Mental health
58 public facilities across South Africa
One in three South Africans will experience a mental health condition in their lifetime, but fewer than 25% receive any treatment. The Mental Health Care Act (2002) guarantees the right to mental health services at every level of the public health system. At primary clinic level, nurses can screen for depression and anxiety using validated tools (PHQ-9, GAD-7) and prescribe first-line medication (fluoxetine for depression, amitriptyline for chronic pain with depression). Specialist referral — psychologist, psychiatrist, occupational therapist — is available at district and regional hospitals. Crisis support is available 24/7 through SADAG (South African Depression and Anxiety Group) at 0800 567 567.
What to expect
Tell the nurse you are struggling with mood, anxiety, sleep, or thoughts of self-harm. They will use a screening tool (PHQ-9 for depression, GAD-7 for anxiety) — this takes 5 minutes.
Mild-moderate depression/anxiety: medication (fluoxetine 20mg daily) + counselling if available. Severe cases: same-day referral to hospital.
Some clinics have lay counsellors or social workers. Hospital-level care includes clinical psychologists. Coverage is inconsistent — ask what is available at your facility.
Medication review every 3 months for the first year, then every 6 months. Treatment continues minimum 12 months after symptoms resolve. Stopping early increases relapse risk by 50%.
Who is eligible?
Everyone. Mental health is a constitutional right. You do not need a referral to access primary mental health care at a clinic. For psychiatric admission, a referral is usually required unless it is a psychiatric emergency (psychosis, active suicidal intent).
Read the full guide
Our guide covers everything in detail: step-by-step process, FAQs, and practical tips.
Mental Health Services at Public Clinics →