Why Are The Signs Of Depression In Men Different?
Men and boys may face mental health stigmas that can cause accessing care for a mental illness to feel challenging or shameful. Depression is a common mental health condition that anyone of any gender can experience. Signs of depression, however, may vary between people of different genders. For example, men may be more likely to experience anger and aggression rather than sadness, and they may not realize that this can be a symptom of some types of depression, including major depressive disorder.
There are five significant depression symptoms commonly seen in men, including overindulging in escapism, medical symptoms, substance use disorder, irritability, and risky behaviors. Although anyone may experience these symptoms, they may be more common in men.
How Does Depression In Men Differ
Even though the criteria in the Diagnostic and Statistical Manual of Mental Disorders do not distinguish between depresison in women and men, depression in men can manifest differently than it can in women and people of other genders. These signs and symptoms often appear alongside various coping mechanisms and depression-influenced behaviors. In some cases, male depression may go undiagnosed because their untreated depression isn't recognized as depression. It's also possible that they will be reluctant to talk about depression symptoms, their symptoms will be downplayed, or they will resist reaching out for support. Depending on what signs and symptoms of major depressive disorder a person is experiencing, it's also possible for depression to be misdiagnosed as a different mood disorder.
Common symptoms of depression in men and boys include the following:
- Extreme fatigue
- Difficulty sleeping
- Changes in eating habits
- Difficulty enjoying previously enjoyed activities
- Feelings of sadness, emptiness, or hopelessness
Men also may have symptoms that might not be initially recognized as clinical depression by health care providers or others in their life, including:
- Overindulging in escapism
- Medical issues
- Substance use disorder (sometimes incorrectly referred to as “drug abuse”)
- Risky behaviors
Men with depression and other health conditions might struggle without support due to stereotypes about what "masculinity" means to them. These stereotypes might condition men to limit their expression of emotions linked to depression or refuse emotional support or health services in order to avoid being perceived as "sensitive."
Because men are less likely to reach out for support, they may be at a greater risk of their depression symptoms going undiagnosed or undertreated (according to the National Institute of Health). It's also possible that certain physical symptoms can be directly tied up in stereotypes of male masculinity, like those that affect sexual desire. More than half of people with untreated depression experience sexual problems, which may further contribute to the lack of motivation to seek support.
Unpacking Common Symptoms Of Depression In Men
People with depression might show many possible signs and symptoms of the mental health condition, some of which are found in people of all genders. However, the following symptoms are often reported in men diagnosed with depression.
Overindulging in escapist behaviors could signal a desire to escape from reality or the symptoms of depression. These behaviors might vary but could involve an unhealthy or unsustainable amount of time and money. Some escapist behaviors common among depressed men may include the following:
- Watching or paying for pornography
- Playing video games
- Working out
- Gambling and sports betting
- Watching sports
- Binge-watching shows or films
- Using substances
- Having sex
If you find yourself utilizing the above coping mechanisms or other distracting strategies to escape from depression symptoms or emotions, you might be experiencing escapism related to depression.
Severe stress can indicate depression and might have an impact on physical health. Men struggling with stress and depression might experience headaches, gastrointestinal issues, and other ailments. Other physical manifestations of male depression may include sudden or significant weight loss or gain, fatigue, and a racing heartbeat.
Substance Use Disorder
Men may turn to alcohol or substances to cope with their depressive symptoms. Although doctors may be less likely to view this as a sign of depression in men, it is commonly reported by men experiencing symptoms of the condition. Substance use disorder (sometimes incorrectly referred to as “substance abuse disorder”) may also trigger depression on its own. However, the conditions are often connected. Substance use can also be a method of escapism used to cope with depression.
If you are struggling with substance use, contact the SAMHSA National Helpline at (800) 662-4357 to receive support and resources.
While men with severe depression may open up and discuss their depressive symptoms, they might be more likely to express these symptoms through anger or in feelings of irritability. Testosterone occurs in higher levels in those assigned male at birth or those taking testosterone as hormone treatment. This hormone has been associated with higher rates of aggression, irritability, and hostility, which may cause irritability for cisgender men and trans-masculine individuals taking hormones.
Medical professionals may not see irritability as a sign of male depression as it may be linked to traditional "masculine" stereotypes. Men may be able to refute this by letting their medical provider know they're concerned about how they feel and would like to be evaluated for depression.
Along with substance use disorder, men who are experiencing depression may be more likely to engage in risky behaviors, including dangerous driving, binge drinking, sex, and gambling, as well as other risky financial behaviors. People may use these behaviors as a shield to mask or distract from their depression. These symptoms might be mistaken for another condition, such as bipolar disorder, or a stereotype about how men should act.
