Why Are The Signs Of Depression In Men Different?
Disclaimer: While anyone may experience the symptoms mentioned in this article, please note as part of an initiative responding to the APA Guidelines for Psychological Practice With Boys and Men (2018), this article will focus on how mental health impacts men and boys. We use "men" to refer to people who identify as men or male-aligned.
Men and boys may face mental health stigmas that can cause accessing care 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 those 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 depression.
There are five significant depression symptoms commonly experienced by 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
Depression may involve signs and symptoms alongside coping mechanisms and depression-influenced behaviors. Men can show different signs, symptoms, and coping mechanisms than other genders. Depression in men may go undiagnosed because the depression isn't recognized as depression, signs and symptoms are downplayed, there's a reluctance to talk about the symptoms, or they resist reaching out for support.
Men and boys might experience the following common depression symptoms:
- 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 depression by medical providers or others in their life, including:
Overindulging in escapism
Depression might cause men to struggle without support due to stereotypes about what "masculinity" means for a man. These stereotypes might condition men to limit their expression of emotions linked to depression or any emotion perceived as "sensitive." Since mentend to be less likely to reach out for support, it could be a reason why women are often more frequently diagnosed with the condition.
Unpacking Common Depression Symptoms In Men
There are many possible depression symptoms, some of which are found in all genders. However, the following symptoms are often reported by men diagnosed with the condition.
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
Gambling and sports betting
Binge-watching shows or films
If you find yourself utilizing the above coping mechanisms or other distracting strategies mechanisms to escape from any distressing 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 depression in men 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. Men may experience depression due to substance use, as well. However, they are often connected. Substance use can also be a method of escapism.
If you are struggling with substance use, contact the SAMHSA National Helpline at (800) 662-4357 to receive support and resources.
While men with depression may open up and discuss their depressive symptoms, they might be more likely to express these symptoms through anger or feelings of irritability. Testosterone occurs in higher levels in those assigned males 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 depression in men 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, 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 support or talk to peers.
There are several ways to fight depression, including medication, discussing your concerns with a professional, and lifestyle changes. Although it can feel scary, meeting with a professional can be a brave first step to finding support.
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. Setting up a space for yourself may allow you to focus more actively on others in your life. 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 choose the name or nickname you use on the site. If you're uncomfortable spending much money on treatment, online therapy may be much more affordable than traditional counseling. Studies show that online therapy may be more effective for men than for other genders, as it often allows for the removal of gender-based stereotypes in treatment.
If you're interested in trying this treatment modality, 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.
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Frequently Asked Questions (FAQs)
Below are a few frequently asked questions regarding mental health in men and boys.
Why Do Guys Get Depressed?
Men may experience symptoms of depression for several reasons, including genetic history, 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 symptoms.
Is Depression More Common In Males Or Females?
Depression is listed as more common in women, but this may be because women may be more likely to seek help.
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.
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
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 mental health professional
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