. Our registered Clinical Neuropsychologist specializes in the assessment of children from 5 years of age but has a passion and experience working with patients of all ages. She has a special interest in early childhood development including possible impairments in attention and general cognitive functioning. She believes in a multidisciplinary approach starting at the diagnostic stage through to intervention and post-intervention evaluation. Assessments are offered in both English and German and can be done in Afrikaans on special request.

MEET THE TEAM

CTTH_0001.1

LINÉ KRUGER (DIRECTOR)

Speech, Language & Hearing Therapist

B. Speech, Language and Hearing Therapy (Stell)
DIRFloortime® Practitioner

MTT2

OLIVER MITCHELL (DIRECTOR)

Clinical Psychologist

MA Clinical Psychology (UCT)
Postgraduate Certificate in Education. Intermediate and Senior Phase (UCT)

MTT23

LESLEY WATSON

Office Administrator
MTT3

PEGGY SHNAPS

Occupational Therapist

BSc. Occupational Therapy (UCT), NDT trained, Solisten and therapeutic listening practitioner

MTT8

JADE PINCUS

Occupational Therapist

BSc. Occupational Therapy (UCT)

MTT24

RAGMAH FREDERICKS

Occupational Therapist

B. Occupational Therapy (Stell)

MTT22

NADINE LINDINGER

Clinical Neuropsychologist

MA in Psychological Research/Neuropsychology (UCT), PhD in Psychology (UCT)

MTT25

SONDRÉ ADAMS

Registered Counsellor

MA Psychology (UWC) 

BA Hons (psych) (Cornerstone Institute) 

MTT_17

MARICHEN KLAVER

Educational Psychologist

MEd Ed Psych (UJ) [cum laude]

BEd Hons Ed Psych (UJ) [cum laude]

BEd FET Phase (UJ)

MTT13

MWANJA CHUNDU

Specialist Psychiatrist

MBCHB (UCT), DMH (SA), FCPsych (SA), MMed (UCT)

MTT11

ZANNE SOLOMON

Registered Dietitian

BSc Dietetics (Stell)

FAQS

I am concerned about my child but at what age should I consult a speech therapist?

You know your child best. If you are unsure as to whether there is an issue or not, base your decision to see a speech therapist on the fact that your concern for your child is real.

 

It’s never too early to seek help. Early identification and intervention means a better outcome. If you are concerned about your child, the sooner we identify potential speech, language or auditory processing skills (a child’s ability to process what they hear in the same way other children do) the sooner we can start addressing these difficulties. If struggling to communicate his or her needs, your child or teen may experience feelings of frustration. They may find it difficult to make friends and interact socially. We will assess their overall communication ability in a nurturing and non-threatening environment.

 

There are certain milestones that are considered ‘normal’ for babies and toddlers but each child is unique. We can help to assess whether or not your child’s speech and language skills are age appropriate and whether there might be other less easily identifiable issues. Together we will work on a speech therapy approach for your child’s particular needs.

What are some of the age related warning signals to look out for regarding my child's speech and language development?

Every child and every circumstance is unique but there are certain age-appropriate milestones that are considered ‘normal’. Here are some red flags that could indicate your child may require a speech therapist:

  • No words at 18 months or not responding to language
  • At 2-3 years using single words only and experiencing difficulty following instructions
  • At 3-4 years using only short, simple word phrases and others find it difficult to understand them
  • At 4-5 years grammar is poor, your child forms simple sentences with no joining words, and their speech is difficult to understand
  • At 5-6 years he or she experiences difficulty following instructions, may have learning difficulties at school, ongoing speech errors or poor grammar

Other signals that you should look out for in your child:

Consult a speech therapist if your child is:

  • Not easily understood by others when speaking
  • Assumed to be younger than they are because of the way they speak
  • Being teased or expressing frustration because of the way they talk
  • Using fewer words than other children their age
  • Stuttering
  • Struggling with reading or writing

What is a psychologist?

