Substance Use as a Coping Mechanism in South Africa

Substance use is closely linked to mental health in South Africa, often serving as a coping mechanism for stress, trauma, and socio-economic challenges.

Research indicates that mental and substance use disorders frequently occur together, increasing the complexity of treatment and recovery (1).

Studies conducted in South Africa show that co-occurring mental health and substance use disorders are a significant public health concern, particularly among vulnerable populations (2).

Substances such as alcohol may provide temporary relief from emotional distress, but they do not address underlying issues. Over time, reliance on substances can worsen anxiety, depression, and overall mental health.

Socio-economic pressures, including poverty and unemployment, further increase the risk of substance use. Limited access to mental health care also contributes to individuals relying on unhealthy coping strategies.

In many communities, alcohol use is normalised, making it difficult to identify when behaviour becomes harmful. This delays intervention and increases the risk of dependency.

Recognising substance use as a coping mechanism is essential for early intervention. Addressing both mental health and substance use together leads to better long-term outcomes.

Support, therapy, and access to care are critical in helping individuals develop healthier coping strategies.

Contact Dr. Marshinee Naidoo

Contact Us
011 869 1755 / 076 414 3285
dr.naidoo.m@gmail.com

Akeso Alberton
Akeso Psychiatrist Clinic, Alberton, Suite 04
087 098 0456 (ext. 5912)

Akeso Parktown
Akeso Psychiatrist Clinic, Parktown, Suite 17
087 098 0458 (ext. 5501)

Sources

  1. Global Health Action review on mental and substance use disorders
  2. South African Journal of Psychiatry, 2025 community survey