About Changes

CHANGES Treatment Centre and halfway house was started by a group of concerned counselors. Among them they have a collective 40 years experience in the Addiction Treatment field. The goal of the centre is to treat all addictions and do so with our dignified, affordable and high quality treatment.

Our emphasis is on Bio-psycho-social treatment and our core focus is ensuring that the person affected receives the best help possible and that the family and love-ones receive guidance during the recovery process.

At CHANGES we understand addiction as well as the consequences and effects that result from this destructive disease. We help our clients build up life skills again and we assist them with re-integrating back into society.

inthishouseThe services that we offer are:

  • Assessments
  • Individual Counselling
  • Life Skills Coaching
  • Day and evening outpatient treatment
  • Halfway House Accommodation
  • Onsite Urine testing
  • Family Support Groups
  • Family Counselling
  • Co-Dependant’s counselling
  • Couples Therapy
  • Men’s and Women’s Group Therapy
  • Aftercare
  • Early Recovery Group Therapy
  • 12 Step Support Groups
  • Educational Workshops
  • Employee Assistance Programmes (training and education)
  • A six week treatment programme for families and loved ones


We believe that it is possible for the addict to overcome their addiction and to find some form of inner peace. At CHANGES we are able to assist with the process and we strive to support the addict towards a full recovery with our vast expertise.

Find out more about our Councillors Sheryl Rahme and Carmen du Toit.


CHANGES Treatment Centre offers a multidisciplinary approach and their therapeutic team has many years’ experience in treating addictions and other co morbid disorders. With varied backgrounds and qualifications, the team has seen most treatment methods at work first hand. The leadership team are all in recovery themselves. Having successfully battled with their own addictions, Co- dependency and dependencies. These personal experiences, have equipped them well to assist others in their treatment. It is our belief that the causes of addiction are varied and we strive to offer each patient unique treatment options. Each person is unique and this means that each person’s treatment should be customised to suit their specific needs.

This multi-disciplinary, client centred approach has resulted in CHANGES developing their own methodology of the Bio-Psycho- Social addiction treatment model of treatment. Our approach results in treating addiction in a multi-disciplinary process and consists of three parts:

Initially, we address the “BIO” component of treatment. Namely, immediately upon admission into treatment, the patient is assessed by the medical team with the aim to stabilize and offer an appropriate detoxification regime ensuring that they are withdrawn from narcotics and alcohol to prepare them to be healthy enough to begin the therapeutic process. When the patient has been chemical free for a period, we then offer a Psychiatric assessment to ascertain if there is an underlying Psychiatric or other disorder. This step can include psychiatric medication & vitamins to reduce withdrawal symptoms. At Changes, we do not believe that the client/patient should suffer during the withdrawal process.

When patients are admitted to CHANGES Treatment Centre, they offered the opportunity to be diagnosed & assessed by the Psychiatrist on the team who is highly qualified in Addiction Medicine. It has been our experience that very often, people with addictions present with symptoms of underlying Psychiatric Disorders. We believe that once the person has come off the narcotics and alcohol, the doctors are in a better position to offer accurate diagnoses and provide a medication regime to assist in the long-term recovery process.

Should a Psychiatric disorder be diagnosed by the medical team, an appropriate and non-addictive treatment regime will be prescribed. This regime can be beneficial in their holistic treatment and assist them whilst they are receiving treatment to learn new and healthy coping mechanisms ad behaviours that will enable them to deal with their addiction. Dual diagnosis treatment can allow the treatment team to create the optimal treatment program for every patient, based on each persona’s unique needs.

The second stage is the “Psycho” segment of treatment. After the “Bio” stage has addressed the physical effects of addiction, the patient is ready to begin multi-disciplinary therapy treatment.

It is our belief that addiction causes much turmoil in itself but most of our clients, present with various forms of trauma and psychological issues which need to be uncovered and ultimately addressed. Here we help our clients to address their emotional trauma and historical pain. Interpersonal Group Therapy and Individual Therapy help address these issues. The treatment combines elements of Didactic Behavioural Therapy, Cognitive Behavioural Therapy, as well as 12 Step Groups and Step work. This is complimented by lectures and other therapeutic activities.

A large part of the CHANGES Treatment programme is teaching the client to identify relapse triggers and emotions attached to their addiction. A primary focus is to teach new life skills and new coping mechanisms to learn how to remain clean, sober and begin to be more productive, responsible and slowly move towards a successful re-integration back into society.

Changes Treatment Centres are proud to offer a Halfway House/Tertiary Care Programme for addicts to strengthen their recovery process and can start to enjoy a structured and supported re-integration process, gradually learning the skills they need to exist in a world full of triggers and temptations.

Ultimately, we focus on the “Social” aspects of recovery. We have discovered that after working extensively with the client to assist them in identifying their triggers, start to uncover and heal past psychological and emotional issues.

The tools that CHANGES use to optimise this stage of recovery is Interpersonal Group Therapy. This offers the client to see themselves in one another, i.e. the ‘Mirror’ approach. It is proven that this method is highly effective and clients find it very helpful. This is where one addict helps another, helping them recognise behaviours & compulsions that are not helpful to their recovery. This disentangles them from playing the ‘Blame Game’. Using Individual and Group therapy, our clients can learn how to regain their authentic personal-power, offering them freedom from active addiction and dispelling the need to use substances in order for them to be able to meet their potential.

A recovering addict can take a long time to re-integrate into society. They are no longer able to use drugs or alcohol as a coping mechanism or social lubricant. For this to be achieved, the addict/alcoholic will need to learn how to:

  • Manage social situations for the interim period
  • To re-calibrate their belief systems, specifically, how they see themselves, how others see them and how they see themselves in relation to others
  • Ask for help and rely on a support network

Once an addict/alcoholic has completed these three stages; treating the body, the mind and the soul, they feel as if they have received sufficient tools to assist them in coping better and the Halfway House becomes a safe space within which to practice trying out the new approaches to manage their lives, then addiction recovery is not just possible, it is probable!

Changes provides ongoing, continual support and treatment after the patient leaves the facility. There are 12 Step Meetings, Aftercare Support Groups as well as Individual counselling options, ensuring the patient is adequately supported to help to assist with a long-term recovery from addictions.


Our Motto at CHANGES is:

You are not a bad person trying to get good, you are an ill person trying to recover and get well. Welcome to CHANGES. CHANGE is an inside job!

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