Four months later, a student’s mental health complaint is still unresolved.
Accountability gap exposed.
Investigation stalled by anonymity issues.
Matter escalated to higher authorities.
When we first reported on the disturbing experiences of a student seeking mental health support at Wits University’s Campus Health and Wellness Centre in May, the hope was that the university would take swift and decisive action to address the reported neglect and mistreatment.
A student had shared painful stories of being dismissed, scolded, and left without proper care during their most vulnerable moments. The troubling accounts raised serious questions about the quality and accountability of mental health services on campus.
In May, the Centre’s temporary stand-in, Brian Jele, a Primary Health Care Nurse, assured WITS VUVUZELA that the matter would be reported to the head of department, Tshidiso Ntshabele, who was expected to return soon. He highlighted the availability of a suggestion box for students to report issues anonymously.
On May 8, 2025, just a few days after Ntshabele’s return, WITS VUVUZELA visited the Centre to ensure he was updated on the allegations. During our meeting, Ntshabele requested that WITS VUVUZELA arrange a meeting with the student outside of Campus Health so he could hear the student’s side of the story.
Later that same day, after leaving his office, WITS VUVUZELA reached out to the student to set up the meeting. However, the student declined, saying, “I really don’t think I want to. I don’t feel comfortable with my anonymity now being compromised, so no!” said the student, who asked to remain anonymous.
Four months later, has anything changed?
After the failed meeting with the student in May, business continued as usual. Since then, no investigation, suspension, or any form of disciplinary action has been taken against the two nurses involved.
Ntshabele said he could not proceed with any investigation without knowing the identity of the complainant.
“I do not know who the student is; I cannot investigate if I don’t know who the person is. Part of the investigation, according to our complex procedure, is that I must also interact with the complainant,” said Ntshabele.
When Wits Vuvuzela asked what would happen if the student was too afraid to return to the Centre to go through the investigation process, Ntshabele emphasised that the student’s presence was still required.
“We are dealing with sensitive matters involving someone’s confidential health information. For me to investigate, I need to interview that person and find out exactly what went wrong, so that I can also ask relevant questions,” he said.
This raises questions about the purpose of the suggestion box, which allows students to submit complaints anonymously.
When asked what changes had been made to improve mental health care and ensure students are treated with greater respect and kindness, Ntshabele said no changes had been implemented because no investigation had taken place. “If I did not investigate or consider an investigation, I can’t give a report to say this is what I found. Only if I had found something could we introduce and implement changes,” he said. Ntshabele added that until he is able to interact with the student directly, he would not know where the department is lacking or what improvements are needed.
Head of department’s office. Photo: Dikeledi Ramabula
Following the May publication of this story, WITS VUVUZELA sought to understand how staff at the Campus Health and Wellness Centre are trained and supported to better understand students’ mental health needs and to treat them with empathy rather than judgment.
Ntshabele said he had never received a complaint that any staff member had judged a student, adding that all mental health practitioners at the Centre are specialists with formal qualifications in the field. “Part of the mental health curriculum, when you are a nurse, is knowing that you must be non-judgemental,” he said.
“There are in-service training sessions that staff members attend, including a customer management course. If a specific staff member is found lacking, we identify the weakness, determine the area in which they are struggling, and then work to improve and empower them,” he added.
Ntshabele urged students who may still feel hesitant or fearful about seeking mental health services from Campus Health, to reach out to him directly, “The most important thing is for those students to tell me exactly what they are scared of and why they are fearful.”
“This clinic is for them, and no student should feel afraid. We are here to assist, particularly those with mental health conditions, because we know that for them to excel academically, they need to be well,” he continued.
Mental health is a serious condition, and at universities many students suffer from it. After discovering that Campus Health could not carry out an investigation because the student chose not to come forward, it became crucial to find out whether there is a higher authority that can intervene to ensure the complaint is properly addressed.
The matter was then escalated to the Dean of Students, Jerome September, who stated that all complaints are taken very seriously and investigated to the best of their ability. “Complaints are in the first instance made at the clinic, and these can be escalated to me as Dean of Student Affairs,” he said.
“Students are also able to lodge complaints through the Wits Integrity Line,” he added. September further requested that the affected student reach out to him directly so he can assist in resolving the matter.
FEATURED IMAGE: Campus Health And Wellness Centre corridors. Photo: Dikeledi Ramabula
Those living with the misunderstood condition face social stigma and a lack of support in public clinics and hospitals.
Wits students and mental health experts gathered to challenge the stigma and silence around bipolar disorder.
The event revealed that there are serious shortages of mental health resources in South Africa’s public healthcare system.
Personal testimonies from people living with bipolar highlighted why breaking the silence must go hand in hand with upholding their human dignity.
The extreme highs and dark lows of bipolar disorder often make for an isolating experience of living with this condition. To break the silence, Wits Pathology Society brought together students, experts, and advocates to tackle stigma and talk about the challenges of treating this mental illness.
At the event held on Thursday, May 15, experts emphasised that talking about the impact of bipolar disorder is important, but the way we do so also matters.
Dr Vinola Poliah, a psychiatrist at Sterkfontein Hospital and Akeso Crescent Clinic, stressed that using words like “crazy” or “unstable” to describe someone living with bipolar is not only hurtful but also reinforces negative stereotypes.
Another issue that was raised is the limited access to mental health services in South Africa. There is a shortage of psychiatrists, especially in the public sector. Poliah said, “twenty percent of South Africans will experience a depressive disorder at least once in their life.”
“The most frightening statistic of all for me is that twenty-three South Africans attempt or commit suicide every day, and with bipolar disorder we have the highest rates of suicide.”
