Mental Health: Recognising When to Seek Help
Mental health conditions are medical conditions. They are not character flaws, signs of weakness, or something you should simply "push through." Recognising when everyday stress has become something more serious is the first step toward getting appropriate help.
The Spectrum of Mental Health
Everyone experiences stress, sadness, or anxiety at times. These are normal human responses to life's challenges. However, when these feelings persist, intensify, or begin interfering with your daily functioning, they may indicate a condition that could benefit from professional support.
Mental health exists on a spectrum. You don't need to be in crisis to deserve help. Early intervention often leads to better outcomes and can prevent mild symptoms from developing into more serious conditions.
Signs That May Indicate a Problem
Consider speaking to a healthcare provider if you experience:
Changes in Mood
- Persistent sadness or emptiness lasting more than two weeks
- Excessive worry or fear that seems disproportionate to circumstances
- Feeling emotionally numb or disconnected
- Irritability or anger that's unusual for you
- Mood swings that are difficult to control
Changes in Behaviour
- Withdrawing from friends, family, or activities you once enjoyed
- Difficulty completing tasks at work or home
- Increased use of alcohol, tobacco, or other substances
- Neglecting personal hygiene or responsibilities
- Avoiding situations that didn't previously cause distress
Physical Symptoms
- Significant changes in sleep patterns—sleeping too much or too little
- Changes in appetite or weight
- Unexplained physical symptoms like headaches, digestive issues, or chronic pain
- Constant fatigue despite adequate rest
- Difficulty concentrating or making decisions
Concerning Thoughts
- Feelings of hopelessness about the future
- Excessive guilt or feelings of worthlessness
- Thoughts of death or suicide
- Intrusive thoughts you can't control
Important: If you are having thoughts of suicide or self-harm, please seek help immediately. Contact your nearest emergency department, call the South African Depression and Anxiety Group (SADAG) on 0800 567 567, or reach out to someone you trust.
What Your GP Can Do
Many people are surprised to learn that GPs regularly help patients with mental health concerns. Your GP can:
- Screen for depression, anxiety, and other common conditions
- Rule out physical causes of your symptoms (thyroid disorders, nutritional deficiencies, and other medical conditions can mimic mental health symptoms)
- Provide initial treatment, including medication if appropriate
- Offer ongoing support and monitoring
- Refer to psychologists, psychiatrists, or other specialists when needed
You don't need a referral to see a GP about mental health concerns. This is part of comprehensive primary healthcare.
Preparing for the Conversation
Talking about mental health can feel difficult. Some suggestions:
- Write down your symptoms before your appointment
- Note how long you've been experiencing them
- Be honest—your doctor has heard it all before and is there to help, not judge
- Mention any stressful life events that may be relevant
- Bring a list of current medications, including supplements
If you find it hard to start the conversation, you can simply say: "I've been struggling with my mental health and would like to talk about it."
Treatment Options
Mental health treatment is not one-size-fits-all. Options may include:
- Lifestyle modifications: Sleep, exercise, diet, and stress management
- Psychotherapy: Various forms of talk therapy, such as cognitive behavioural therapy
- Medication: Antidepressants, anxiolytics, or other medications as appropriate
- Combination approaches: Often the most effective strategy
Treatment takes time. Mental health conditions typically improve gradually, and finding the right approach may require some adjustment.
Breaking the Stigma
Seeking help for mental health concerns is a sign of self-awareness, not weakness. Just as you would see a doctor for persistent physical pain, seeing a doctor for persistent emotional distress is appropriate healthcare.
You deserve to feel well. If something doesn't feel right, it's worth investigating.
Need to Talk?
Mental health consultations are available both in-person at our Mokopane practice and via online consultation for patients across South Africa.
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