About Us

Treatment in Life

A day programme that’s integrated into your life may offer the best opportunity to manage and face your challenges.

Sometimes help is needed in a more intensive way than a single monthly or even weekly appointment with a healthcare professional.

On the other hand, inpatient treatment can be costly, disruptive and can prevent you from drawing on the skills and resources you do have.

A hospital admission can give a huge sense of relief by getting away from your problems. However, in some situations the discharge back into ordinary life can feel overwhelmingly difficult and you may find it difficult to hold on to the gains you made.

Treatment that’s been shown to work

We believe that ongoing support in dealing with the problems you face provides a vital sense of self-confidence that can grow over time.

We offer a Dialectical Behaviour Therapy (DBT) informed treatment approach. It is an internationally recognised, evidence based treatment for disturbances in mood and behaviour.

The Day Clinic provides independent therapy day programmes both for adults and for adolescents.

Our therapies are located in a centrally accessible and appealing setting on Oxford Road, Saxonwold, Johannesburg.

The Day Clinic Team

Our team of multi-disciplinary professionals has extensive and in-depth clinical experience in working with patients living with psychiatric illness.
Dr Ella Brent
Dr Ella Brent trained in the UK, and has a Doctorate in Clinical Psychology from University College London. Between 2000 and 2002 she worked in Public Health in the UK in Child and Family Services. From 2002 until 2008, Dr Brent worked at Tara Psychiatric Hospital, across a variety of inpatient and outpatient services, culminating in heading the Psychology Department. Since leaving Tara, Dr Brent has run a private practice offering individual adult psychodynamic psychotherapy and clinical supervision. She is a Director as well as a Consultant Psychologist for The Day Clinic. Dr Brent has a special interest in the meaningful application of Dialectical Behaviour Therapy (DBT) and Mentalising Based Therapies (MBT) to address long standing relationship difficulties, mood disorders and impulsive behaviour. She is also passionate about locating these treatments within existing theoretical models for the professional community.
Dr Jow’hara Chundra
Dr Jow’hara Chundra is a Specialist Psychiatrist in private practice at Oxford Healthcare Centre. She is also a Director and Consultant Psychiatrist for Adult Services at The Day Clinic. Dr Chundra was a Senior Psychiatrist at Tara Hospital where she ran the specialised psychotherapy unit for seven years. She has comprehensive experience in Dialectical Behavioural Therapy (DBT), Mindfulness Techniques, Complex-Trauma and group and individual psychotherapy. She has lectured and presented widely on the topics of DBT and Personality Disorders. At the Wits University Department of Psychiatry, she was also a member of the Undergraduate Committee, responsible for training and examining young doctors and other allied professionals. Dr Chundra has extensive experience in treating patients with depressive disorders, bipolar disorders, anxiety and trauma-related disorders, along with personality difficulties in both biological and psychotherapeutic modalities. She has a special interest in post-natal mood disorders, parent-infant bonding and attachment, as well as the impact of psychiatric disorders on families.
Julia Halstead-Cleak
Julia Halstead-Cleak is a Clinical Psychologist in private practice at Oxford Healthcare Centre and is a founding Director and a Consultant Psychologist for Adult Services at The Day Clinic. She worked for six years as the Head Psychologist of Wards 4 and 5 at Tara Hospital, a specialist unit treating patients with personality pathology, complex developmental trauma and psychiatric conditions such as mood and anxiety disorders. As a joint appointee of the Department of Psychiatry at Wits University, Julia supervised intern psychologists, psychiatry registrars and psychiatric nurses, as well as provided lectures and workshops on Dialectical Behaviour Therapy (DBT), personality disorders and complex developmental trauma. She has also presented on these topics at conferences and meetings of professional mental health bodies. Together with the Wards 4 and 5 multi-disciplinary team, Julia helped to establish a successful outpatient parenting programme at Tara Hospital.
Vanessa Hemp
Vanessa Hemp is a Clinical Psychologist who trained at Wits University. She started working at Tara Hospital with children, adolescences and their parents, on an outpatient basis. She became Head of Department of Psychology; managing and supervising the psychological service provision throughout the hospital, including the outpatient and outreach services at Alexandra Clinic. She was also involved in the training and supervision of interns and psychiatry registrars as well as in the planning of the Children’s Ward and training of staff. Vanessa’s role in the Alex AIDS Orphans Project was to identify the psychological needs of orphaned children, develop and supervise a number of bereavement groups. This work was presented at conferences, including the World Association of Social Psychiatry in Kobe, Japan. At Tara, she served as a joint appointee to the Wits University Department of Psychiatry. Since leaving the hospital, Vanessa has been in private practice, focusing on adolescents and parenting. She continues to present at conferences on topics relating to children, adolescence and parenting. Addressing issues of affect regulation and assisting children, teens and their parents to manage stressful situations and overwhelming feelings has been a major focus of her work.
Dr Wendy Duncan
Dr Wendy Duncan, MBBCh (Wits), FCPsych (SA), Cert Child Psych (SA), is a child and adolescent Psychiatrist in private practice. She is a Director as well as the Consultant Psychiatrist for Adolescent Services at The Day Clinic. She is President-elect of the South African Association of Child and Adolescent Psychiatry and Allied Professions (SAACAPAP) and was the National Convenor for the Child and Adolescent Psychiatry Special Interest Group of the South African Society of Psychiatrists (SASOP) from 2010 to 2015. Dr Duncan has worked in both outpatient and high-care inpatient settings, with involvement in child and family-centred work as well as rehabilitation psychiatry in mentally disabled children and youth. As part of her current practice, Dr Duncan is involved in the inpatient treatment of adolescents with emotional difficulties. She has a special interest in infant mental health, complex trauma, early-onset anxiety disorders and affect regulation difficulties. Dr Duncan has presented clinical talks and conference papers on these topics. She recently contributed a chapter to a reference book on mental health matters in children who have suffered maltreatment.
Elmi du Toit
Elmi du Toit, MA Clin Psych (UP), is Clinical Psychologist in private practice at Oxford Healthcare Centre. She is also a Group and Individual Therapist at The Day Clinic. Elmi has facilitated DBT (Dialectical Behavioural Therapy) Groups at Tara Hospital, at community clinics and in private practice. Her approach includes integrative tailored therapy to suit the clients’ needs. She works with adolescents, adults, couples and groups using mindfulness as a way to help clients gain insight and learn to manage their lives more effectively. She has trained in psychodynamic, narrative, cognitive behavioural, dialectical behavioural and family therapy. Elmi offers services in both Afrikaans and English.
Hinor Sacks
Hinor Sacks, BSc Hons, MA Clinical Psychology (Wits), is a Clinical Psychologist whose background includes extensive therapeutic experience with both individuals and groups. She has developed comprehensive knowledge in conducting neuropsychological, emotional and personality assessments with adults. Hinor works primarily from a psychodynamic perspective. She also offers Cognitive Behavioural Therapy (CBT) and Dialectical Behavioural Therapy (DBT). Either short-term or long term therapy is available, depending on the needs of the client. Hinor has worked with people from a variety of backgrounds and tailors an individualised treatment plan for each of her clients. She has worked with adults, couples and adolescents in various institutional and community settings, including Helen Joseph Hospital, Tara Hospital (Wards 4 and 5), Community Clinics, Emthonjeni Centre (WITS), Headway Gauteng, Gateway House (Psychiatric Residence) and Lifeline. Hinor is affiliated with the South African Psychoanalytic Institute (SAPI) and attends ongoing seminars to keep up to date with emerging therapeutic techniques and studies.
Francesca Chetwin
Francesca Chetwin is a registered clinical psychologist in Johannesburg. She provides psychotherapy to children, adolescents and adults, as well as parental guidance and psycho-educational assessments. In addition to clinical practise, she is a member of The Day Clinic Adolescent DBT team and the Bellavista Remedial School SEEK assessment team. Francesca is a mature, warm and compassionate professional with wide and varied life experience. She sees the psychotherapy relationship as different to other sorts of relationships in that it provides a reflective and supportive context in which to feel, think and express the complexity of any concerns. Besides personal reasons, she believes developing deeper self-knowledge and a range of coping capacities are important goals in any therapy.
Richard Middleton
MA Clin Psych (UJ) (cum laude) HPCSA reg. no. PS0114766 BHF practice no. 0469017

