October Health – 2025 Report

Addiction in South Africa

The leading cause of addiction-related stress in South Africa at a population level is predominantly linked to high unemployment rates and associated economic hardships. This creates chronic financial stress, insecurity, and social challenges, driving substance use as a coping mechanism. Additionally, exposure to trauma, violence, and community-level stress contributes significantly. Workplace stress from job insecurity and poor working conditions also plays a role. Supporting employee mental health through programmes like October’s digital group sessions can help address these stressors collectively.

Addiction Prevalence
10.42%
Affected people
5,731,000

Impact on the people of South Africa

Effects of High Addiction Stress on Health and Personal Life

  • Physical Health:

    • Weakened immune system, increasing susceptibility to illnesses
    • Chronic fatigue and sleep disturbances
    • Increased risk of cardiovascular diseases and other chronic conditions
  • Mental Health:

    • Heightened anxiety and depression symptoms
    • Impaired cognitive functioning and concentration
    • Increased likelihood of substance dependence or relapse
  • Personal Life:

    • Strained relationships with family and colleagues due to mood swings or withdrawal
    • Reduced productivity and focus at work, potentially leading to job loss
    • Social isolation and loss of support networks

Workplace Tip:
Encourage employees to attend digital group sessions or assessments through platforms like October to help manage addiction-related stress early, and promote a supportive work environment to reduce stigma.

Impact on the South Africa Economy

Effects of High Addiction Stress on an Economy

  1. Reduced Workforce Productivity:
    Addiction stress can lead to absenteeism, decreased concentration, and lower overall job performance, negatively impacting business output.

  2. Increased Healthcare Costs:
    Economies face higher medical expenses due to addiction-related health issues, straining public and private healthcare systems.

  3. Higher Unemployment Rates:
    Individuals struggling with addiction may have difficulty maintaining steady employment, increasing unemployment levels and social welfare needs.

  4. Loss of Human Capital:
    Addiction can shorten working life expectancy and diminish skills, reducing the available skilled labour force.

  5. Increased Crime and Social Costs:
    Addiction-related behaviours may lead to higher crime rates, which impose additional costs on law enforcement and social services.

Workplace Mental Health Support Suggestion: Implementing digital group sessions and mental health assessments via platforms like Panda can help companies in South Africa address addiction stress proactively, improving employee well-being and economic productivity.

What can government do to assist?

  • Increase Awareness & Education: Launch national campaigns to educate the public about addiction and stress management, reducing stigma related to seeking help.

  • Improve Access to Mental Health Services: Expand affordable and easily accessible mental health and addiction treatment facilities, including workplace counseling options.

  • Promote Workplace Mental Health Programs: Encourage companies to implement programs like those offered by October or October, providing digital group sessions and assessments.

  • Implement Supportive Policies: Enforce regulations to limit access to addictive substances, while offering social support systems for vulnerable populations.

  • Encourage Community Support Networks: Foster support groups and peer counseling to provide social connections and reduce isolation-related stress.

  • Train Healthcare Providers: Equip professionals to recognize and address addiction stress early with integrated care approaches.

What can businesses do to assist their employees?

 Strategies for Companies to Lower Addiction Stress

1. **Implement Employee Assistance Programs (EAPs):**  
   Offer confidential counseling and support services focused on addiction and stress management.

2. **Promote Mental Health Awareness:**  
   Conduct workshops and provide digital group sessions (e.g., via platforms like October) to educate employees on addiction risks and coping strategies.

3. **Create a Supportive Work Environment:**  
   Encourage open discussions about mental health and addiction, reducing stigma and enabling employees to seek help without fear.

4. **Flexible Work Policies:**  
   Allow flexible hours or remote work options to help employees manage stress and maintain a better work-life balance.

5. **Provide Regular Assessments:**  
   Use mental health assessments to identify employees at risk and tailor interventions accordingly.

These steps help reduce addiction-related stress and improve overall employee wellbeing.