The mental health team of a psychologist, alcohol and other drugs counsellor, mental health nurse and community psychologist reported a 28 per cent increase in patient contacts on the previous year.

Figures also showed most were men, and there had been a threefold increase in phone consultations.

During 2013/2104 the team provided 844 individual services in 18 locations and made 331 contacts by telephone.

National statistics showed 20 per cent of Australians suffered a mental illness each year and women were twice as likely to seek help for mental health issues as men, especially in rural and remote areas serviced by the RFDS.

"In the previous year we saw just over double the number of female clients to males, but in the last year the ratio between male and female clients accessing the service has narrowed significantly," RFDS South Eastern Section general manager health services Linda Cutler said.

"The majority of mental health presentations for men and women relate to depression and anxiety."

She said the rise in patient numbers was partly due to the team's efforts to promote mental health and wellbeing and fostering the idea it was OK to ask for help.

Operating under the understanding there was still a stigma attached to mental health issues, especially in small towns, and that work and care demands made it difficult for residents and workers to attend clinic locations, the RFDS offered support in a variety of ways, she said.

These included face-to-face and telephone consultations, and secure digital communications such as text messaging, email and Skype to offer confidential, convenient follow-up and support.

Meanwhile the sharp increase in patient numbers and telephone consultations also indicated many people in rural and remote areas were still doing it tough, according to the RFDS.

While most areas of NSW recorded average or above average falls of rain over winter, southern and central areas missed out. With drier than normal conditions forecast and pasture growth only average, there was little relief in sight for drought-affected communities.

"Prolonged drought conditions can add to financial pressures, social isolation, lack of control, relationship pressure and increased feelings of worthlessness," Ms Cutler said.

"These symptoms are consistent with depression and untreated can result in desperate acts, including suicide.

"If someone is experiencing a depressive disorder there can also be an increase in alcohol and/or substance abuse which significantly amplifies their feelings, and increases the risk of physical health issues and associated impacts on their families.

"There are a range of services and community support initiatives available in many areas - the RFDS for example has teams of primary healthcare professionals including GPs, psychologists and mental health nurses who fly out to remote clinics and are well-equipped to address these sorts of issues."

If you or someone else you know is experiencing stress, depression, anxiety or other mental health difficulties they can contact the RFDS mental health team. Other national organisations could be contacted over the phone or online for support, including Lifeline on 13 11 14.