CMScript 10 of 2025: Focus on Depression

Everyone faces ups and downs, but when sadness, hopelessness, or loss of interest last for weeks and start affecting your daily life, it could be depression.

Depression is one of the most common mental health conditions globally, affecting 1 in 18 people, which is about 5.7% of adults, or nearly 332 million individuals, yet many continue to suffer in silence. It can happen to anyone, regardless of age, gender, or background. Women and young people are particularly vulnerable, with many reporting symptoms but not receiving the help they need.

This edition of the CMScript focuses on depression and breaks down what it is, how to recognise it, and where to find help. As we observe Mental Health Awareness Month, the Council for Medical Schemes (CMS) encourages you to learn more, seek support if you need it, and help raise awareness by sharing this resource with others.

Signs and Symptoms

A depressive episode is different from regular mood fluctuations. The symptoms last most of the day, nearly every day, for at least two weeks. They can range from mild to severe and may include the following:

• Persistent sadness, irritability, or emptiness and hopelessness about the future.
• Loss of interest in activities once enjoyed, including becoming withdrawn or isolated.
• Fatigue or low energy and changes in appetite or sleep.
• Difficulty concentrating or making decisions.
• Feelings of worthlessness or guilt.
• Self-harmful or suicidal thoughts or actions.

Treatment and Support

Depression is treatable. Treatment varies depending on the severity of the condition and may include:

• Therapy: Talking to a mental health professional to better understand thoughts, feelings, and coping strategies.
• Medication: Antidepressants may be prescribed alongside therapy.
• Other treatments: In severe cases where medication is not effective, electroconvulsive therapy (ECT) or shock therapy may be considered.

Self-care is also an important part of managing depression and improving overall well-being. Simple habits like staying active, connecting with others, and maintaining healthy sleep and eating routines can make a real difference.

PMB level of care for depression

Depression is classified as a Prescribed Minimum Benefit (PMB) condition under code 902T (Major affective disorders, including unipolar and bipolar depression).

Clinically appropriate tests must be funded in full by the medical scheme as part of the diagnosis and management of the condition, but the treatment component is limited to:

• Up to 3 weeks of in-hospital treatment per year (including inpatient electro-convulsive therapy and inpatient psychotherapy); or
• Up to 15 outpatient psychotherapy sessions per year (follow-up consultations will be funded according to scheme rules).

Medication that is prescribed for treatment after the 21-day in-hospital treatment is not covered under PMBs but may be funded based on your scheme’s specific rules and benefits. It is also important to note that schemes may appoint Designated Service Providers (DSPs) for PMB care, but in emergencies, treatment must be covered in full, even if a non-DSP is used.

Helpline information

If you need help finding a mental health professional or support group, you may contact the South African   Depression and Anxiety Group (SADAG) to speak to a trained counsellor. SADAG is available 7 days a week, from 8:00 to 20:00, and their contact details are 011 234 4837 or 0800 20 50 26. You may alternatively email Zane at zane@sadag.org.

For more information, visit www.sadag.org

Download the full CMScript here.