Meet your counsellor

Serena Grobler

Serena Grobler offers opioid counselling that tackles more than physical dependence and empowers lasting recovery while teaching coping skills for life.

Confidential • Registered clinical team • Johannesburg
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Serena Grobler at Changes Rehab in Johannesburg
Changes Rehab

Serena is a Awareness Executive at Changes.

She is an expert on all things digital and is the organisation’s in-house marketing guru. Serena brings 12 years of digital marketing experience to Changes. She has revamped the website and implemented a successful marketing strategy, increasing the public profile of the organisation. She loves the fact that she is using her skills in the recovery environment and that she plays a part in helping people start their recovery journeys.

Serena believes in contributing to the de-stigmatisation of substance use disorder so that more people understand that addiction is a brain disease and not a moral choice. She is a social media expert and has assisted Changes to improve their public profile on all of their platforms. Serena is a skilled digital designer and website developer who has transformed the look and impact of Changes’ content.

I love being part of the team and the conversation that Changes the stigma around addiction and mental health treatment. Making that difference is what can change a person’s mind and to ask for help when they need it.

Gareth Carter

Gareth Carter

Director · Internationally Qualified Counsellor

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Kate Saxton

Kate Saxton

Group Practice Director · Counselling Psychologist

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Dr. Thea van der Merwe

Dr. Thea van der Merwe

Resident Psychiatrist

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Dr. Rajesh Bhoola

Dr. Rajesh Bhoola

Group Medical Practitioner

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Lolly Kikine

Lolly Kikine

Occupational Therapist

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Christianne Jones

Christianne Jones

Counselling Psychologist

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Skye Warrener

Skye Warrener

Addictions Counsellor

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Melissa Adendorff

Melissa Adendorff

Registered Counsellor

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Otsile Ramarumo

Otsile Ramarumo

Recovery Assistant

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Brian Muhumuza

Brian Muhumuza

Addictions Counsellor

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Ingrid Ter Horst

Ingrid Ter Horst

Recovery Assistant

Dominique Roussouw

Dominique Roussouw

Social Worker

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Bruce Hesom

Bruce Hesom

Intake Coordinator

JP Le Roux

JP Le Roux

Recovery Assistant

Tanya Figueiredo

Tanya Figueiredo

Office Manager

Clients Questions

How does Serena support patients who look high functioning but are falling apart inside?

Serena is skilled at unpacking the polished surface that hides panic, shame and compulsive control, helping so called functioning addicts admit how close things are to crashing.

What is her approach to perfectionism in addiction?

She shows patients how perfectionism fuels burnout, secrecy and overuse of substances to cope, then helps them experiment with more realistic standards that still respect their drive but no longer destroy them.

How does she work with families terrified of stigma?

Serena normalises the medical nature of addiction, challenges class and status myths and helps families see that hiding the problem often does more damage than anything the neighbours could say.

What can you expect from Serena in terms of feedback and accountability?

Expect clear, thoughtful feedback that names patterns kindly but firmly, and an expectation that you act on what you have seen rather than nodding and carrying on as before.

How does she help people move from insight to genuine vulnerability and change?

She encourages people to practise different behaviour in real relationships, tolerate discomfort and repair when they get it wrong, instead of using insight as another way to stay in control.

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