Richard qualified as a clinical psychologist from the University of Johannesburg and completed his internship training at Tara hospital and the central Johannesburg community mental health clinics, before finishing his community service in community-based mental health. After a number of years working for Gauteng Health and Social Development in various outpatient clinics, the Tara family therapy clinic and some work in Ward 4&5 at Tara, he transitioned into full-time private practice. Since then he has gained post qualification experience in Gestalt psychology, Rorschach personality assessment, and interpersonal group therapy.

Richard works in a generalist private practice with adolescents, adults, couples, and groups, using an integration of psychodynamic, Gestalt, cognitive behavioural therapy and dialectical behaviour therapy (DBT) approaches. He is involved in the DBT day program at The Day Clinic and also offers a wide range of psychometric assessments for career, subject-choice, clinical and personality applications. He is a member of the Health Professions Council of South Africa (HPCSA), Board of Healthcare Funders (BHF), Johannesburg Relational Psychology Peer Association and Advanced Rorschach Discussion Group.Richard

Nardus Saayman
Nardus Saayman is a clinical psychologist. He completed his Masters at the University of the Witwatersrand in 2011 after which he went into private practice. He previously held the position of senior psychologist at Chris Hani Bargwanath Hospital where he ran the family therapy clinic, provided supervision for training psychologists and psychiatrists, and oversaw services on one of the male involuntary treatment wards. He is currently completing a PhD at the University of the Witwatersrand with a focus on working with psychosis. He has also published his work in local and international journals and has presented his research both locally and abroad. He is the founder and chair of ISPS-Johannesburg, an organization which promotes psychological interventions for individuals suffering from psychosis. He currently runs a private practice in Saxonwold Johannesburg.
Esther van der Walt

Esther van der Walt, MA Clin Psych, (UJ) (cum laude) is a clinical psychologist in private practice in Parktown, Johannesburg. BHF practice number: PR0491950; HPCSA registration number: PS0111198.

She has received training in psychoanalytic, group analytic, art counselling, as well as ecosystemic (family therapy) schools. She works with individual adults, as well as couples and groups, and does clinical supervision. She is interested in mood disorders, affect regulation, interpersonal communication, race relations, and has a particular love for groups.

Esther was introduced to DBT (Dialectical Behaviour Therapy) during her internship year at Tara Psychiatric Hospital a decade and a half ago.

Esther works in Afrikaans and English.