Abstract: The global pursuit of effective and safe natural treatments for depression is gaining
fresh attention due to the many negative effects linked to many current pharmaceuticals. The
use of plants for the management of depression and associated symptoms is well-documented
across many ethnic groups in South Africa. Plants having ethnobotanical evidence underwent
an additional pharmacological assessment to determine their potential efficacy as
antidepressants. Depression is a mental health illness arising from intricate psycho-
neuroimmuno-endocrinological disruptions. This condition manifests as mood disorders,
chronic sorrow, diminished interest, and cognitive impairment, resulting in discomfort for the
patient and substantially hindering their capacity to function and maintain a fulfilling
familial, social, and professional life. Depression need thorough management, include
pharmaceutical intervention. Due to the protracted nature of pharmacotherapy for depression,
which has the potential for various undesirable medication effects, much focus is directed
towards alternative therapeutic approaches, including phytopharmacotherapy, particularly for
mild to moderate depression. This study examined existing ethnobotanical,
ethnopharmacological, and phytochemical research on South African medicinal herbs used
for the treatment of depression. Electronic databases were used to retrieve scientific material
that satisfies the inclusion criteria. This narrative review is derived from a conventional, non-
systematic literature examination. This text succinctly examines the pathogenesis,
symptomatology, and therapy of depression, emphasizing the significance of
phytopharmacology in its management. It elucidates the mechanisms of action identified in
experimental investigations of active compounds extracted from herbal antidepressants and
gives findings from selected clinical research validating their antidepressant efficacy.