News headlines yesterday revealed that mental health spending in South Africa had nearly doubled in the past five years, mostly driven by depression. At least, that was the experience of one major health insurance company. This has everything to do with ministry, and urban ministry in particular. As pressures mount in society, so pressures increase for ministry. OBSERVATION: My own most striking experience was just before the first xenophobic attacks in South Africa, nine years ago. We had many working class people in our congregation, and I had been in extraordinary demand for counselling and crisis intervention as pressures mounted. One week before riots broke out across the city, a doctor briefly booked me off for "burnout".