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The report argues that climate change causes profound adverse mental health implications for South Africans, exacerbating existing vulnerabilities caused by poverty and historical injustices. It highlights that exposures—such as natural disasters, water insecurity, and air pollution—lead to psychopathologies including anxiety, depression, and suicide. Children and future generations are identified as particularly vulnerable, facing psychological harms that can impair school performance and emotional well-being. The author further asserts that government decisions to continue developing coal capacity contribute to a sense of institutional betrayal and secondary trauma.