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Information sheetMeaning, culture and faith · No. 367

Ancestral beliefs and wellbeing

Ancestral beliefs are a meaningful part of many South Africans' identity and coping, and can sit comfortably alongside mental health care.

2 min read · Awareness resource · Reviewed 2026-09-15

For many South Africans, a connection to ancestors is a living, meaningful part of daily life - one that can offer real comfort during hard times.

What's happening

Ancestral belief holds that those who have passed remain present and involved in the lives of the living, offering guidance, protection and connection. This belief shapes how many people understand illness, misfortune, dreams and life transitions, and can be a genuine source of comfort, identity and resilience. It sits within a person's broader spiritual and cultural framework, and - like other forms of spirituality - can work well alongside professional mental health support rather than in place of it.

Signs to notice

  • Finding comfort, guidance or a sense of connection through ancestral belief, especially during grief or hardship.
  • Understanding certain experiences - vivid dreams, illness, life changes - through an ancestral lens.
  • Family rituals connected to ancestors (offerings, ceremonies, consultations) providing structure and meaning during difficult times.
  • Feeling torn between ancestral explanations for distress and clinical ones, or unsure how to hold both.
  • Distress about neglecting ancestral obligations adding an extra layer of worry on top of an existing difficulty.

What helps

  • Honour the beliefs and practices that are meaningful to you and your family - this is a legitimate and valuable part of your support system.
  • If you're also experiencing persistent emotional difficulties, know that seeking professional support doesn't have to conflict with ancestral belief - the two can coexist.
  • Talk to a mental health professional who is willing to understand and respect your beliefs, rather than dismissing them.
  • If ancestral guilt or obligation is adding to your distress, it can help to talk this through with both a trusted elder or healer and a mental health professional.
  • Give yourself permission to seek the kind of support that feels right for you, without needing to justify it to others.

When to reach out for help

If you're experiencing persistent low mood, anxiety, disturbing dreams affecting your sleep, or distress that isn't easing, it's worth speaking to a mental health professional in addition to any ancestral or spiritual support you draw on. A professional can assess what's happening and support you within your own belief system.

Getting help in South Africa

Cleared Mind's EAP counsellors are respectful of the diverse beliefs held by South African members, including ancestral belief, and will work with you in a way that honours this. SADAG's Mental Health Line (011 234 4837) is also available for further support.