South Africans are living through another cycle of sustained economic pressure as rising fuel costs continue to filter through the economy, pushing up the price of transport, food and household goods. At the same time, broader global uncertainty and ongoing geopolitical tensions are adding further worry and dread to an already financially stressful landscape for South Africans. A 2026 study on the impact of geopolitical tensions on mental health shows that sustained global conflict and political uncertainty is a key driver of anxiety, even among populations not directly affected by war, contributing to a persistent sense of threat. For many people, this is experienced not as a single event but as a constant background load, which compounds existing financial strain and intensifies everyday stress responses. “When people are faced with instability and conflict narratives, even if events are occurring far away, the body can remain in a sustained stress response,” says Dr Themba Hadebe, Clinical Executive at Bonitas Medical Fund. “Even when individuals are not directly affected, the constant sense that the world is unstable can heighten anxiety and intensify the strain already created by financial pressure. Over time, this compounds into burnout and emotional exhaustion that we are increasingly seeing in members.” Mental health challenges are also having a wider economic impact, with South Africa estimated to lose over R250 billion annually (around 4.5% of GDP) linked to mental health conditions. In addition, about 452 million work hours are lost each year, with “presenteeism” alone costing more than R200 billion in lost productivity. Chronic stress linked to money worries also drives physiological changes in the body that are harder to detect early. Sustained elevated levels of stress hormones like cortisol can affect sleep quality, weaken immune response and contribute to weight changes, fatigue and burnout. Over time, this creates a cycle where physical exhaustion and mental strain reinforce each other, making recovery more difficult. Managing stress in a high-pressure environment While economic conditions are not within individual control, there are practical steps that can help reduce the health impact of ongoing stress. Structured routines are important; regulating sleep patterns and ensuring you are eating balanced, consistent meals help regulate the body’s stress response. Even small adjustments, like limiting late-night screen exposure or introducing short daily walks, can improve sleep quality and mood regulation over time. Financial clarity also plays a role in reducing anxiety. Simple budgeting tools or weekly financial check-ins can reduce the cognitive load of uncertainty, which is often a major driver of chronic stress. “Preventative approaches are also important,” says Themba. “Early support for mental health symptoms can help prevent things from becoming worse. Members of a medical aid must look into the structured care programmes they are able to access and take benefit from through their plans, which can help a great deal in the event an individual requires further medical care that can become costly.” Bonitas’ Mental Health Programme offers its members structured support that is designed to help identify and manage conditions such as anxiety, depression and burnout earlier, with coordinated access to care pathways and ongoing support. “As a society we re quicker to discuss how these pressures affect us in economic terms, but are less cognisant of, or willing to speak to about, the very real and problematic physical and mental health issues that arise as a result of what’s happening in the world right now. “Stress linked to financial strain has real physiological and societal consequences, affecting all of us whether on an individual or organisational level. Don’t ignore the early signs of burnout and seek support to stop stress form developing into more serious conditions,” concludes Themba.