Mental health issues in Nigeria are pervasive, yet the stigma surrounding them limits open discussions and access to care. Music artists, activists, and therapists have emerged as key advocates, using music as a platform to raise awareness and challenge misconceptions. This study explored the role of Nigerian music and activism in shaping mental health discourse, highlighting their contributions to public awareness and understanding. Additionally, the study examined how music and activism could influence mental health policies in the country. A qualitative approach was used, involving in-depth interviews with seven participants, including Nigerian musicians and therapists engaged in mental health advocacy. Thematic analysis was employed to identify key themes related to mental health awareness, advocacy, and the intersection of music and activism. Findings revealed that while music is a powerful tool for raising awareness and fostering emotional expression, it has had limited impact on policy change. Themes of resilience, inclusivity, and advocacy emerged as significant, showing how music influences public perceptions. However, participants emphasized the need for government involvement to translate public awareness into effective mental health policies. While music has proven effective in generating awareness and reducing stigma, its ability to drive policy changes remains limited.