Depression and Men: Unique Considerations

The field of mental health is constantly changing, and is often mired in debates over diagnosis, symptomatology, and ethics. Despite the seeming lack of clarity, the pace of research and experience chugs onward giving clinicians and individuals new insights and considerations. With this in mind, the difference in expression of mental and emotional struggles between men and women should be seen as an important consideration for counselors. 

Defying Depression Stereotypes

Common knowledge of depression paints a stereotypical picture which includes bouts of tearfulness, feelings of sadness, and feelings of worthlessness. While these are valuable clues, they may not be present in men who are actually struggling with depression. With this in mind, here is a short list of symptoms more likely to be experienced by men: 

  • loss of interest in favorite activities or hobbies
  • change in appetite (increase or decrease)
  • sleep disturbances
  • feelings of apathy 
  • lack of motivation

Depression Counseling for Men

In addition to differences in the expression of symptoms for men, we should also take care to consider how counseling may differ for men. Men may be less likely to seek out treatment because of their concern that they will have to engage in a level of emotional disclosure or "touchy feely stuff" than they would be comfortable with. With this in mind, the following approaches may benefit men when looking for and engaging in treatment for depression:

  • concrete goal setting
  • behavioral activation therapy
  • cognitive behavioral approaches
  • exercise or engagement in regular physical activity 
  • focus on physical health including diet and sleep hygiene

While there is certainly more to consider when treating men with depression, consideration of these concepts is important for clinicians and men looking for treatment. For further reading please consider the following links: 

http://www.mayoclinic.org/diseases-conditions/depression/in-depth/male-depression/art-20046216?pg=2

http://www.apa.org/research/action/men.aspx