Many people diagnosed with bipolar disorder struggle to access a mental health professional in times of crisis or to receive ongoing support, such as therapy and sometimes costly medication, which may worsen their experience of living with this condition.
“I have been to hospitals where I can sit an entire day and wait with a person needing psychiatric assistance,” said Mary-Anne Dobrovic, manager at the South African Schizophrenia & Bipolar Disorders Alliance.
“There are just too many patients for the number of doctors. Our doctors in most of the clinics and government hospitals are overrun,” she continued.
The event also provided a safe space for people living with bipolar to share their experiences. Theuns Lombard, a former army nurse and paramedic, shared his story of being diagnosed with bipolar hypomania more than twenty years ago.
He made a point to emphasise that this disorder is not his identity. “I have bipolar disorder, but I don’t suffer from it. I am not suffering. This is a diagnosis, it doesn’t define me,” he said. Monthly counselling sessions and periodic checkups with a psychiatrist to tweak his medication as needed, help keep Lombard more balanced.
The event challenged the idea that bipolar is about mere mood swings. It’s a serious condition that deserves real support, not just sympathy. Change starts with how we speak, but it can’t stop there. It must reach the healthcare system, meant to effectively care for those living with the disorder.
FEATURED IMAGE: An estimated20% of South Africans experience a depressive disorder at least once in their lives, with bipolar affecting 4% of the population. Graphic: Mbali Khumalo.
With the new academic year in full swing, one student is showing Witsies a new way to manage stress through the power of hypnosis and the art of trance.
Tevin Sutcliffe, Psychology Honours student and aspiring hypnotherapist has been guiding Witsies into relaxing trances to combat the various stresses posed by student life.
Hypnosis is a powerful tool, because it allows participants to access their subconscious minds incredibly quickly.
Surrendering control isn’t terrifying and can help solve deep-seated problems says Sutcliffe.
Before the start of term, Tevin Sutcliffe began offering free guided hypnosis sessions to students on campus to practice his craft, inform them about the benefits of hypnosis, and – most importantly – teach stressed-out Witsies how to take a step back and relax.
Sutcliffe is currently completing his Honours in Psychology at Wits University and says that his initial interest in how hypnosis can positively impact mental health is what sparked his journey into the field. During his postgraduate studies, Sutcliffe wants to explore the power of hypnosis on the mind, aiming to destigmatise the practice and make it more accessible.
Sutcliffe focussing volunteer Shay Moodley’s attention after exiting a trance. Photo: Tristan Monzeglio
In a 2023 study spanning seventeen South African universities, 37.1% of the 70,000 surveyed students reported symptoms of anxiety. Sutcliffe explains that because people tend to live in a “constant state of anxiety” without ever addressing it, they often don’t realise how much pressure they put themselves under – mentally and physically. He asserts that even hypnotising someone for just five minutes gives them an “incredible” rest “which they haven’t felt in a long time”.
Moments after completing his session, volunteer Liam Nuns, a second-year Game Design student, stated that all the “little aches” and “tension[s]” which had built up in his body throughout the day felt like they were completely “gone”.
Wits Vuvuzela observed Sutcliffe hold these sessions with eager Witsies just off to the side of the pond next to the law lawns. This serene environment, away from set the chaotic parts of campus, set the scene for Sutcliffe’s calm inductions, gently guiding volunteers into a heightened state of relaxation. He instructed them to close their eyes and steered their focus to all the sounds surrounding them, like the gentle lapping of the pond and other students mumbling in the background. Then suddenly, Sutcliffe would tell volunteers to “sleep”, using a rapid induction technique to shock them into a trance-like state. Once in this state, volunteers are more susceptible to suggestions from the hypnotist.
At this point, many performing hypnotists use this state for entertainment purposes, influencing volunteers to behave abnormally for a brief period. Derren Brown, for example, is a mentalist who has gained notoriety for various publicity stunts taking advantage of people in this hypnotic state, manipulating people to walk into traffic, or convincing a man that he’s an assassin whose target is comedian Stephen Fry.
However, for hypnotists like Sutcliffe, this state’s functionality doesn’t end here.
An aspiring hypnotherapist, Sutcliffe believes that hypnosis is a “shortcut to accessing the unconscious mind,” allowing people to confront issues at their source. He likens our brains to computers, explaining that hypnosis enables us to bypass our “user-interface,” or conscious mind, and “go directly to the “back-end” to troubleshoot the problems in our code.
Sutcliffe making volunteer Camagu Zwane’s fingers move together on their own. Photo: Tristan Monzeglio
On the surface, giving up control of one’s mind to another person can seem intimidating. After experiencing his hands move together on their own and his feet stick to the ground during Sutcliffe’s visual demonstration, Mncedisi Buthelezi, a first year Engineering student, said that being hypnotised was “scary,” as he couldn’t help but think: “what’s going on with my body?”
Sutcliffe admits that this feeling of vulnerability is understandable, but that ultimately “if you have a problem with susceptibility, then you’re surrounded by the wrong people”. He claims that “susceptibility is incredible”, because if he gives people the suggestions they “actually want”, it can give them more control of their minds and can allow them to make changes much quicker.
Another volunteer, Lwanda Tshangela, a second year Game Design student, was conflicted before being guided into a hypnotic state, saying that he “didn’t believe in it at first”, because his only understanding of hypnosis previously came from movies. After the experience, Tshangela said he was “more relaxed”, because the hypnosis made him feel like he was “borderline sleeping”, yet “still aware of what was going on”.
Sutcliffe guiding (left to right) Lwanda Tshangela and Liam Nuns through a hypnotic state. Photo: Tristan Monzeglio
Much to her surprise, Nuha Suffla, a fourth year Engineering student, initially thought Sutcliffe might make her pass out or dance uncontrollably but found the process surprisingly similar to techniques used by her own therapist, such as fostering mindfulness through safe spaces and mind palaces.
