October Health – 2025 Report

Self-esteem in South Africa

The leading cause of self-esteem stress in South Africa at a population level is socioeconomic disparity, including high unemployment rates and inequality. These factors create feelings of inadequacy and social exclusion, impacting collective self-worth. In workplace settings, this can manifest as stress over job security and career progression. Utilizing digital group sessions from October can help employees build resilience and improve self-esteem collectively.

Self-esteem Prevalence
23.76%
Affected people
13,068,000

Impact on the people of South Africa

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

1. Mental Health Impact

  • Increased anxiety and worry from fear of failure or not meeting self-expectations
  • Sense of chronic pressure leading to burnout and emotional exhaustion
  • Possible development of perfectionism, which can reduce overall life satisfaction

2. Physical Health Consequences

  • Elevated stress hormones (e.g., cortisol), increasing risk for hypertension and heart issues
  • Sleep disturbances impacting energy and cognitive function
  • Weakened immune system due to ongoing stress

3. Personal Life and Relationships

  • Difficulty accepting mistakes, leading to strained relationships with family and colleagues
  • Lower vulnerability and openness, potentially causing social isolation
  • Conflict arising from unmet expectations for oneself and others

Workplace Relevance:
High self-esteem stress can reduce productivity and increase absenteeism. Encouraging access to digital group sessions and mental health assessments, such as those provided by October, can help employees manage pressure and build resilience effectively.

Impact on the South Africa Economy

 Effect of High Self-Esteem Stress on an Economy

High levels of self-esteem stress—where individuals experience anxiety or pressure related to maintaining or enhancing their self-worth—can impact an economy in several ways:

1. **Reduced Productivity:** Employees under high self-esteem stress may experience burnout, decreased motivation, and lower concentration, leading to reduced workplace productivity.

2. **Increased Absenteeism and Turnover:** Stress related to self-esteem can increase absenteeism and staff turnover, raising recruitment and training costs for companies.

3. **Higher Healthcare Costs:** Mental health issues linked to self-esteem stress can lead to increased healthcare expenses for both employees and employers.

4. **Lower Economic Participation:** Individuals may avoid seeking promotions or workplace opportunities due to fear of failure or judgment, reducing innovation and economic growth potentials.

5. **Workplace Conflicts:** Stress related to self-esteem can contribute to conflicts and poor teamwork, affecting overall organizational efficiency.

**Recommendation:**  
Implementing mental health support, such as digital group sessions via platforms like October, can help employees manage self-esteem stress, improving both individual well-being and economic outcomes.

What can government do to assist?

 Strategies for a Country to Lower Self-Esteem Stress

1. **Promote Mental Health Education**
   - Include self-esteem and emotional well-being in school curriculums.
   - Launch public awareness campaigns to normalize mental health discussions.

2. **Support Inclusive Work Environments**
   - Encourage companies to provide training on diversity, equity, and inclusion.
   - Incentivize workplaces to implement mental health programs, such as digital group sessions (e.g., through platforms like October).

3. **Accessible Mental Health Services**
   - Increase availability of affordable counseling and therapy.
   - Provide digital mental health resources and assessments to reach broader populations.

4. **Community Empowerment Initiatives**
   - Support grassroots programs that build skills and community belonging.
   - Facilitate social support networks to combat isolation and enhance self-worth.

5. **Media Regulation and Positive Messaging**
   - Promote positive body image and realistic portrayals in media.
   - Restrict harmful advertising that can trigger self-esteem issues.

Implementing these at a national scale can create an environment where individuals feel valued, supported, and confident, reducing self-esteem stress.

What can businesses do to assist their employees?

How a Company Can Lower Self-Esteem Stress

  1. Provide Regular Positive Feedback
    Encourage managers to recognize employees' strengths and accomplishments to boost confidence.

  2. Create a Supportive Work Environment
    Promote open communication and inclusivity to help employees feel valued and respected.

  3. Offer Skill Development Opportunities
    Provide training and workshops to build competence and self-efficacy.

  4. Encourage Peer Support and Team Building
    Facilitate group sessions where employees can share experiences and support each other’s growth.

  5. Promote Mental Health Resources
    Implement programs like Panda’s digital group sessions and assessments to help employees understand and manage self-esteem stress.

  6. Set Realistic Goals and Expectations
    Help employees set achievable targets to prevent feelings of inadequacy.


Using these strategies can improve employee self-esteem and reduce related stress, enhancing overall mental wellbeing at work.