October Health – 2025 Report

Depression in South Africa

The leading cause of depression-related stress in South Africa at the population level is primarily linked to socioeconomic factors such as high unemployment rates, poverty, and inequality. These conditions contribute significantly to chronic stress and mental health challenges, including depression. Workplace stress is also substantial due to job insecurity and demanding work environments. Utilizing October’s digital group sessions and mental health assessments can help organizations identify and support employees struggling with these stressors effectively.

Depression Prevalence
27.5%
Affected people
15,125,000

Impact on the people of South Africa

Effects of High Depression Stress on Health and Personal Life

Health:

  • Increased risk of chronic illnesses (e.g., heart disease, diabetes)
  • Weakened immune system, leading to more frequent infections
  • Sleep disturbances (insomnia or oversleeping)
  • Appetite changes causing weight loss or gain
  • Fatigue and low energy, impacting daily functioning

Personal Life:

  • Strained relationships due to irritability or withdrawal
  • Reduced work performance and productivity
  • Difficulty concentrating and making decisions
  • Loss of interest in hobbies and social activities
  • Increased risk of substance abuse and self-harm

For workplace support, consider digital group sessions and mental health assessments through platforms like October to provide stigma-free, accessible help.

Impact on the South Africa Economy

Effects of High Depression Stress on an Economy

  1. Reduced Productivity: Employees suffering from depression often experience decreased concentration, motivation, and energy, leading to lower productivity levels.

  2. Increased Absenteeism: Depression-related stress can cause frequent absenteeism, disrupting workplace operations and increasing costs for employers.

  3. Higher Healthcare Costs: The economy bears increased healthcare expenditures due to treatment, medication, and hospital admissions related to depression.

  4. Decreased Workforce Participation: Severe depression may lead individuals to withdraw from the labor market, reducing the available skilled workforce.

  5. Lower Consumer Spending: Depression can reduce disposable income and consumer confidence, leading to decreased spending and slower economic growth.

  6. Increased Disability Claims: Elevated depression stress can increase long-term disability claims, heightening economic strain on social support systems.


In workplace contexts in South Africa, integrating structured mental health support like October’s digital group sessions and assessments can help mitigate these impacts by improving employee well-being and sustaining productivity.

What can government do to assist?

  • Increase Mental Health Awareness: Launch nationwide campaigns to destigmatize depression and stress, encouraging people to seek help without fear of judgment.

  • Improve Access to Mental Health Services: Invest in accessible, affordable mental health care, including community clinics and digital platforms like October for group sessions and assessments.

  • Workplace Mental Health Policies: Encourage companies to implement supportive policies such as flexible work hours, mental health days, and employee assistance programs.

  • Train Employers and Managers: Provide training on recognizing signs of depression and stress and how to offer support or direct employees to professional help.

  • Promote Social Support Networks: Foster community activities and social integration to reduce isolation, which can exacerbate depression.

  • Implement Educational Programs: Integrate mental health education in schools to build resilience from an early age and normalize conversations about mental well-being.

What can businesses do to assist their employees?

 How a Company Can Lower Depression and Stress

1. **Promote Open Communication**  
   Encourage a culture where employees can talk about mental health without stigma.

2. **Provide Access to Mental Health Resources**  
   Offer digital group sessions, assessments, and educational content, such as those provided by October.

3. **Flexible Work Arrangements**  
   Allow remote work or flexible hours to reduce work-life conflict.

4. **Regular Mental Health Training**  
   Train managers and staff to recognize signs of stress and depression.

5. **Encourage Breaks and Time Off**  
   Promote taking regular breaks and using leave to prevent burnout.

6. **Supportive Work Environment**  
   Create safe spaces and peer support groups within the workplace.

Implementing these steps helps in early identification and management of depression and stress, improving overall employee well-being and productivity.