For students, Sutcliffe sees hypnosis as an incredibly powerful tool for dealing with stress, because the deeply relaxed state it creates can be recaptured with practice.
Volunteer Thubelihle Mthethwa, a first year Engineering student, said being hypnotised felt “like a dream” and wanted to be able to return to that state. Sutcliffe therefore provided Mthethwa with a trigger word to associate with the feeling of trance so that Mthethwa could access it again with relative ease.
Thubelihle Mthethwa receiving a trigger word to return to this trance-like state. Photo: Tristan Monzeglio
The start of a new year can be stressful for students for a variety of reasons, which – if not addressed with adequate care and attention – can put a significant strain on their mental health.
Sutcliffe explained: “What you do in hypnosis is you teach them how to relax every part of their body. So not just the muscles, not just their physical body, also their mind”. He believes wholeheartedly that if more people knew the truth about hypnosis, it could be used as an easily accessible and tangible solution for anyone who needs to recentre their mind in a world where it’s so easy to get caught up in all the chaos.
FEATURED IMAGE: As part of his rapid induction technique, hypnotist Tevin Sutcliffe guides (left to right) Thubelihle Mthethwa, Mncedisi Buthelezi and Kanya Shabangu into a state of relaxation. Photo: Tristan Monzeglio
SADAG debunked myths around teenage suicide and offered practical solutions to curb this growing concern.
The National Department of Health (NDoH) data indicates that approximately 1 in 14 teenagers died by suicide last year in South Africa.
On 10 February 2025, the South African Depression and Anxiety Group (SADAG) held a webinar to discuss a critical issue affecting young people: teen suicide prevention.
As part of Teen Suicide Prevention Week (9-16 February), the webinar aimed to raise awareness, break stigmas, and provide support for those affected.
Teens are reportedly facing a wide range of challenges, such as bullying, family and relationship issues, depression and academic stress. Teens frequently feel overwhelmed, powerless, and despairing because of these issues.
Clinical psychologist Zamo Mbele said “regular check-ins are even more crucial because teens frequently feel bad and do not want to burden their friends or family with their troubles.” He added that SADAG receives 1500 calls on average from teens as they would rather speak to a stranger than feel judged by loved ones.
The campaign for this year, ‘Your feelings matter, let’s talk’, highlights the significance of establishing secure environments where the youth should feel encouraged to ask for assistance.
Mbele suggested that the media could change the language in which they use to report on suicide cases “Instead of saying someone committed suicide rather say they died by suicide.” This can humanise instead of criminalise the issue.
“Avoid graphic details about the method of suicide or any other sensational detail, instead when reporting focus on whether the individual had been struggling with suicidal thoughts for a long time,” he added.
“Research shows that talking about suicide with a young person does not cause them to have thoughts of suicide or create a desire to end their lives,” said Mbele. The danger comes from not talking about it.
Visit SADAG’s website and use the suicide free helpline (0800 667 657) for more information. By sparking open conversations teenagers can be made to know that their feelings matter.
FEATURED IMAGE: Adobe stock image of a teenage boy looking distressed. Photo: Adobe Stock
As an overwrought Johannesburg continues to address rampant apartheid hang-ups, the responsibility of ensuring citizens’ equitable access to mental healthcare often falls on under-resourced, overburdened, yet empathetic providersstruggling to meet demand.
If you’re looking for mental health support in Johannesburg, where exactly should you turn? Should you ask people you know for help – and would they judge if you did? Should you head to the nearest clinic, unsure if they’d assist with an invisible problem? What if you can’t afford help or medication? What if you’d rather look up alternative options online? How would you know the right service to select when seemingly infinite options appear in a Google search for “psychologist Johannesburg”? Although it’s been 30 years since the end of apartheid, South Africa’s young democracy is still trying to escape the shadows left by unjust and inhumane policies. These shadows not only obscure economic equality, but persist through generational trauma, haunting the collective psyche of South Africans to this day. To explore how Johannesburg, the country’s most-populated city, could set a national blueprint ensuring adequate mental healthcare access, we must first understand the people behind the service who navigate through troubled waters, trying to make a difference.
The promises of post-apartheid mental healthcare
For South Africa to overcome its traumatic past, it is essential for all citizens to have equitable access to mental healthcare. This principle was acknowledged by the country’s first democratically elected government and is clearly articulated in the policies it introduced.
On December 10 1996, then president Nelson Mandela signed the newly drafted South African Constitution, which became the “highest law of the land”, acting as the direct reference and regulator of all subsequent laws and policies. The Bill of Rights, contained in its second chapter, was drafted as a tool to define and monitor South African citizens’ human rights. Two enshrined rights that concern the state of mental healthcare are the right to “equality” and the right to “human dignity”. These are essential reference points, because they highlight the emphasis the government placed on ensuring that all citizens have equal access to adequate healthcare.
This broad emphasis on health was refined to address mental health concerns with the passing of the Mental Health Care Act in 2002. Among other stipulations, the Act promised to ensure that “various categories of mental health care users” were granted “[co-ordinated] access to mental health”. It also aimed to integrate mental healthcare “into the general health services environment”. For countless generations, previous governments blatantly mistreated the majority of South Africa’s citizens; in contrast, the introduction of these regulations acted as a sign of the new government’s solidarity with them.
However, despite these various renewed governmental policies, the tangible challenges that South Africans continue to face on a day-to-day basis, whether crime, economic pressures or systemic inequality, can muddy the public’s idea of mental healthcare. Because mental health is largely intangible, “fixing” a mental health issue feels more like a luxury than a necessity. This reticence to seek help means that 75% of South Africans actively struggling with mental illnesses do not receive the help they need. Meanwhile, the abundance of everyday stressors can be exacerbated by people’s mental health issues, trapping these seemingly dissimilar problems in an indefinite loop of re-aggravation.