A psychologist is someone who provides a safe and confidential space in which children, adolescents, adults and/or families can discuss their challenges, and in doing so start to resolve the underlying emotional/situational difficulties that motivated them to come to therapy. Furthermore, a psychologist is trained to help people explore and identify both the conscious and unconscious influences and motivations behind the emotional, behavioural, relational and/or functional challenges that they may be experiencing. The hope is that through the therapeutic process, and gained insight, people will become emotionally more contained and empowered, and in doing so live happier and more fulfilling lives.

Does my child need to see a psychologist?

This is a difficult question to answer. If you are concerned about your child, or if your child is in distress or acting out, and the situation is not improving, then maybe it’s time to seek some help. As psychologists we are not here to place blame, nor does your child seeing a psychologist and you seeking some help and guidance mean that you have failed as a parent. The role of the psychologist is to support the child and family and assist them with getting back to a happier way of functioning. The hope is that in supporting the child, and working with the family, that we can lower the emotional pressures on the child and provide the parent with valuable insight that they can use to better understand, and more sensitively respond to the emotional, behavioural and/or relational challenges that the child is experiencing.

How does the process of seeing a psychologist typically work?

Typically the psychologist likes to meet with just the parents for the first session where he/she takes a detailed history, get to know the family, and discuss the current challenges. The first session is also an opportunity for you to meet the psychologist and for you to decide if you feel that he/she will be a good fit for your child. After this initial session with the parents, the psychologist typically meets with the child for three sessions where the child and therapist can get to know each other and start to identify and discuss the challenges that they are experiencing. This is usually followed by a parent feedback session where we share insights and start to come up with strategies to support the child in their emotional life. It is also in this feedback session that we discuss what may be the best way going forward. Our psychologist likes to work closely with both the child and parents, and when indicated the teacher or other helping professionals. We feel that the child should not be seen in isolation, and that more positive outcomes are often associated with the involvement of all role players in the child’s life.

What are some signs that my child may need Occupational Therapy?

  • Fussiness in infancy
  • Delays in engagement and communication
  • Does not seem to know how to play with toys appropriately
  • Severe reactions to everyday situations like tags on clothing, loud noises, haircuts, and teeth brushing
  • Difficulty sitting still, always fidgeting, “on the go”
  • Very rigid or set in his or her ways; cannot transition easily from one activity to the next
  • Tantrums easily
  • Difficulty handling new situations
  • Very anxious or worried; difficulty separating from caregivers
  • Difficulty making friends
  • Delays in motor milestones like sitting unsupported, crawling, and walking
  • Clumsy and uncoordinated
  • Takes longer than other children his or her own age to learn a new skill
  • Seems to have trouble using his or her 2 hands together to perform tasks such as buttoning, cutting with scissors, typing, etc.
  • Delays in reading and/or writing
  • Messy, disorganised, and seems to misplace everything

Does my child have sensory processing issues?

Sensory processing is a term used to describe how the nervous system receives information from the body’s senses and then turns that information into a response.  A child who has Sensory Processing Disorder (SPD), will be disorganised and react inappropriately to stimuli within the environment. There are seven senses or sensory areas; tactile, olfactory, auditory, visual, taste, vestibular, and proprioception (sense of body/joint movement and knowing where the body is in space).

 

A child with SPD can be over (hyper-) or under (hypo-) responsive to sensory input, as well as seeking it out or avoiding. We all process sensory information on a continuum, and may demonstrate some symptoms of SPD, however when the symptoms affect the ability to function on a daily basis, impacting on engagement and interaction or the ability to learn through experiences; intervention may be necessary.

 

If your child craves or avoids certain experiences, this does not necessarily mean they have SPD. The symptoms generally occur in a cluster, and would need to impact on every day function, in order to be diagnosed with SPD.

Does a Dietitian just help with weight loss or weight gain?

No, weight is one of the many areas that a dietitian can assist adult or paediatric patients with. This includes cases of obesity, weight loss surgery, and extreme weight loss due to disease.

 

Dietitians can also help with therapeutic nutrition regarding chronic or acute diseases and conditions for both adults and children. These include adults with Diabetes, Hypertension, Cardiovascular Disease, Arthritis, Gout, Cancer, HIV, kidney or liver failure, as well as multiple other conditions. It also includes children with Diabetes, ADHD, autism, epilepsy, Cystic Fibrosis, Cerebral Palsy and more.

