The Impact Of Masking Emotions On Mental Health

Medically reviewed by Dr. April Brewer, DBH, LPC
Updated March 17th, 2026 by BetterHelp Editorial Team
Please be advised, the below article might mention trauma-related topics that include suicide, substance use, or abuse which could be triggering to the reader.
Support is available 24/7. Please also see our Get Help Now page for more immediate resources.

Many of us have learned to keep certain feelings to ourselves. In some settings, learning to be discreet about how we feel can be a part of navigating society. For some, though, concealing emotions can become their default. They may act a certain way to conceal their feelings, which can have long-term impacts on mental health. From the camouflaging that many people with autism spectrum disorder (ASD) engage in to navigate the world to the pressure that men in society may face to remain stoic and strong, masking can take many forms. Below, we take a closer look at masking, its impact, and strategies for overcoming it.

What does it mean to mask emotions?

Emotional masking is the practice of concealing one’s true emotions by presenting a neutral exterior that hides what the person may be feeling beneath it. Masking behaviors can be damaging and have real negative consequences for long-term mental health, including burnout, exhaustion, and chronic stress

Mental health masking can appear in different ways. For example, someone may laugh off sadness, hold in their anger during conflict, or pretend to be managing challenges when they are struggling inside. 

While anyone can experience masking and emotional suppression, it can be a significant factor in men’s mental health, as social conditioning and stereotyping can make men feel that they need to appear strong rather than vulnerable. Men are statistically less likely to seek help for mental health challenges, and masking behaviors may allow them to outwardly pretend that everything is okay.

Why people mask their emotions

People may mask their emotions for various reasons. For some, it may be a response to their environment; for others, it may be how they have learned to cope with or manage certain traits.

Societal expectations and gender norms

People may pick up on societal expectations at a young age, subconsciously learning that they are expected to respond in an accepted way rather than express their genuine responses. This can be true for men, in particular, as societal norms tend to frame some emotions, like sadness, as being weak and others, like anger, as being strong. 

Masking in autism and developmental disorders

For people with ASD, masking can take on a new meaning. Both adults and children with ASD may learn to camouflage their autistic traits to assimilate into neurotypical environments and preserve personal well-being. This type of masking for people with ASD and other developmental disorders can take a lot of effort, with research showing that the constant effort required can lead to anxiety, burnout, and even a diminished sense of self-identity.

69%
of BetterHelp clients use
one or more self care & clinical tools
Source: State of Stigma Report, May 2025
Most used tools
Worksheets
Goal & habit tracking
Journal
Support groups
Classes

Common signs of emotional masking

Emotional masking may not always be obvious to the person doing it or to those around them. Recognizing its signs can require deliberate attention.

Behavioral and social signs

Masking may feel like putting in extra effort for ordinary interactions. Some examples might include: 

  • Forcing eye contact that doesn’t feel natural

  • Controlling body language to make yourself appear relaxed or engaged

  • Modulating an emotional response to be more in line with the rest of the group in social settings

Internal and physical symptoms

Masking can take a lot of effort, and when someone does it often, it can have a number of physical and mental effects, including: 

  • Forming relationships that may feel “unstable, inauthentic, or not satisfying” as a result of “superficial connections”
  • Having limited feelings of closeness and connectedness with others
  • Feeling inauthentic
  • Experiencing identity confusion
  • Feeling misunderstood and lacking social acceptance
  • Experiencing fatigue, stress, exhaustion, and/or decreased functioning
  • Not getting proper support

Masking may also cause suppressed emotions to intensify over time, which tends to make them harder to control. Continuing this habit can result in a breakdown in which everything spills out at once. Research has also found that masking can cause increased mental health symptoms of social anxiety, generalized anxiety, and depression, and it can increase the risk of suicide.

If you or a loved one is experiencing suicidal thoughts, seek help immediately. Call the National Suicide Prevention Lifeline at 988 for 24/7 support.

Healthier alternatives to masking emotions

Finding an alternative to masking doesn’t necessarily mean performing your emotions or abandoning all your boundaries. To manage the feelings that accompany this practice, it can help to take things slowly and learn to be more honest with yourself about your feelings.

Developing emotional awareness

Noticing your true feelings can be a beneficial first step. To gain emotional awareness, it can help to slow down enough to recognize the true emotions that are behind the masking behaviors and rehearsed responses. Rather than asking yourself, “How should I feel now?” ask:

  • How do I really feel right now?
  • What negative outcomes am I trying to avoid?
  • What am I afraid that people might see?
  • What type of negative feedback am I avoiding?
  • What would I do if I knew there would be no judgment?

These questions can be difficult to face; journaling, mindfulness, and therapy can all support this process.

Guided journal prompts
Capture thoughts with gentle prompts and build a steady practice.
Daily prompts Personal by default Share if you want
Start journaling
Journal entries are personal by default; sharing with your therapist is optional.

Building safer environments

A safe and supportive environment that alleviates some social difficulties can give you the space you need to tap into your true emotions. Whether it’s the home of a trusted friend or family member, a therapy session, or support groups where you can share without judgment, getting appropriate support can help make emotional honesty more possible.

Practicing self-compassion and gradual change

Some people who mask may have been doing so for most of their lives, which can make it challenging to overcome. Replacing masking behaviors with healthier coping strategies is a gradual process. Practice self-compassion throughout the process, recognizing that overcoming these mental health struggles and letting go can take time.

Getting support through BetterHelp

Therapy can be a useful resource for processing emotions and solving mental health problems, but you may be hesitant to step foot into a therapist’s office. If that sounds like you, you might consider connecting with a provider online.

How online therapy can help reduce emotional masking

Online therapy platforms like BetterHelp allow you to carry out a tailored treatment plan according to your availability. Because you can meet with your therapist from anywhere you have internet, including your own home, you may find that online therapy provides you with a safe space to examine your thoughts, emotions, and feelings freely. Not having to mask your emotions with your therapist may contribute to more positive outcomes during sessions and trickle out into your everyday life. 

Creating an authentic life with professional support

Research has found that getting mental health support through online treatment can be an effective way to treat some of the existing mental health conditions that can contribute to masking behavior, like anxiety and depression, and it can help people with ASD learn and maintain new skills, including language, social, adaptive living, and coping and tolerance skills. Working with a professional to manage masking and other significant challenges of these conditions can help people learn to live more authentically.

What’s included
with BetterHelp

Fast matching – you can get matched in as little as 48 hours.
Transparent pricing – no hidden fees, know what you’ll pay upfront
Therapy sessions your way – video, voice or chat
Message anytime – your therapist will respond when they can
Easy to switch – Change therapists anytime until you find the right fit

Takeaway

Everyone needs support from time to time, and those who believe they cannot reach out for help may be more susceptible to poor mental health and other issues. Seeking professional support — whether it is for you or a loved one — can be instrumental in the healing process. Online therapy platforms cater to individuals from all backgrounds and can provide a safe, nonjudgmental environment for anyone going through a difficult period in life.
Experiencing mental health struggles?
This article provides general information and does not constitute medical or therapeutic advice. Mentions of diagnoses or therapy/treatment options are educational and do not indicate availability through BetterHelp in your country.
Get the support you need from one of our therapistsGet started