Figure 1: A representation highlighting the disparity between need and access to mental healthcare in South Africa and Gauteng. This is layered on top of a silhouette of an old mining headgear on the outskirts of Johannesburg CBD, with an image of a brain intersecting it.
In 2023 South Africa ranked third last of all measured countries by average mental health quotient, which is an online assessment tool used to “provide [a] comprehensive assessment of mental wellbeing”. The Mental State of the World report also found that South Africa had the second-highest proportion of respondents classified as “distressed or struggling”. These rankings are concerning, particularly considering the emphasis placed on improving the quality of, and access to, mental healthcare in the previous decades.
The incongruence between well-meaning government policies introduced in the hopeful past, and the current reality of overwhelming mental health issues that have not been addressed, is a theme that has persisted in Johannesburg and manifests in damaging ways.
Life Esidimeni: How to learn from the recent past
There is no mental-health policy failure in Johannesburg in the past 30 years that stands out as glaringly as the Life Esidimeni tragedy, when the most vulnerable people in society were neglected and left to rot as a consequence of government action.
In 2015, the Gauteng department of health cut ties with the Life Esidimeni hospital, which provided extended care and housing to thousands of psychiatric patients. The department of health aimed to relocate these patients to various nongovernmental organisations (NGOs) across the province. This decision followed the department of health’srecently introduced Mental Health Policy Framework, which, from 2013 until 2020, aimed to develop “community-based” mental health services like NGOs by deinstitutionalising mental healthcare services like Life Esidimeni hospital. However, this decision could also be explained more simply by the department’s need to “save costs”.
In a vacuum, these promises of governmental support and collaboration with NGOs appear to be beneficial developments for impoverished communities struggling to provide adequate healthcare. However, in reality the NGOs these patients were relocated to were not properly screened, either being woefully under-equipped or “fraudulently approved” to house psychiatric patients. This ignored the department’s framework to ensure citizens with access to adequate mental health services through “[the establishment of] a monitoring and evaluation system”. This mass rehousing ultimately resulted in 144 psychiatric patients dying from neglect and improper care.
This lack of mental healthcare access and resources is particularly damning given that the Life Esidimeni tragedy occurred in Gauteng, South Africa’s wealthiest province, which houses 45% of all registered South African mental health professionals.
Figure 2: A graphic representing how even with the overwhelming proportion of mental health professionals operating in Gauteng, the province is still under-equipped. The graph is layered over an image of the Johannesburg skyline, with a gamma brain wave intersecting it.
In the aftermath of the tragedy, the department of health’s revised Mental Health Framework, has sought to address the issues overlooked by the previous framework, now promising to ensure that “community mental health services will be scaled up to match recommended national norms”. Recently, Gauteng MEC for health and wellness, Nomantu Nkomo-Ralehoko, also committed almost half a billion rand to “improve mental-healthcare infrastructure and services across the province” this financial year.
A renewed focus on mental-health services appears to be a step in the right direction for Johannesburg. However, will this promise truly serve to assist those on the front lines of mental healthcare in the city, or will it simply prove empty once again?
Policy and regulations touting to improve mental healthcare access are an important first step, but they cannot stand on their own. The implementation of these ideas in real-world scenarios is the true test and, to understand the context in which they are applied, one must first understand the different types of mental healthcare in Johannesburg, as well as the various challenges the people running these facilities face.
The pathways to recovery
Unlike physical ailments, because mental illnesses are often ‘invisible’, it can be more difficult to grasp and confront them. The first step on the road to recovery is identifying the problem and realising the need to address it. The next step is often the most challenging: accepting that doing so requires external help. It can prove difficult to ask for help due to a variety of cultural and societal norms that create stigmas around mental healthcare.
Mental health stigma is rife throughout society: one place where they commonly persist and do much harm is within tertiary institutions. Universities are educational spaces, meant to inform and prepare students to tackle problems they face in the real world. However, according to the University of the Witwatersrand’s (Wits) Counselling and Careers Development Unit (CCDU), it is an ongoing process to deconstruct these stigmas during the time in people’s lives when they need the most mental-health attention. According to a study on adolescent mental health, it was found that 75% of people with mental illnesses develop their disorder before turning 24.
Figure 3: A set of self-help tips geared towards vulnerable students. This guide is layered on top of a silhouette of Johannesburg’s skyline with an image of a smiling sun intersecting it.
The CCDU is a free counselling service offered to Wits students, aimed at addressing mental-health concerns, as well as providing academic assistance and preparing students for life outside campus.
“People think that when you are seen coming to CCDU… you have problems,” says Lynette Sikhakhane, a CCDU psychologist. Sikhakhane says what stops many students from seeking out the CCDU is that “culturally… there’s a belief that you man up” instead of admitting to needing help. Highlighting a major misconception about therapy, Sikhakhane states that many students expect therapy to instantly “fix” their problems, when it is actually an incremental process of enabling self-understanding.
CCDU advocacy team leader, Vinoba Krishna says the unit aims “to incorporate the voices of students” into the mental-health assistance it provides. Part of this is dispelling misinformed expectations around counselling and therapy through effective communication and psychoeducation, as outlined in Higher Health’s mental health programme.
Krishna states that, despite the CCDU’s best intentions, “we aren’t able to do the work just by ourselves”, because of a lack of direct funding for mental health. He also emphasises the need to collaborate with “different stakeholders on and off campus” to ensure the best results for students.
