Adult Psychiatric Care
Comprehensive assessment, diagnosis and an individualised treatment plan, with ongoing review where needed.
Consultation informationSpecialist psychiatrist · Cape Winelands
Evidence-based psychiatric care for adults. Alongside this, ASCEND translates evidence into six practical areas for building brain health, resilience and wellbeing.
In-person and virtual consultations · Bloemendal Clinic, Cape Winelands
A complete view of mental health
Psychiatric care begins by understanding the whole person—not only a diagnosis. Treatment may include medication, psychotherapy, lifestyle interventions, TMS and coordinated care, selected according to each person's needs.
ASCEND extends this clinical foundation. It brings together practical, evidence-based habits that support brain health and resilience throughout life. It complements appropriate treatment; it does not replace it.
Established science, communicated clearly and without hype.
Your symptoms, history, circumstances and goals guide care.
Meaningful change grows through realistic, repeatable steps.
Psychiatric services
Assessment, treatment and follow-up for adults experiencing a broad range of mental-health concerns.
Comprehensive assessment, diagnosis and an individualised treatment plan, with ongoing review where needed.
Consultation informationA structured assessment that considers symptoms, functioning, developmental history and relevant alternative explanations.
Assessment informationNon-invasive brain stimulation for appropriate patients, including people with treatment-resistant depression.
Explore TMSAdmission to Bloemendal Clinic when a higher level of structure, support and multidisciplinary care is needed.
Contact the practiceRemote follow-up and selected consultations, where clinically suitable and permitted.
Book onlineCollaboration with psychologists, general practitioners and other professionals when integrated care will help.
Learn moreThe ASCEND framework
ASCEND translates evidence into six practical areas for building brain health, resilience and wellbeing.
Discover the frameworkLearn with ASCEND
Evidence-based ideas for building a healthier brain, a stronger body and a more resilient life—explained with practical guidance, clinical nuance and readable references.
View all ASCEND articlesModern treatment should remain human, careful and grounded in evidence.
Transcranial magnetic stimulation
TMS uses targeted magnetic stimulation to influence brain networks involved in mood. It may be considered when depression has not responded adequately to standard treatment.

Meet Dr Hendri Eksteen
Dr Hendri Eksteen is a specialist psychiatrist based at Bloemendal Clinic in the Cape Winelands. He provides evidence-based care across adult psychiatry, with special interests including ADHD, substance-use disorders and interventional psychiatry.
His clinical work remains at the centre of what he does. ASCEND grew from a broader question: beyond treating illness, how can people actively strengthen the foundations that support brain health, resilience and wellbeing?
Read Dr Eksteen's storyTake the next step
Book online, or contact the practice if you are unsure which service is appropriate.