How Depression Differs in Men
By Dr. Randi Fredricks, Ph.D.
Depression tends to affect men differently than it does women. When depression occurs in men, it is often more severe than in women and
can be masked by unhealthy coping behavior. For a number of reasons, male depression may go undiagnosed. Male depression
usually gets better with treatment, but it can have devastating consequences when if left untreated.
Researchers have discovered that men often experience depression in ways that are different from women. Men sometimes cope
with their symptoms in different ways too. These findings might help explain why even trained mental health professionals frequently
overlook or misdiagnose men’s depression.
One of the problems with this classic diagnosis of depression is that researchers are beginning to recognize that men often don’t
acknowledge feelings of sadness, hopelessness, or guilt. Researchers and clinicians specializing in helping men are also beginning
to recognize symptoms of depression that seem to be unique to men. Unique symptoms of men’s depression include the following.
Increased anger and conflict with others
Increased use of alcohol or other drugs
Frustration or irritability
Violent behavior
Losing weight without trying
Isolation from family and friends
Being easily stressed
Impulsiveness and taking risks, like reckless driving and extramarital sex
Feeling discouraged
Increases in complaints about physical problems
Ongoing physical symptoms, like headaches, digestion problems or pain
Problems with concentration and motivation
Loss of interest in work, hobbies and sex
Working constantly
Frustration or irritability
Misuse of prescription medication
Increased concerns about productivity and functioning at school or work
Fatigue
Experiencing conflict between how you think you should be as a man and how you actually are
Thoughts of suicide
Men with depression often aren't diagnosed, for several reasons. Some of them include:
Failure to recognize the symptoms of depression: Many men think that feeling sad or emotional is always the main symptom of depression, but for many
men that isn't the primary depressive symptom. Instead, headaches, digestive problems, fatigue, irritability or chronic pain
may indicate depression. Other common indicators are feeling isolated and seeking distraction to avoid dealing with feelings or relationships.
Downplaying signs and symptoms of depression. If an effort to get on with your daily life, you may not recognize how much your
symptoms are affecting you, and you may not want to admit to yourself or to anyone else that you're depressed.
Unfortunately, ignoring, suppressing, or masking depression with unhealthy behaviors won't make it go away.
Reluctance to discuss depression symptoms. Because some men are uncomfortable discussing their feelings, they resist
talking with family, friends, or a health care professional about feeling bad. Many men have learned to place an emphasis on self-control and
think it's unmanly to express feelings and emotions associated with depression.
Resisting mental health treatment. Even if you suspect you have depression, you may resist getting a diagnosis or refuse treatment.
Many men and women avoid getting help, worried that the stigma of depression will damage their career or cause family and friends to lose respect.
A man who is depressed generally won’t experience all the above symptoms. Some men experience only a few of them, while others experience many.
How bad these symptoms get also varies among men and over time.
The important thing to know about these symptoms, and about men’s depression, is that they are treatable.
References (To view, roll mouse over the "References" heading; to hide, click on the heading)
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders. 4th edition. Washington, DC: American Psychiatric Association.
Cochran, S. V., & Rabinowitz, F. E. (2003). Gender-sensitive recommendations for assessment and treatment of depression in men. Professional Psychology: Research and Practice, 34, 132–140.
Zierau, F. Bille, A. Rutz, W., & Bech, P. (2002). The Gotland Male Depression Scale: A validity study in patients with alcohol use disorder. Nordic Journal of Psychiatry, 56(4), 265-271.