A CCDU sign outside of their head offices on Wits West Campus. Photo: Tristan Monzeglio
The South African Depression and Anxiety Group (Sadag) has similar aspirations to help people in need and destigmatise mental health in South Africa in the face of limited resources. Sadag is a non-profit organisation that provides counselling via 24-hour toll-free emergency helplines and community-driven initiatives.
Fatima Seedat, a Sadag development manager, says that for all South Africans to have equitable access to mental healthcare “a collective effort” is required from the government, civil society and NGOs. Seedat argues it is impossible to follow the “beautiful strategic framework” outlined by the government when “every year the healthcare budget decreases”.
The lack of funding available to Sadag and other mental-health providers highlights the inequality of access South Africans face. Naledi Nzimande, a Sadag volunteer councillor, says that “the most challenging calls” are when she wants to refer callers to professional help, but there aren’t any mental health resources nearby. Stephanie Gladwin, also a Sadag volunteer councillor, reiterates that the level of mental healthcare individuals receive is, in many ways, directly tied to levels of income. “If you’ve got money, it’s not a problem… South Africa has some fantastic mental-health professionals – it’s just reaching them that’s the only issue,” she says.
SADAG Volunteer Counsellor, Tevin Sutcliffe, on the phone to a hotline caller. Photo: Tristan Monzeglio
To combat this unequal access, Sadag has installed counselling containers in Diepsloot and Ivory Park, where they offer face-to-face counselling inside converted shipping containers. Seedat says this project aims “to fill the gap where it’s needed” in vulnerable spaces in Johannesburg.
When comparing mental-healthcare access in the public and private sectors, the disparity between funding and resources is stark. For example, about 80% of South African psychiatrists work in private practice. Although most South Africans access mental healthcare through the public sector, private mental-health services that offer specialised solutions to fill niche gaps in care are also important.
A video covering SADAG’s community based care and, specifically, their Counselling Container project. Video: Tristan Monzeglio
Private music therapist, Graeme Sacks, who operates in Parktown, believes his practice enables him to be sensitive to his client’s needs. “We’re all musical beings… [and music therapy] is a wonderful way to tap into people’s emotions,” he says.
As Sacks puts it, music therapy is an “evidence-based practice”, which uses “music towards clinical goals”, but in practice it’s less stringent. He says, as a music therapist, it’s about concerning yourself with “the situation that [clients have] grown up in” by “trying to find out about their culture, their musical taste”, without ever “imposing our stuff on them”.
This tailored approach to therapy offers clients individualised care and, if music therapy were available in the public sector, it would be a practical means to provide many South Africans with the specific help they require. Sacks says that “most medical aids don’t pay for arts therapies” and that, currently, “there are no arts therapists in public health”. This absence of access to arts therapy is a missed opportunity for the public healthcare system to provide equitable access to a niche form of specialised care.
Music Therapist, Graeme Sacks, playing piano in his office where he treats all manner of people with the power of music. Photo: Tristan Monzeglio
Some specialised care in the public sector is available, at Johannesburg’s Tara Hospital, which is a publicly funded psychiatric hospital. It provides specialised care to referred patients who cannot be adequately treated at secondary and tertiary hospitals.
Senior occupational therapist and acting assistant director at Tara, Savannah Levi, believes that in Johannesburg, and South Africa at large, “What’s so hard about accessing mental healthcare, is that there are so many points, but none of those points correlate or integrate with each other.” Levi argues that the policies and ideas meant to integrate a variety of services are based on sound frameworks, but their lack of real-world implementation highlights the “disconnect” between theoretical and practical application.
Levi says Tara’s specialised service offers “a very protective environment for the patients”, meaning that sometimes they “don’t want to leave”. This highlights the benefit that specialised care affords people in need which, in theory, all citizens should have access to. However, Tara has only 140 beds and limited staff due to the high level of training requirements and capped job availability.
Outside of Tara Hospital in Hurlingham, with Sandton in the background. Photo: Tristan Monzeglio
A new destination
Despite the government’s multiple continued failings in the broad mental-health landscape, hope still persists in those people willing to take up the struggle. Mental-healthcare providers aren’t required only to help people experiencing mental anguish, they’re expected to do so while juggling external economic and cultural challenges, on top of taking care of themselves. Although well-meaning mental health policies are important, what’s even more important is that they are actually implemented. In the best interests of the South African citizens, it is essential for all stakeholders to minimise confusion and collaborate towards a single goal, so that the people who need help the most are not forgotten.
FEATURED IMAGE: COLLAGE: Nelson Mandela Bridge heading into Johannesburg CBD, an image of a Recovery Unit sign inside Milpark Hospital, and a box or reference documents intended to help SADAG counsellers deal with depressed adolescent callers. Photo: Tristan Monzeglio
My journey to setting boundaries began with a simple realisation: I was suffocating under the weight of others’ expectations. Now I know it’s the most radical act of self-love one will ever commit.
As I navigate the complexities of life, I have come to realize that setting boundaries is not just a necessity, but a superpower. Being intentional about my time, energy, and relationships has improved my well-being.
Setting boundaries is not selfish, but essential for our survival. A study published in the Journal of Social and Clinical Psychology found that people who set boundaries, and prioritise self-care have higher self-esteem and better mental health. By taking care of ourselves, we can show up more fully and be more present in our relationships and lives.
Spiritual boundaries include being mindful of the company I keep and the beliefs with which I engage with, which are Christian beliefs. As Emmanuel James Rohn once said, “You are the average of the five people you spend the most time with.”
Engaging with like-minded communities has also provided a supportive environment where I can share my thoughts, learn from others, and deepen my understanding of my faith. This has ultimately strengthened my relationship with God and myself, enabling me to navigate life’s challenges with greater clarity and purpose.
