
At Changes Rehab in Johannesburg, we understand that overcoming addiction is more than just breaking a physical dependency. Our holistic approach addresses every aspect of an individual’s being: physical, mental, emotional and spiritual. This comprehensive guide explores how our methodology at Changes Rehab offers a path to lasting recovery.
What Holistic Addiction Treatment Includes
Our programme at Changes Rehab combines conventional addiction treatment with therapies that treat the whole person. Integrating medical care, psychiatry, counselling and occupational therapy, we ensure a comprehensive path to recovery. This approach helps in overcoming addiction and in building a healthier, more balanced lifestyle.
Holistic care sits inside the clinical programme rather than beside it. Treatment starts with medically supervised detox where it is needed, moves through inpatient primary care, and continues through counselling once you are stable.
Not sure which level of care fits? An assessment is a conversation rather than a commitment, and it is where we work that out with you.
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The Holistic Therapies We Use
Holistic treatment at Changes means several therapies running alongside the clinical work rather than instead of it. Alongside the CBT and BWRT covered below, the programme uses:
- Group therapy, where the work happens alongside people at the same stage
- Family conjoints, which bring the household into the treatment
- Creative therapy, for clients who find talking difficult early on
- Yoga and meditation, which build the physical regulation that early recovery depends on
- Nutritional guidance, since sleep, appetite and mood recover together
24-Hour Medical Care and Supervision
Round-the-clock supervision by medical professionals at Changes Rehab guarantees immediate response to medical issues and continuous support. This 24-hour care matters most during the early stages of recovery, providing a safe and secure environment for clients.
The table below compares primary care, secondary care and our halfway houses across the five things families usually ask about.
| Primary Care | Secondary Care | Halfway House | |
|---|---|---|---|
| Duration | 21 to 42 days | 8 to 12 weeks | 3 to 6 months |
| Intensity of treatment | Highest, full daily programme | Moderate, structured but lighter | Lowest, focused on independence |
| Level of supervision | 24-hour clinical supervision | Daily staff support | House rules and curfews |
| Focus on reintegration | Limited, stabilisation comes first | Growing, work and study begin | Highest, the point of the phase |
| Therapy options | Full range, individual, group and family | Individual and group, ongoing | Groups and outside meetings |
Primary care is the most intensive phase, with the strongest focus on therapy and supervision. Secondary care reduces both slightly and starts building towards reintegration. The halfway house places the highest emphasis on reintegration, with a matching reduction in intensity and supervision, which is the gradual transition towards independence.
The First 3–6 Weeks of Care
Consistent daily structure and sleep routine are early markers of stabilisation.
Dual Diagnosis, Psychiatry and Psychology
Dealing with addiction often means addressing co-occurring mental health challenges like anxiety, depression or bipolar disorder. Our experienced psychiatrists and psychologists are adept at handling these dual-diagnosis cases, offering tailored support and therapies to ensure comprehensive care.
Individual and Group Counselling
Changes Rehab offers both one-on-one and group counselling sessions. These sessions are key to understanding and overcoming the emotional and psychological aspects of addiction, providing a safe space for clients to explore and heal.
Occupational Therapy and Life Skills
Occupational therapy at Changes Rehab helps clients rebuild lost skills and abilities due to addiction. This therapy prepares clients for life after treatment, ensuring they have the tools to cope with everyday challenges.
BWRT and Cognitive Behaviour Therapy
Our treatment programmes incorporate BrainWorking Recursive Therapy (BWRT) and Cognitive Behaviour Therapy (CBT). BWRT offers rapid results in addressing specific problems, while CBT is effective in treating addiction-related behaviours.
The 12-Step Recovery Programme
The 12-step programme at Changes Rehab provides a structured approach to recovery. It is a well-established method that offers support and a clear roadmap for maintaining long-term sobriety. This programme, combined with our other treatments, enhances the likelihood of sustained recovery.
Prof. George Vaillant found that 12-step support groups like AA (Alcoholics Anonymous) and NA (Narcotics Anonymous) served as useful support necessary for long-term addiction recovery. Our stepwork programme builds that structure into treatment from the start.
Family Support and Involvement
Family involvement matters in the recovery process. At Changes Rehab, we offer comprehensive family support programmes to educate and involve loved ones in the recovery journey. This support system provides a stable environment for clients after treatment.
Long-Term Rehab and Secondary Care
For individuals needing more time to reintegrate into society, Changes Rehab offers long-term rehab facilities, like River Manor. These facilities provide a calm environment for deep self-reflection and sustained recovery, improving the chances of long-term sobriety.
Why Choose Changes for Holistic Rehab
Led by professionals like Sheryl Rahme, our team at Changes Rehab is dedicated to providing a safe, respectful and motivating environment. We focus on treating the whole person, addressing all aspects of addiction and its impact on our clients’ lives.
At Changes Rehab, we’re committed to guiding you through every step of your recovery journey. Our multidisciplinary approach, combined with our dedication to personalised care, positions us as a leader in addiction treatment and recovery. With our comprehensive programmes, we help individuals overcome addiction and start building a healthier, more fulfilling life.
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Holistic addiction treatment that combines medical detox, psychiatry, counselling and occupational therapy. Holistic rehab in Johannesburg since 2007.. Changes team counsellors are here to help you.Holistic Addiction Treatment in Johannesburg | Changes Rehab

