Counselling fees and pricing
In order to keep counselling as affordable and accessible as possible, I work on a cash basis. I accept payment via debit or credit card, or EFT. After each session, I provide an invoice with the necessary ICD-10 codes so you can claim back from your medical aid within South Africa.
R500 per session
51-60 minutes · HPCSA registered · Medical aid invoice provided
Loading live exchange rates…
How to pay
South African Clients
I accept debit and credit card payments, and EFT (electronic bank transfer) for South African clients. Payment is made before each session.
I do not submit directly to medical aids – I work on a cash basis in order to keep my fees as low as possible and avoid the administrative costs that direct medical aid billing would require. I do, however, provide a full invoice after each session with all the necessary ICD10 codes for you to submit a claim to your medical aid directly. For most plans, this reimbursement is processed within a few working days.
If you're based outside South Africa
All sessions are invoiced in ZAR regardless of where you’re based. International clients pay by debit or credit card online before the session. If you’d like a sense of what the current session fee works out to in your local currency, your bank’s exchange rate at the time of payment will give you the most accurate figure – exchange rates shift regularly, so this page doesn’t quote conversions directly. International clients do not typically have access to South African medical aid benefits. See more on counselling for South Africans abroad.
Medical aid
Most major South African medical aids cover sessions with an HPCSA-registered counsellor. My rate is typically at or below the rate your medical aid will reimburse – which means in most cases there is no shortfall to pay.
The process works like this:
You pay before your session
After the session, I provide an invoice with the correct ICD10 codes
You submit the invoice to your medical aid
Your medical aid reimburses you directly, usually within a few working days
To confirm your specific cover before booking, contact your medical aid and ask what rate they reimburse for sessions with a registered counsellor (HPCSA category). This takes one call and removes any uncertainty.
Note on medical aid savings accounts
Some medical aids process counselling claims from your Medical Savings Account (MSA) rather than from risk benefits. It is worth checking with your fund which account will be used, and confirming you have sufficient funds available before your first session.
Cancellations and rescheduling
Life happens, and I understand that sometimes an appointment cannot be kept. I do not charge for cancellations.
That said, I do ask that you give me at least 24 hours notice if you need to cancel or reschedule. The reason is practical rather than punitive: when a session is cancelled with enough notice, that time becomes available for another client who may be waiting for an urgent booking. A short message or WhatsApp is all it takes – I will always do my best to find you another time that works.
If you genuinely cannot afford counselling
If cost is a barrier, it’s worth knowing that some non-profit organisations in South Africa offer free or low-cost counselling support, including:
If you’re unsure whether your situation is something I can help with at the current fee, or you’d like to discuss your circumstances, get in touch – there’s no obligation in asking.
Frequently asked questions
To keep counselling costs affordable, I don’t submit directly to medical aids. I accept debit or credit card payment, or EFT for clients within South Africa. International clients pay by debit or credit card online.
Most medical aids in South Africa cover counselling with an HPCSA-registered counsellor, often from your medical savings account. To check your specific cover and rate, contact your medical aid directly – the current session fee is usually well below the rate most schemes cover for registered counsellors. Please ensure you have the necessary savings account funds available before submitting your invoice for a refund.
Invoices can only be issued after a session, as the correct ICD-10 codes are determined based on what’s discussed and can’t be assigned in advance.
This varies a great deal from person to person, and depends on what you’re working through and how it unfolds. You’re in control of your own counselling and appointments – there’s no fixed programme you’re committing to.
Yes – the current session fee applies whether sessions are conducted in person in Jeffreys Bay or online via Zoom.