Academically, setting boundaries means dedicating time to my studies and prioritizing my education. As Mpoomy Ledwaba an international speaker and founder of Wisdom & Wellness once said, “Discipline is the bridge between goals and accomplishment.” For me, this means setting aside dedicated time for studying and avoiding distractions.
I allocate specific hours each day for studying, ensuring I minimise social media and phone usage during that time, I also create a conducive study environment by using a quiet and organised study space.
My friends joke that my brand and personality have become “Miss Journalist”, because I have become so locked in and it occupies my mind most of the time. Whilst it is true that I am currently struggling to find the balance between a social life and my studies, I can maintain a sense of accomplishment and take pride in my academic journey.
Much like a gardener tends to their garden, nurturing the soil and pruning the weeds to allow the flowers to bloom, one can tend to a person or situation with similar care and attention, to ensure growth.
Financial boundaries include being disciplined and avoiding activities that would stretch one too thin. It is essential to create a budget and stick to it, while avoiding impulsive purchases.
But let’s be real, I struggle with this one the most. Who can resist the aroma of freshly brewed coffee and the glazed baked treats on display in a coffee shop? Certainly not me, every day I have to fight against my senses when I walk into the Es’kia Mpahlele building, which has a Vida e Cafe at its entrance. Their Strawberry Supresa smoothie, banana loaf, and spicy chicken mayo are to die for.
But in all seriousness, it’s a work in progress and I am trying to be more mindful of my spending habits. Maybe I will be able to resist the temptation of that coffee shop…but no promises!
Lastly, the most important boundaries are the ones I set in my relationships. As Jerry Flowers, a motivational speaker and priest for the Time of Celebration Ministries Church says “Boundaries are not meant to keep people out, but to keep yourself in.”
It is all easier said than done, and life is a continuous process of self-reflection, growth, and improvement. You cannot pour from an empty cup, so you need to take care of yourself first, boundaries are the tool that makes that possible.
Medical students and doctors are shockingly the professionals with the highest suicide rate worldwide due to issues with anxiety, depression, and burnout.
Mental health has become a topical issue in the 21st century, with more focus being placed on it than ever before. Even though it is at the forefront of note, medical professionals are suffering from increased levels of anxiety, depression, and burnout whilst trying to save others from the aforementioned.
In an article, Professor Bernard Janse van Rensburg said: “Doctors are 2.5 times more likely to commit suicide than the general population, while physician burnout is a leading cause of medical error”. He explained awareness of this issue needs to start with medical students to reduce the stigma surrounding doctors and their mental health.
For medical students at Wits, their issues are caused by how their curriculum is set up. They have long working hours, which take effect from fifth year. They have weekday shifts, which can last up to 15 hours and night shifts on the weekend. In addition, these students are studying full-time, which includes doing readings, class work, and online lectures.
To further investigate the issue, Wits Vuvuzela spoke to four medical students on campus who said they are suffering from intense stress, depression, and burnout. The students requested to remain anonymous as they fear reprisal. Three of the four students said they were on anti-depressants and/or anti-anxiety medication, and all reported they were on the verge of burnout.
Eileen Maleka, a manager from the Office of Student Success (OSS) at Wits, a programme offering support, counselling, and academic assistance to health science students, said, “South African research reveals higher rates of suicidal thoughts, depression, and anxiety among medical students… barriers to accessing mental health services include time constraints, confidentiality concerns, and fear of stigma.”
The additional pressure to do well academically also adds to the mental toll. Students have been known to write five tests in one day, thereafter, attend shifts at hospitals. This is because students are seen as part of the main workforce, but they feel they are just “free labour”. Students are not paid for the work they do.
Despite Wits having the OSS programme, these young doctors-in-training feel as though they are not fully supported. The students explained the suicide statistic is simply unacceptable, yet not surprising, and institutions need to acknowledge the numbers are not decreasing.
The Dean of Student Affairs, Jerome September, said medical students are welcome to “further discuss what the specific gaps might be with the idea to find improvements where required”. He said, this could include compulsory debriefings or group counselling sessions which could ease the burden on them.
FEATURES IMAGE: Scenario showing the stress medical students feel on a daily basis. Photo: Adobe Stock
Exhibition offers visitors an opportunity to experience what it is like to have schizophrenia.
The Wits Origins Centre Museum’s latest exhibition Shadow Voices seeks to raise awareness about schizophrenia.
Shadow Voices was a week-long sound installation (July 31 to August 5) crafted by MMus (Master in Music Student) student Annemie Du Plessis, music psychotherapist Karin Meyer, and poet Dan Hoeweler. It explored the profound experiences of those living with the mental disorder.
Schizophrenia is a mental disorder that is characterized by continuous or relapsing episodes of psychosis. Symptoms include hallucinations, delusions, and disordered thinking and behaviour that impairs daily functioning and can be disabling.
The exhibition uses sound that people can listen to through headphones to allow them to experience what it is like to have “voices in your head”. It mimics one of the realities of a person living with schizophrenia.
Du Plessis told Wits Vuvuzela that “given the stigma often associated, we wanted to do a sound installation that would help create awareness about schizophrenia symptomatology” [the set of symptoms that are associated with a medical condition].
“Sound installations can be a powerful medium to allow for immersive experiences, it supports the narratives of music therapy as part of a treatment and support for people living with schizophrenia,” said Du Plessis.
A black canvas with a drawing of a person being attacked by a monster. Photo: Sbongile MolamboPoetry by Dan Hoeweler forms part of the exhibition. Photo: Sbongile Molambo
According to a 2022 report by the WHO, schizophrenia affects approximately 24 million people, or one in 300 people (0.32%) worldwide. This rate is one in 222 people (0.45%) among adults.
