Johann Krynauw

Frequently Asked Questions

I work with a broad range of psychological conditions, including the following:
  • Anxiety
  • Depression
  • Difficulty in adjusting
  • Obsessive compulsive disorders
  • Post-traumatic stress disorders
  • Relationship conflict on individual basis
  • Trauma
  • Fears
  • Abuse
  • Addictions / Substance abuse
  • Divorce
  • Loss / Grief
  • Impulse Control
  • Medical Conditions (psychological effects thereof)
  • Personality traits
When arriving for your appointment please take note that my office in based on the first floor of the Cape Gate Oncology Centre. You may be seated at the reception area. My office room is located close to the Psychiatry reception area. I will personally come to call and collect you when your session starts. Please ensure that you are on time for your therapy session as that is the specific time allocated that you booked for.
This is a brief introduction to therapy, how we might work together and what you might expect from therapy in order to make it enriching and helpful for yourself. Therapy tends to evolve in a number of phases, an understanding of which may help you to get more out of the process. Often, it begins with a phase of evaluation, where we will get to know one another and how we might best spend our time together. Then, in the therapeutic phase we will work towards some of the goals that we identified in the evaluation phase. It is important to understand that, while therapy can bring about personal growth in the long-term, it can be unsettling in the short-term. Successful therapy can also have unsettling consequences for people with whom you have close relationships. Because therapy is about change, others may struggle with the changes that you choose to make. Therapy will probably work better for you if you feel free to discuss any difficulties that you may have in the process of therapy, either with regard to the therapy itself or the content of what we discuss. Therapy can sometimes evoke strong emotions. For this reason, it is important that you feel entirely comfortable to speak about any dilemmas or difficulties you may have at any time during our work together. You or I may at any time consider that it is better to end therapy, for any number of reasons. Please raise this if you feel that it may be better to end therapy, so that we can draw it to a close in a way that allows you to get as much out of the process as possible.
FIRST CONSULTATION VISIT: For the first session a complete Psychological Assessment will be conducted. It is important to know that the first consultation is not a therapy session but a complete Psychological History Intake Assessment. This creates an opportunity to discuss your goals and expectations, as well as discussing how we might work towards these together. OUT PATIENT CONSULTATION PROCESS: Each consultation is scheduled for 50 minutes. It is advisable to make 9-12 appointment consultations in advance once a week or twice a month to ensure continuity. The practice will only see adolescents and adult patients. Unfortunately the practice does not have office space for dedicated play therapy for child patients.  For inpatient / hospitalization / clinic process please liaise via contact form for requesting more information
My personal and professional ethics require me to keep everything you say confidential. My notes are kept locked away and I will only pass on information with your consent (this includes partners, family members or anyone else in your life). You are of course free to discuss your therapeutic process with whomever you like, confidentiality only applies to myself as your psychologist. There are only 3 emergency exceptions to confidentiality. Please read them in the next FAQ.
There are only three exceptions to confidentiality. If I have reason to believe that you are a danger to (1) yourself or (2) somebody else, then I have a legal duty to inform someone. I may alert others in the interest of your safety or the safety of the threatened person. This does not mean that you cannot discuss thoughts of harming yourself or others. It simply means that I am legally obliged to inform someone if there is a realistic risk of you changing these thoughts into actions. If you get into difficulty with the law, (3) I may be subpoenaed, in which case I may be legally required to divulge aspects of our work together. If any of the above ever happened, I would make every effort to keep you informed of the process. In my practice, the reality is that I seldom need to break confidentiality, usually only to ensure that my client remains safe in an emergency. I have always discussed this with clients in person, before informing a third party.
Each session is scheduled for 50 minutes. After each 50 minute session, I spend 10 minutes in private, making notes and reflecting on what happened in the session. This allows me to reflect on what helped you in the session, but also to plan our future work. During therapy it can be difficult to look at the bigger picture, while at the same time attending to what you are saying. It is very helpful to me to be able to spend a few minutes to think about you and your difficulties after you have left the room.
My practice is contracted to medical aid schemes. We claim directly from your medical aid via an electronic system. Medical aid schemes vary widely in how much they are prepared to cover of this charge, so you are advised to check with your medical aid as early as possible before your first session. Patients are responsible to inquire and contact about how many sessions they have left directly to their own medical aid throughout our therapy sessions. In the event that your medical aid does not pay the claim, you will remain responsible for the account. Unfortunately we do not have access to information regarding your medical aid account. Please take the time to contact your medical aid personally to get the above information. Sometimes, medical aid funds require a diagnosis before they will pay a psychologist’s account, and some may refuse to pay without one. Please feel free to discuss with me the diagnosis that is entered on your account and question any consequences that this may have.
You are welcome to cancel an appointment, provided that you do so with at least 24 hours’ notice. If you cancel within less than 24 hours’ notice, you will be responsible for the cost of the appointment.
Private Practice Social Media Policy
This document outlines my office policies related to the use of Social Media. Please read it to understand how I conduct myself on the Internet as a mental health professional and how you can expect me to respond to various interactions that may occur between us on the Internet or other electronic media. If you have any questions about anything within this document, I encourage you to talk to me about it when we meet. As new technology develops and the Internet changes, there may be times when I need to update this policy. If I do so, I will notify you of any policy changes and make sure you have a copy of the updated policy.

