How South African entrepreneurs can combat the R250 billion mental health crisis
Mental health issues are said to be taking a heavy toll on South Africa’s entrepreneurs
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Mental health issues are said to be taking a heavy toll on South Africa’s entrepreneurs, with new research showing the problem now costs the country more than crime or social grants.
According to the October Health 2025 report, mental health challenges are estimated to cost South Africa approximately R250 billion each year, resulting in a loss of 452 million work hours.
Experts say entrepreneurs are among the hardest hit, as they face constant pressure to keep their businesses afloat while managing financial stress and long working hours.
"No one is immune from mental health struggles, but several factors make entrepreneurs especially vulnerable. Whether they employ others or work alone, they carry the weight of responsibility for staff, customers, and families. The constant worry about cash flow, meeting targets, and paying salaries can wear them down physically and mentally".
According to Palesa Mabasa, Business Development Head for SME Funding at FNB, "there are several actions entrepreneurs can take to lessen this load and reduce stressors that might lead to or worsen mental health problems.”
Mabasa's five key steps to help business owners protect their mental health:
1. Take care of your body.
Recognise the link between physical and mental health. Avoid triggers such as alcohol, poor sleep, and lack of exercise.,” says Mabasa.
2. Automate and simplify.
Use tools like AI assistants, invoice generators, and virtual schedulers to free up time. Once you do, spend that time resting or doing activities that help you recharge.
3. Build a business that can run without you
In the early stages, a business may need constant attention, but as it grows, it should be able to operate more independently. “Put processes in place, hire people you trust, and let them share the load,” Mabasa advises.
4. Talk about it. Don’t bottle up your worries.
Speak to friends, family, or fellow entrepreneurs who understand the pressures you face. Joining support networks or consulting mental health professionals can also help bring relief and perspective.
5. Separate your self-worth from your business.
“Don't view yourself solely through the lens of your business. It's a narrow perspective that ties your self-worth to business outcomes. There will be good days and bad days in any venture, and these fluctuations aren't a direct reflection of who you are as a person. Your value extends far beyond your business success"
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mthobisi.nozulela@iol.co.za