Male depression: A closer look
As a men’s therapist in Chicago, I see firsthand how men experience depression in ways that are often unrecognized or misunderstood. Depression doesn’t always look the way we expect it to. When we hear the word ‘depression’, most people imagine someone sad, withdrawn or crying.
While this can certainly be the case, depression in men can take different forms, making it harder for them and those around them to spot it. It is not uncommon for men to dismiss their own feelings or for their depression to manifest in ways that at first seem unrelated.
Understanding male depression
Depression is a mental health condition that affects how you feel, think and handle your daily activities. But when it comes to men, depression can look different compared to the more classic signs that people usually associate with it.
Society’s expectations of men often include being strong, self-reliant and emotionally restrained. Because of these pressures, many men feel uncomfortable acknowledging their struggles or seeking help.
Men tend to “cover up” their depression in various ways. Instead of showing sadness or hopelessness, they may become more irritable, angry or aggressive. You may notice a short fuse, increased frustration, or a tendency to fight over small things. Other times, they withdraw from relationships, withdraw or become socially isolated.
It’s also common for men to channel their depression into physical symptoms, such as persistent aches, headaches, or digestive problems, which can easily be dismissed as unrelated to their mental health. Many men will turn to substances like alcohol or drugs as a way to numb these feelings, making it even harder to recognize depression for what it is.
Common signs of male depression
Depression in men does not follow a one-size-fits-all pattern. Some may experience a few of these symptoms, while others may experience many. The key is to look for changes in behavior, mood, or physical health that seem unusual for the person. Here are some common signs:
- Anger and Irritability: Depressed men often express their feelings through anger. It could show up as a short temper, frequent arguments, or a constant feeling of frustration. While anger can be a symptom of depression, it is rarely associated with it in mental health discussions.
- Physical symptoms: Men are more likely to complain of physical problems when they are depressed. Chronic pain, backaches, headaches, digestive problems, or other physical discomforts may be signs that something more is going on.
- Fatigue and sleep problems: A depressed man may feel exhausted even after a full night’s sleep or, conversely, may have trouble falling or staying asleep.
- Dangerous Behavior: Engaging in risky activities, whether it’s reckless driving, unsafe sex, or excessive drinking, can sometimes be a man’s way of dealing with feelings of despair or hopelessness.
- Loss of Interest in Activities: Depression can reduce enjoyment of things men once loved. Hobbies, sports, socializing or even sex may no longer hold the same appeal.
- Difficulty concentrating: Struggling to focus at work or at home, make decisions or follow through on tasks can be a sign of male depression.
- Withdrawal: Men may withdraw from friends, family or partners, spending more time alone. This isolation can deepen depression, creating a negative cycle that is difficult to break.
- Substance Abuse: Many men self-medicate with alcohol or drugs as a way to escape or numb their emotions. This can temporarily mask the symptoms of depression, but ultimately makes things worse.
Why men often don’t seek help
As a therapist specializing in men’s mental health, I often hear from clients that they didn’t feel “allowed” to be vulnerable. Many men grow up learning that it is not acceptable to express sadness, fear or vulnerability. Terms like “man up” or “boys don’t cry” reinforce the message that they need to toughen up and deal with their problems on their own. This social conditioning makes it difficult for men to recognize when they need help, let alone ask for it.
In addition, many men afraid to seek treatment or admit they are struggling it will make them look weak or incompetent. In a culture where masculinity is often equated with self-sufficiency, admitting depression can feel like failure.
The importance of seeking help
The truth is that depression is not a sign of weakness. It is a medical condition that affects millions of men. Ignoring or burying these feelings only leads to more pain—not only for the person experiencing it but also for their loved ones. Relationships can be burdened by undiagnosed or untreated depression, and careers can suffer when energy and focus are depleted.
Men are also at higher risk of suicide than women. Untreated depression is a major factor in this, which makes early intervention crucial. Therapy can provide a safe space for men to talk openly about what they are experiencing, without fear of judgment or criticism. There are various treatment approaches, such as cognitive-behavioral therapy (CBT), that can help men change unhelpful thought patterns and regain control of their lives.
How to help someone who may be depressed
If you suspect a friend, family member, or partner may be suffering from depression, the best thing you can do is offer support without judgment. Approach the discussion with care and openness. You might say something like, “I’ve noticed that you seem stressed or not yourself lately. I’m here if you want to talk.” Reassure them that it’s okay to ask for help and that it doesn’t mean they’re weak.
Encourage them to talk to a professional. Whether it’s seeing a therapist, joining a men’s support group, or even starting with a visit to their primary care doctor, taking that first step can make all the difference.
Envelop
Male depression is a serious but often misunderstood condition. Men may experience it differently, but that doesn’t mean the pain is any less real. By recognizing the signs and understanding the unique ways it appears in men, we can better support those who are struggling.
Whether it’s through therapy, medication, lifestyle changes, or a combination of all three, depression is treatable—and men deserve to get the help they need to live fulfilling lives.
