Why South Africans Delay Getting Help for Their Mental Health

Mental health challenges are highly prevalent in South Africa, yet many individuals delay seeking help until their symptoms become severe.

Research from the South African Stress and Health Study shows that nearly one in three South Africans will experience a mental disorder in their lifetime (1). Despite this high burden, access to treatment remains significantly limited.

A major concern is the treatment gap. Studies show that in some public healthcare settings, up to 96.5 percent of individuals with mental health conditions remain untreated (2). This highlights a critical disconnect between need and access to care.

Stigma continues to play a central role. Mental health is often misunderstood, leading individuals to suppress symptoms rather than seek support. Cultural beliefs and fear of judgment further reinforce this delay.

Structural barriers also contribute. South Africa faces a shortage of mental health professionals, particularly in the public sector, limiting access to early intervention and care (3).

Many individuals also fail to recognise early symptoms such as chronic fatigue, anxiety, or emotional withdrawal. These are often normalised as everyday stress, delaying timely support.

Delaying treatment can worsen outcomes. Mental health conditions are more manageable when identified early, yet many only seek help once symptoms begin to interfere with daily functioning.

Improving mental health outcomes in South Africa requires reducing stigma, improving awareness, and expanding access to care. Seeking help should be viewed as a proactive and necessary step towards overall well-being.

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. South African Stress and Health Study, Psychological Medicine
  2. Ruffieux et al., treatment gap study, Epidemiology and Psychiatric Sciences
  3. South African Health Review 2025, mental health workforce analysis