October Health – 2025 Report

Anxiety in South Africa

The leading cause of anxiety and stress in South Africa at a population level includes: 1. **Economic instability**: High unemployment rates, poverty, and financial insecurity are significant stressors for many South Africans. 2. **Crime and safety concerns**: High levels of crime and violence often contribute to a pervasive sense of fear and anxiety. 3. **Health challenges**: The impacts of chronic illnesses like HIV/AIDS and the strain placed on the healthcare system can heighten stress levels nationwide. 4. **Social inequality**: Persistent inequality and lack of access to resources like education and housing exacerbate anxiety, especially for marginalized communities. 5. **Political instability**: Corruption, policy uncertainty, and socio-political unrest can create further stress and a climate of uncertainty across the country. 6. **Load shedding and infrastructure issues**: Ongoing electricity shortages and infrastructure challenges also contribute to frustration and stress. Workforce anxiety may also stem from job insecurity, poor work-life balance, and systemic challenges within organizations. Companies could consider initiatives like October to support employee mental health.

Anxiety Prevalence
38.42%
Affected people
21,131,000

Impact on the people of South Africa

Effects of High Anxiety and Stress on Health and Personal Lives

Physical Health:

  1. Weakened Immune System: Prolonged stress can lead to frequent illnesses.
  2. Heart Problems: Increased risk of hypertension, heart disease, and stroke.
  3. Chronic Fatigue: Reduced energy levels and persistent tiredness.
  4. Digestive Issues: Upset stomach, irritable bowel syndrome (IBS), or ulcers.
  5. Sleep Disorders: Difficulty falling asleep or staying asleep (insomnia).

Mental Health:

  1. Increased Risk of Depression: Persistent anxiety can lead to hopelessness or feelings of despair.
  2. Burnout: A state of emotional, physical, and mental exhaustion.
  3. Decreased Concentration: Trouble focusing or completing tasks.

Personal Life:

  1. Strained Relationships: Irritability and overthinking can create tension with loved ones or colleagues.
  2. Workplace Challenges: Reduced productivity and potential workplace conflicts.
  3. Social Withdrawal: Withdrawal from activities and interactions due to overwhelming stress.
  4. Negative Coping Mechanisms: Overeating, substance abuse, or overspending to cope with stress.

Encouraging self-care practices and resources like Panda's digital sessions can help manage anxiety effectively.

Impact on the South Africa Economy

Effects of High Anxiety and Stress on an Economy

High levels of anxiety and stress within a population significantly impact an economy in various negative ways. Below are some key effects:

  1. Reduced Productivity
  • Stress and anxiety impair cognitive functions, decision-making, and concentration, leading to lower workplace output.
  • Employees may work slower, make mistakes, or fail to meet deadlines, reducing overall efficiency.
  1. Increased Absenteeism and Presenteeism
  • Anxiety often causes absenteeism as individuals take more sick leave.
  • Presenteeism (being physically at work but underperforming due to poor mental health) becomes more prevalent, further resulting in lost productivity.
  1. Higher Healthcare Costs
  • Elevated anxiety leads to an increase in visits to healthcare providers and higher insurance claims for mental and physical health concerns.
  • This puts a financial strain on both employers and public healthcare systems.
  1. Decreased Workforce Participation
  • Chronic stress can result in burnout, leading to higher turnover rates or individuals dropping out of the workforce altogether.
  • This lowers the overall labor market participation rate, reducing economic output.
  1. Reduced Consumer Spending
  • Anxiety often leads to financial insecurity and reduced confidence in spending, which decreases consumer demand, slowing economic growth.
  • Fear about the future makes individuals more likely to save instead of investing in goods and services.
  1. Lower Innovation and Growth Capacity
  • Stress inhibits creativity and focus, which are crucial for innovation.
  • When innovation drops, economies experience slower technological and business advancements.
  1. Social and Community Costs
  • High levels of societal stress can lead to unrest, weakened social cohesion, and increased governmental expenses on unemployment benefits, social safety nets, and support programs.

For workplaces addressing employee mental health, services like Panda—offering group therapy, screenings, and content—can mitigate these effects, fostering healthier, more productive work environments.

What can government do to assist?

Steps a Country Can Take to Lower Anxiety and Stress

  1. Promote Mental Health Awareness

    • Launch nationwide mental health campaigns to reduce stigma.
    • Increase access to information and provide resources, like guides, on dealing with anxiety-related issues.
  2. Improve Access to Mental Health Services

    • Increase funding and support for mental health professionals.
    • Establish free or low-cost counseling centers, both in urban and rural areas.
    • Provide teletherapy options to reach remote populations.
  3. Support Workplace Mental Health

    • Advocate for mental health programs within organizations.
    • Encourage businesses to partner with services like Panda, which offer group therapy and assessments for employee wellbeing.
    • Mandate stress management training for managers and employees.
  4. Economic Stability Measures

    • Strengthen social safety nets, such as unemployment benefits and food assistance, to reduce financial-related stress.
    • Create jobs and opportunities, focusing on easing socio-economic burdens.
  5. Foster Community Support

    • Support community programs and peer-support groups to help individuals cope with anxiety in a social setting.
    • Partner with NGOs and religious groups to offer mental health services at the grassroots level.
  6. Enhance Public Infrastructure for Stress-Free Living

    • Develop recreational spaces, such as parks and sports facilities, to encourage physical activity – a known stress reliever.
    • Promote cultural and recreational activities to build resilience and improve social bonds.
  7. Integrate Mental Health in the Education System

    • Introduce stress management and mental health topics in school curriculums.
    • Train teachers to identify and support students showing signs of anxiety.
  8. Encourage a Healthy Lifestyle

    • Promote healthy eating, physical exercise, and enough sleep through public health campaigns.
    • Regulate advertising around harmful substances like alcohol, and provide support for addiction.
  9. Provide Crisis Support Systems

    • Set up easily accessible national helplines for mental health crises.
    • Equip first responders, such as police and healthcare workers, with training to handle anxiety-related emergencies.
  10. Policy and Legislation Change

    • Implement mental health policies that protect workplace and societal mental health rights.
    • Offer incentives to businesses that prioritize employee wellbeing.

A combination of these strategies would help reduce anxiety and create a healthier, more resilient society.

What can businesses do to assist their employees?

Steps a Company Can Take to Lower Anxiety and Stress:

  1. Foster Open Communication:

    • Encourage employees to share their concerns without fear of judgment.
    • Hold regular check-ins to assess team morale and stress levels.
  2. Promote Work-Life Balance:

    • Limit excessive overtime and respect boundaries outside working hours.
    • Provide flexible scheduling or hybrid working options.
  3. Provide Mental Health Support:

    • Offer resources like Employee Assistance Programs (EAPs).
    • Partner with platforms like October for digital group sessions, mental health assessments, and tools for stress management.
  4. Encourage Physical and Mental Health Practices:

    • Provide opportunities for regular exercise (e.g., yoga sessions, gym memberships).
    • Organize workshops on mindfulness, stress management, and healthy coping strategies.
  5. Create a Supportive Work Environment:

    • Reduce stigma around mental health by training managers in mental health awareness.
    • Recognize and appreciate employees’ contributions to foster positivity.
  6. Adjust Workload If Necessary:

    • Ensure workloads are manageable and allocate tasks fairly.
    • Regularly review work processes to identify and address stressors.

By integrating these strategies, companies in South Africa (or anywhere) can proactively support their employees in reducing anxiety and workplace stress.