According to Dr Mvuyiso Talatala of the South African Society of Psychiatrists (Sasop), in an article published by the Daily Maverick in July 2023, schizophrenia affects only about 1% of the population of the South African population. He said, “schizophrenia is a disease of young people, with about 90% of people with the disease first showing signs before the age of 25.”
The Origins Centre Museum’s curator Tammy Hodgskiss Reynard told Wits Vuvuzela that what makes Shadow Voices different is that “exhibitions are often visually focused and this one forces you to listen and use other senses.”
Music psychotherapist Meyer believes that music therapy can be very effective in treating mental health concerns. Music therapy is the practice in which a therapist uses clinical and evidence-based music interventions to accomplish unique and individualised goals within a therapeutic relationship.
She said, “Music can naturally lift our moods and, when used intentionally it becomes a tool for processing emotional difficulties.” She adds that “research has shown the benefits of music therapy for depression, anxiety, schizophrenia, et cetera.”
It is believed that music therapy can be used as an aid in the treatment process of different forms of mental illness.
FEATURED IMAGE: Visitor and student, Aphelele Mbokotho listening to the sound installation which mimicks having voices in your head. Photo: Sbongile Molambo
To mark mental health awareness month, the student support office is visiting residences and student accommodations to educate students about how to manage stress.
Forty students turned up for the Wits SRC student support office’s first event to kick off mental health awareness month, on April 25, at Apex Studios Accommodation in Braamfontein.
The mental health drive is a student wellbeing initiative that will see SRC student support officer, Lisa Sibaca and a team of various panellists going to different student accommodations and residences to discuss mental health.
At Apex Studios, each of the five panellists tackled a different topic relating to mental health in an interactive discussion that saw students asking questions and engaging in conversation with the panellists.
First was SRC student support member, Thato Lebitso, who addressed a topic that most students in the audience felt strongly about as it received a lot of interaction and feedback from the audience – “burnout syndrome”. He described it as “unsuccessfully managed chronic stress”.
Lebitso explained that, although all students deal with stress, not all students deal with burnout syndrome. The key factor which distinguishes the two is the way stress is managed. He said stress was a natural part of life and of being a student as there were always deadlines to meet or exams and tests to plan for.
However, when students do not manage their stress in a healthy way and plan their activities and obligations in detail, this leads to chronic stress which could possibly lead to burnout, Lebitso said. He identified six steps that students could implement to manage stress and avoid burnout.
Thato Lebitso’s six steps to manage stress and to avoid burnout. Infographic: Terri-Ann Brouwers
This resonated with one of the students in attendance, Lebogang Sekhitlu (23) who said, “Once you can identify [burnout], I think you can limit the harm it does.”
The drive will continue till Tuesday, May 16, and staff from the Counselling and Careers Development Unit (CCDU) would take part, so that students could be aware of the resources available to them.
“It is very easy to blame a student for not working or performing academically, but they’re suffering in terms of their mental health, so, we’re here to offer solutions,” said Sibaca. Omphile Seqhee (19), Apex Studios’ well-being and outreach student life intern, told Wits Vuvuzela that she was more than happy to collaborate with the SRC student support office by bringing the drive to their accommodation. She was happy that students got tips on how to deal with academic stress as that is what causes students to have the most mental health struggles.
FEATURED IMAGE: SRC student support officer, Lisa Sibaca, and her team of panellists engage with the audience at a mental health drive event at Apex Studio Accommodation, Braamfontein. Photo: Terri-Ann Brouwers
After discovering the root of my depression and anxiety, it became clear why stress is referred to as “the silent killer”.
At only 20 years old, I found myself sitting on my bed with a handful of pills ready to take my own life. I was tired of how I was feeling, and I wanted it to end.
Two years earlier, in 2016, I had taken a gap year after I did not get accepted into any university I had applied to. I was embarrassed because in my community there is a stigma attached to taking a gap year.
I was constantly being asked: “What are you doing with your life now?” and “Doing nothing this year will make you lazy.” While at a funeral, grieving, someone said, “Your brother didn’t take a gap year, so why are you?”
This constant comparisons to my brother who went to university straight out of school hit me hard. So did seeing my peers move forward while I felt stagnant, and constantly feeling as if I was disappointing my parents. I started doing admin work at our church office and applied again. I eventually got accepted in 2017 for a higher certificate in journalism.
I could have gone on to work as a journalist, but my plan was always to get an undergraduate degree first. When I received a rejection letter from UCT, I remember feeling embarrassed and like a failure again. Fortunately, I was admitted for an undergraduate degree in copywriting at Vega.
Within the first two weeks I knew the course was not for me, but I decided to complete the year and switch to a different university or degree programme the following year. As time went on, I found myself feeling sad and angry all the time and going to class made me feel so anxious, I would cry every day.
My breaking point came the day I received my mark for an assignment that I had worked on day and night – 37%. After that soul-crushing moment, I left campus early without telling anyone, and stopped at two different pharmacies to get as many pills as I could.
As I sat on my bed later, the stress of dropping out was too much. So was the stress of continuing with the programme. I was ready to end my life. At that very moment, a friend messaged me: “Are you okay?” I am alive today because of that message.
Since then, there have been a few more instances when I have felt the only way out was to take my own life. In 2022 I started seeing a psychologist and psychiatrist. What came out of these sessions was not only an ADHD diagnosis, but the fact that I have clinical depression and general anxiety disorder.
The root cause of my mental illnesses was revealed as stress. In the sessions with my therapist, we found a pattern. Whenever life became what felt like unbearably stressful, I would reach such a low that I would only see suicide as the only way out. This discovery is what saved me.
The constant stress I had been under since 2016 had taken its toll on me mentally. I realised that I had suppressed my emotions because life was stressful for everyone, and I thought not being able to handle the pressure would make me seem weak.
