Background <p>Mental health issues, including anxiety and depression, are widespread globally, with various stressors influencing their prevalence. While activism can be empowering, it may also contribute to mental health challenges. This study assesses the mental health of activists in the Republic of Georgia before a major political election, a period marked by significant political tension. We explore the relationship between personal factors (e.g., income, time spent on activism) and mental health outcomes.</p> Materials and methods <p>Between October 19 and October 25, 2024, we collected data from 73 activists (30 males, 43 females), assessing anxiety and depression using the GAD-7 and PHQ-9 tools. Participants were over 18 years old, without diagnosed psychiatric disorders, and actively involved in anti-government activism.</p> Results <p>Nearly 80% of participants exhibited moderate to severe anxiety and depression levels. No statistically significant correlations were found between anxiety and depression scores and personal factors such as income, education, time spent on activism, or relationship status.</p> Conclusion <p>This study reveals high levels of anxiety and depression among political activists in Georgia, likely exacerbated by political unrest. Although personal factors did not show significant correlations with mental health outcomes, ongoing political turmoil and government tactics may contribute to these challenges. Further research is needed to explore additional risk factors and develop targeted mental health interventions for activists.</p>