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This paper explores the coping mechanisms of caregivers of persons diagnosed with severe mental illness to gain a better understanding of caregivers’ experiences and the barriers and challenges encountered in fulfilling their role as mental health caregivers in South Africa. The study utilised a qualitative research methodology to explore the coping mechanisms of caregivers of persons diagnosed with severe mental illness. Employing a purposive sampling technique, 18 in-depth interviews were conducted with caregivers of individuals diagnosed with severe mental illness in the Western Cape Province of South Africa. Findings show a wide range of both positive and negative coping mechanisms which caregivers employ in order to deal with the challenges and stresses they face. Positive coping mechanisms ranged from: making use of services and facilities available, working or keeping busy, knowledge of mental illness, support from family and friends, faith, finding the right doctor for the mentally ill person, support from hospital or clinic staff, looking after self and using challenges to grow, having lots of patience, taking one day at a time and listening to others’ stories. Some of the negative coping mechanisms were: ignoring the mentally ill person or cutting off emotions, taking on all responsibility for the mentally ill person or controlling them, using verbal threats or abuse, isolating themselves and using medication to cope. Mental health care barriers that are considered external to the family unit are examined including recommendations on how to address the mental health needs of carers of persons with mental illness at the community level in South Africa.

Coping Mechanisms of Caregivers of Persons Diagnosed With Severe Mental Illness in South Africa