I do not accept friend or contact requests from current or former patients on any social networking site (Facebook, LinkedIn, Twitter, etc). I believe that adding patients as friends or contacts on these sites can compromise your confidentiality and our respective privacy. It may also blur the boundaries of our therapeutic relationship. If you have questions about this, please talk to me about it when we meet.

I have a Twitter and Practice Facebook account. I use these accounts mainly to keep up to date with trends that interest me. I am not active on Twitter and have no expectation that you as a patient will want to follow me. However, if you use an easily recognisable name on Twitter and I happen to notice that you’ve followed me, we may briefly discuss it and its potential impact on our working relationship.

My primary concern is your privacy. I will not follow you back. I only follow other health professionals on Twitter and I do not follow current or former patients on blogs or Twitter. My reasoning is that I believe casual viewing of patients’ online content outside of the therapy hour can create confusion in regard to whether it’s being done as a part of your treatment or to satisfy my personal curiosity. In addition, viewing your online activities without your consent and without our explicit arrangement towards a specific purpose could potentially have a negative influence on our working relationship. If there are things from your online life that you wish to share with me, please bring them into our sessions where we can view and explore them together, during the therapy hour.

Please do not use WhatsApp or messaging on Social Networking sites such as Twitter, Facebook, or LinkedIn to contact me. These sites are not secure and I may not read these messages in a timely fashion. Do not use Wall postings, @replies, or other means of engaging with me in public online if we have an already established patient/therapist relationship. Engaging with me this way could compromise your confidentiality. It may also create the possibility that these exchanges become a part of your legal medical record and will need to be documented and archived in your file.

If you need to contact me between sessions, the best way to do so is by phone or SMS. Direct email to is second best for quick, administrative issues such as changing appointment times or going onto my website directly on my online booking system. See the email section below for more information regarding email interactions.

Adding Skills/Endorsement
I keep a LinkedIn profile page for professional reasons. You are welcome to view the page, but I do not accept patients as contacts on this service. I believe having patients as connections creates a greater likelihood of compromised patient confidentiality and I feel it is best to be explicit to all who may view the list of contacts on my profile page to know that they will not find patient names on that contact list. In addition, the HPCSA’s Ethics Code prohibits my soliciting testimonials (endorsements on LinkedIn) from clients or anyone else for that matter. I feel that the Endorsement function on the LinkedIn service is a promotional function and therefore equivalent to testimonials. This function comes too close to an implied request for a public endorsement of my practice.

Use of Search Engines
It is NOT a regular part of my practice to search for patients on Google or Facebook or other search engines. Extremely rare exceptions may be made during times of crisis. If I have a reason to suspect that you are in danger and you have not been in touch with me via our usual means (coming to appointments, phone, or email) there might be an instance in which using a search engine (to find you, find someone close to you, or to check on your recent status updates) becomes necessary as part of ensuring your welfare. These are unusual situations and if I ever resort to such means, I will fully document it and discuss it with you when we next meet.

Articles on the Internet
I do not follow current or former patients' articles on the net. If there are things you want to share with me that you feel are relevant to your treatment whether they are news items or things you have created, I encourage you to bring these items of interest into our sessions.

Email and SMS
I prefer using email and SMS only to arrange or modify appointments. Please do not email me content related to your therapy sessions, as email is not completely secure or confidential. If you choose to communicate with me by email, be aware that all emails are retained in the logs of your and my Internet service providers. While it is unlikely that someone will be looking at these logs, they are, in theory, available to be read by the system administrator(s) of the Internet Service Provider. You should also know that any emails I receive from you and any responses that I send to you become a part of your therapeutic file.

Thank you for taking the time to review my Social Media Policy. If you have questions or concerns about any of these policies and procedures or regarding our potential interactions on the Internet, do bring them to my attention so that we can discuss them.
Please find below the contact details of emergency service providers who may be able to assist in the event of a mental health related emergency. Included are the telephone numbers of the emergency service provider. Please note that any contact details provided below are for information purposes only and do not constitute a professional or clinical service through this website or by its proprietors or representatives. *Suicide Crisis Line 0800-567-567 *Lifeline (Cape Town) 021-461-1111 *Childline 0800-055-555 *Medi Clinic (Cape Town) 021-464-5555 (Emergency Unit) *Groote Schuur Hospital 021-404-4157 (Emergency Unit) *ER24 Emergency Services 084-124 (Ambulance Response) *Emergency Medical Services 10-177 (Ambulance Response) *Vredekloof Clinic 021 982 2726 *Medi Clinic Cape Gate 021 983 5600
These benefits are defined as a golden standard to make sure that all medical aid members have access to certain minimum health services. Please contact your medical aid to double check their policy on PMB and which diagnostic codes are covered.