October Health – 2025 Report

Self-esteem in South Africa

The leading cause of self-esteem stress in South Africa is rooted in socio-economic disparities, including high unemployment rates, poverty, and systemic inequality. These factors affect access to education, resources, and opportunities, often leading to feelings of inadequacy and a lack of self-worth. Additionally, societal pressures, such as cultural expectations and community comparisons, can exacerbate self-esteem challenges. Social media also plays a role by amplifying unrealistic standards and comparisons.

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Self-esteem Prevalence
23.64%
Affected people
13,002,000

Impact on the people of South Africa

Effects of High Self-Esteem Stress on Health and Personal Lives

On Health:

  1. Increased Risk of Anxiety and Depression: High self-esteem stress can lead to feelings of inadequacy and may contribute to mental health conditions.
  2. Physical Health Issues: Chronic stress often results in headaches, high blood pressure, or weakened immunity.
  3. Sleep Problems: Stress negatively impacts sleep quality, leading to fatigue and further health consequences.
  4. Substance Use: People may cope through unhealthy habits like overuse of alcohol, nicotine, or other substances.

On Personal Lives:

  1. Relationships Strain: High self-esteem stress may result in overachieving behavior, self-doubt, or irritability, affecting personal relationships.
  2. Work-Life Imbalance: Stress fueled by perfectionism can dominate time, leaving less room for family and leisure.
  3. Low Emotional Resilience: Difficulty managing setbacks can reduce harmony in day-to-day interactions.

Employers in South Africa can suggest accessible mental health support, such as group sessions through October, to help individuals manage stress effectively.

Impact on the South Africa Economy

Effects of High Self-Esteem Stress on an Economy

  1. Decreased Productivity:

    • Employees struggling with self-esteem stress may experience difficulty focusing or lack motivation, resulting in reduced workplace efficiency.

  2. Increased Absenteeism:

    • Mental health challenges linked to self-esteem stress can lead to higher rates of absenteeism, affecting overall business operations.

  3. Higher Healthcare Costs:

    • Individuals with chronic self-esteem stress often require mental health treatments, increasing healthcare burdens on both employers and the public health system.

  4. Talent Retention Challenges:

    • Persistent stress can lead to burnout, increasing turnover rates and recruitment costs for businesses.

  5. Reduced Economic Growth:

    • Diminished productivity and workforce engagement can negatively impact core industries, slowing down economic performance.

To support employees and mitigate these economic impacts, organisations in South Africa could explore utilising tools like October for mental health awareness, group sessions, and tracking overall workforce well-being.

What can government do to assist?

  • Promote mental health awareness: Implement campaigns to educate citizens about self-esteem issues and the importance of mental health.
  • Increase access to mental health services: Provide free or subsidized access to counseling, therapy, and support groups, especially targeting underserved areas in South Africa.
  • Foster inclusive education: Ensure school programs teach self-esteem, emotional intelligence, and self-worth, alongside anti-bullying initiatives.
  • Improve workplace environments: Encourage businesses to support mental health initiatives like October’s services to reduce workplace-related stress.
  • Celebrate diversity: Promote acceptance across cultural, racial, and societal lines to reduce discrimination and foster belonging.
  • Provide community support: Invest in community centers with mental health resources and workshops to create safe spaces for individuals to share their experiences.
  • Encourage physical and creative activities: Support physical health programs and creative outlets (e.g., sports, arts) that boost self-esteem and reduce stress.

What can businesses do to assist their employees?

  • Encourage a Growth Mindset: Offer workshops or training focusing on learning from mistakes and personal growth rather than a fear of failure.

  • Promote Open Communication: Create a safe space where employees feel comfortable expressing concerns or seeking help.

  • Celebrate Achievements: Recognize individual and team accomplishments to build confidence and a sense of value.

  • Provide Constructive Feedback: Ensure feedback is supportive and balanced, highlighting strengths along with areas for improvement.

  • Support Professional Development: Offer skill-building opportunities to help employees feel capable and empowered.

  • Implement Wellness Programs: Encourage mental health support, such as using platforms like October, to address self-esteem related stress.

  • Foster Inclusivity: Create an environment where diverse perspectives are valued and all employees feel respected.