Looking back, there are many things I would do differently. I would pay attention to the feelings of hopelessness and the lows that were not just a bad day but would stay constantly with me.
A clinical professor at Brown University, Carol Landau says that the impact of stress on depression is “one of the most important problems of our time”. I would like to echo her sentiments and add that it is one that we should treat with the seriousness it requires.
Reading enables me to escape the confusing and confining circumstances of my own world through gaining a deeper understanding of others.
Literature has always been my escape from everyday life, and when I do face real people, it is also the reason that I resist judging a book by its cover, so to speak.
When life becomes hard for me, such as in 2020 when the covid-19 pandemic trapped me within the walls of my house and I experienced grief for loved ones and family members, I turned to books to escape. Sometimes the characters I used to escape were heroes who looked at the world and tried to make it better. Other times, the characters I read were villains. However, when I read a story, even one whose main character was someone who did bad things, I still grew to understand them, sometimes even root for them. In escaping from the confusing and confining world of my own, I entered the world of others.
A 2012 study by researchers from Dalton State College and Converse College in the US, explains the phenomenon of ‘rooting for the bad guy’. Richard Keen, Monica Powell McCoy and Elizabeth Powell examined how narratives make readers feel empathy. The study used psychological concepts and linked them to literature to conclude that literature makes us feel so deeply for characters because we are given a first-person perspective into their lives and so we avoid blaming actions on the characters themselves but rather blame their circumstances. This is similar to the perspective we take on when examining our own actions. We judge our actions by blaming things outside of our control and rarely blame our own internal thoughts and values for wrongdoings.
Getting lost in these characters has shown me how stories have the potential to make us understand the most incomprehensible situations. Later in life, when covid-19 released its deadlock on our lives, I came across people I couldn’t see eye to eye with, people who hurt me or made me feel inferior but, I had learnt that behind every one of these people who seemed incomprehensible to me, there was a whole story that had led them to where they were. I could not judge them for how they treated me without keeping in mind the villains that I grew to know and love through books. Stories made me feel mercy and empathy in the judgement of the most despicable characters, in books and in life. As there will always be people who hurt me in some way or other, this is something that I like to think I carry with me through life.
As a journalism student and an avid news reader, I notice how often the world and the press in particular refer to people who have done bad things, as bad people. There is little room to explain how factors beyond their control lead people to where they find themselves in the latest gossip or news article. I believe literature is such a valuable art form because through it, while escaping from my own life, I have entered the lives of others and lived how they have lived. It is so important to keep in mind that we judge the actions of others differently to how we judge ourselves, unless we know their whole story. But there is always a whole story. I hope to carry this idea into my own practice of journalism and avoid creating two dimensional characters out of multi-dimensional people.
Immersing myself in nature around Johannesburg boosts my mental and physical wellbeing.
Midway through my second year at Wits I was struggling with mental health issues. It became difficult to set goals, meet deadlines, and to attend crucial lectures. This caused my academic work to suffer, and my marks to drop. I also lost interest in things that I had once loved.
As overwhelming and isolating as my depression felt, it is not an uncommon occurrence. According to a 2022 paper by the Wits/Medical Research Council developmental pathways for health research unit (DPHRU), just over one-quarter of South Africans have probable depression. This fluctuates from province to province – with the highest rates in the Northern Cape, Eastern Cape, Western Cape, Gauteng and Mpumalanga.
One day, my friends called me to come on a walk with them. Not really understanding why people would walk for fun, I hesitantly went along.
Important to note is that, at the time, I was not able to see much good about what was around me. My mindset was extremely negative towards Joburg – the bad clouded the good.
We drove to a hill near Bedfordview, Ekurhuleni, to get an unobstructed view of the city. I remember sitting on a rock watching the sun set over Joburg. I was in awe of the City of Gold. We sat there well into the evening – chatting, listening to music, and most importantly, enjoying the view of the city.
The Sandton skyline glows in the sunset from the viewpoint of Harvey’s Nature Reserve on Linksfield Ridge. Photo: Seth Thorne
I wanted to do this more often. I wanted to see more of this beautiful city again. I remembered it being beautiful when I was a kid. What I am generally told now is that Joburg is a bad city, so everything about it must be bad… right?
I realised that I had lived in the city for my entire life but had not really seen Joburg.
I decided to set time aside to go on walks and hikes to see Jozi from different perspectives with my friends. It was a big decision because it meant I had to cut into my Netflix time. However, it changed my life forever.
The more I went out to see the city with my friends, the happier I found myself. From watching the sun set on Northcliff Hill, The Wilds in Houghton, and Harvey’s Nature Reserve on Linksfield Ridge, to spending a Saturday at the Neighbourgoods Market in Braamfontein. Seeing Joburg made me mentally and physically healthier. Taking care of your own well-being is known as “personal counselling”. This refers to nurturing one’s own mental health by making use of self-help resources and activities that a person would enjoy.
Techniques can also be learnt, with the Wits Careers Counselling and Development Unit offering some suggestions, which can be accessed by clicking here.
Walks around the city have made me more optimistic about Joburg, and life in general. It is an unbelievably diverse, complex, and misunderstood city that radiates a lot of beauty – if you allow yourself to see it. I also became enthusiastic about university, and my academic performance improved as a result. My suggestion to everyone is to go out and experience the beauty of the world around you. It just may change your life.
This narrative podcast episode is an open letter to a man named Ntate Johannesburg ( Ntate Jozi) who represents The City of Gold. Podcast host, Sechaba Molete gives us a glimpse of the lessons he's learnt about Johannesburg as he reads Ntate Jozi his letter. This thought-provoking audio experience is a just a click away!
