October Health – 2025 Report

Transgender Demographic in South Africa

Leading cause: discrimination and violence due to gender identity (transphobia) is the main population-level stressor for transgender people in South Africa. This includes stigma in healthcare, employment, and housing, along with safety concerns; in the workplace, microaggressions and fear of discrimination contribute to stress. October’s digital group sessions and content can help with coping and resilience in these contexts.

How mental health affects the Transgender demographic differently

  • Workplace discrimination and misgendering: frequent misgendering, deadnaming, biased performance feedback, or exclusion from teams.
  • Policy gaps and benefits: lack of inclusive HR policies, inaccessible pronoun usage, restrictive dress codes or bathroom policies, limited coverage for gender-affirming care.
  • Transition-related healthcare barriers: long wait times, provider knowledge gaps, high costs, insurance denials or limited coverage.
  • Legal/documentation challenges: name and gender marker changes, inconsistent IDs/records, bureaucratic delays.
  • Safety and harassment risks: harassment or violence at work, on commutes, or in public; heightened concerns about safety.
  • Financial and job security pressures: costs of transition, potential impact on employment, time off for medical needs.
  • Mental health impact and social isolation: minority stress, anxiety, depression, and reduced social/work support.
  • Peer support resources: digital group sessions and content for transgender employees (e.g., October) to connect, learn, and cope.

Data from October Health

What's driving mental health stresses for the Transgender demographic in South African?

Proactive mental fitness for high performance staff.

Understand the stresses and workplace challenges of your staff and provide them with the tools to protect their productivity and mental health.