 

Dietitians also assist with general gastrointestinal disorders like diarrhoea, constipation, heartburn, stomach ulcers, acid reflux, allergies, anaemia, irritable bowel syndrome, Chron’s Disease, gallstones and kidney stones as well as all gastrointestinal surgery conditions and specialised feedings, like PEGs, gastronomies and swallowing difficulties.

 

Your dietitian can also help you with areas around appropriate infant and young child feeding, breastfeeding, fussy eaters, appetite loss and growth faltering.

 

And, of course, your dietitian can help with advice and education regarding all aspects of healthy eating, nutrition and supplementation.

What does a dietitian consultation entail?

A dietitian consultation is absolutely personalised to your individual needs and no two consultations are alike. We do, however, follow a general structure in our initial consultation. An anthropometric assessment will be done to determine weight, height and BMI for adults and children, and children’s growth can be plotted and monitored.  It is always best to bring along your child’s Road to Health Booklet or clinic card to assess growth trends. We also take a thorough medical and medication history and have a look at any biochemistry (blood results) that have been done. Your dietitian will look at your patterns of eating, preferences and diet history, as well as looking at any gastrointestinal symptoms.

 

Recommendations, guidelines or nutrition prescriptions are put together in the consultation. The guidelines recommended are tailored to your preference in a step-by-step fashion that are built onto and scaled up in follow-up consultations. A meal plan and menu can also be created for follow-up sessions, as well as providing any additional resources of information or guidance. A summarised report can be sent to your doctor if requested.

What is neuropsychology and what does a neuropsychologist do?

Clinical neuropsychology is an established specialized field examining behaviour in relation to brain dysfunction. Neuropsychology overlaps closely with the clinical neurosciences and psychology. In South Africa, neuropsychology is a fairly new profession, with training being offered since the early 2000s and professional registration since 2019.

 

A neuropsychologist uses non-invasive, game-like tasks to measure the current level of a person’s cognitive function (i.e., how a person’s brain is working). Cognitive function is a broad term that includes a variety of abilities and mental processes such as thinking, attention, memory, language, and decision making. Where, for example, a clinical psychologist may diagnose a mental health condition such as depression or anxiety and engages in a therapeutic relationship with a patient, a neuropsychologist instead determines potential difficulties or problems but also strengths across different or specific abilities or brain functions. Much like a clinical psychologist, a neuropsychologist may form part of a multidisciplinary team, involving specialists such as psychiatrists, neurologists, occupational therapists, and speech therapists, helping with diagnosis, establishing disease progression/disability/dysfunction and tracking rehabilitation efforts.

When should I or a family member see a neuropsychologist?

In adults, a neuropsychological assessment:

 

  • may form part of a differential diagnosis by establishing current cognitive function and/or dysfunction following a stroke or traumatic brain injury and to systematically track the progress of rehabilitation.
  • can establish a person’s cognitive ability pre-and post- neurosurgery or prior to and following other neurological intervention.
  • can assist in the diagnosis of specific dementias, and can provide information regarding disease progression and level of independence
  • can help to establish the capacity to work following an accident, injury or illness (e.g., in the medico-legal context)
  • can determine overall cognitive function and/or deficits associated with congenital or genetic disorders

 

In children, a neuropsychological assessment:

 

  • can assist with determining developmental delay or disability
  • can establish general cognitive function and capacity in the context of congenital or genetic disorders, pre- or post-natal complications (e.g., seizure disorders/epilepsy) or trauma (e.g., traumatic brain injuries), pre-natal or post-natal exposure to illicit drugs or alcohol
  • can assist with school placement (for school readiness an educational psychologist …)
  • can characterize and explain attention or memory problems and make intervention recommendations
  • can determine the presence of learning difficulties (e.g., dyslexia, dyscalculia, attention-deficit hyperactivity disorder)

HAVE AN ENQUIRY?

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Address: 49a Somerset Road, Green Point
Cape Town, Western Cape
Email: info@cttherapyhub.co.za
Phone: 021 462 1508

GPS Co-ordinates: Latitude: -33.913408 | Longitude: 18.417098

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