Reducing the "male experience" to risky behaviors may also feel invalidating for men. If doctors, friends, family, and others perpetuate the idea that men must partake in frequent sex, drink alcohol socially, or spend lots of money, men may grow up believing that these behaviors are normal and not part of an underlying concern. They might also sense that they are not being taken seriously if they try to reach out for depression support or talk to peers.
Combatting Depression In Men
There are several ways to fight depression, including discussing your concerns with a professional, joining support groups, making changes to your lifestyle, and in some cases, taking antidepressant medications. A medical professional may be able to tell you about any possible side effects or drug interactions before you take a medication. There are alternative options for depression treatment as well, including brain stimulation therapies. Certain therapies, like repetitive transcranial magnetic stimulation, have been shown to be effective in reducing depressive symptoms.
Brain stimulation therapies are usually reserved for treatment-resistant cases of depression, and it may be helpful to explore more conventional avenues of treatment first, like interpersonal therapy or counseling. It may also be important to stay in the right mindset. Thinking of depression as a condition you are experiencing instead of a “mental health problem” can help you stay positive as you consider seeking treatment. Although it can feel scary to consider professional treatment for depression, meeting with a therapist or counselor can be a brave first step to finding support.
Its also possible for a person to have thoughts of suicide while experiencing depression. Suicide prevention is of vital importance; if you or a loved one are experiencing suicidal thoughts, it is essential you reach out immediately. You can reach the 988 Suicide & Crisis Lifeline (which is available 24/7) by dialing 988.
Often, men discuss an urge to be strong or stoic for their partners, families, or friends and feel unable to voice their needs because doing so would take up space. This can be particularly true when they are experiencing a mental illness like depression. Because families may share the same primary care provider, men may also feel uncomfortable discussing mental health concerns like depression with their family doctor. Setting up a space just for yourself may allow you to focus more actively on your mental health. If you worry about visiting an in-person counselor, you can also try online therapy, which allows a more discreet treatment. You can choose between video, phone, or live chat sessions and can use your name or a nickname on the site. If you're uncomfortable spending a lot of money on depression treatment, online therapy may be much more affordable than traditional counseling. Studies show that online therapy may be more effective for men than for people of other genders, as online treatment often allows for the removal of gender-based stereotypes in treatment.
If you're interested in talking to a professional online about depression treatment options or depression risk factors for men, consider signing up for an online platform like BetterHelp, which offers a growing database of therapists. When you sign up, you can indicate if you feel most comfortable speaking to a male therapist.
Frequently Asked Questions (FAQs)
Below are a few frequently asked questions regarding depression and mental health in men and boys.
Why Do Guys Get Depressed?
Men may experience symptoms of depression for several reasons, including genetic history of mental health conditions, health issues, medication, stress, trauma, significant changes, grief, relationship problems, work, financial difficulties, dissatisfaction with their physique, and more. Talk to a counselor if you're unsure of the cause of your depression symptoms.
Is Depression More Common In Men Or Women?
Depression is listed as more common in women, but this may be because women may be more likely to seek help for symptoms of depression. Men and women may experience different symptoms of depression, but there are treatments available for people of all genders.
How Can I Test My Mental Health?
There are resources online that may allow you to test your mental health. For example, you can take a mental health test from Mental Health America. An online test is not a substitute for professional and personalized care from a doctor but could be a learning tool when deciding whether you want to reach out for support or treatment.
How Can I Improve Myself Mentally?
There are many ways to improve your mental health. Consider the following methods:
- Give yourself time for your favorite hobbies and projects
- Try exercising, hydrating, eating well, and getting adequate sleep
- Consider journaling or recording what you feel grateful for
- Keep strong connections with friendly, supportive people, including people with depression
- Volunteer for a cause you care about to meet new people and feel supportive
- Try deep breathing exercises, meditation, playing or listening to music, or laughing
- Go for a new route on your walk or bike ride, try seeing a film by yourself, or go for a day trip independently
- Avoid substances or reach out for support if you struggle to do so
- Spend some time in nature each week
- Take a break from social media, the news, and negative influences
- Reach out for support from a licensed therapist to discuss any emotional symptoms of depression or any other condition you may be facing
How does a man act when he is depressed?
What are 5 signs of major depression?
What age is depression most common in men?
How long does male depression last?
What can stress do to a man's body?
How do people treat depression?
How to help a man with anxiety?
Do men get depressed at 40?
How can you tell if a man is stressed?
What is the best way for men to relieve stress?
Why do men stress so much?
What are the most serious signs of depression?
Is depression curable or just treatable?
When does the depression start?
Can lack of money cause depression?
- Previous Article
- Next Article