Mental health has become a critical global concern, with increasing awareness of mental illnesses and their profound impact on individuals, families, and communities. Saudi Arabia is experiencing rapid social and economic changes, with the Vision 2030 initiative aiming to enhance healthcare, including mental health services. Family physicians play a pivotal role in the healthcare landscape, acting as the first point of contact for patients seeking medical assistance. In Saudi Arabia, the integration of mental health services into primary care settings could revolutionize the approach to mental health, addressing the stigma associated with mental illnesses, minimizing the service gap, and delivering timely interventions. This review article aims to explore the current state of mental health services in Saudi Arabia and assess the role of family physicians in identifying and managing mental health conditions.