Climate change is exacerbating the frequency and severity of disasters across Africa, with profound psychological consequences for young people. This paper examines the mental health impacts of climate-related events like droughts, floods and extreme weather on African youth. It explores how climate stresses compound existing societal issues, affecting young people’s well-being. Studies highlighted indicate events strongly associated with negative emotions, anxiety, post-traumatic stress disorder (PTSD) and depression among youth. Vulnerabilities are due to disrupted community contexts and limited support systems. Challenges in providing adequate care are also reviewed, with African health systems grappling with a shortage of professionals and inadequate youth-focused care. This article proposes solutions centred on integrated disaster response, community resilience programmes and specialised youth services. Recommendations involve prioritising mental health education, establishing accessible services and collaborating with local partners. The overall aim is to comprehensively address African youth mental health needs in climate-changing contexts through holistic multi-stakeholder approaches, building coping skills and promoting wellness.