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.


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About the Author

Dr. Randi Fredricks, Ph.D. is a psychotherapist and author specializing in the treatment of mental health using integrative medicine and natural therapies. She works with individuals, couples, and families at her office in San Jose, California. Dr. Fredricks' publications include the landmark book Healing & Wholeness: Complementary and Alternative Therapies for Mental Health. No part of this article may be reproduced in any form or by any electronic or mechanical means, including information storage and retrieval systems. Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of Dr. Randi Fredricks as articles often present the published results of the research of other professionals. Copyright © 2012. To cite this article, please use the following citation: Fredricks, R. (2008). Healing & Wholeness: Complementary and Alternative Therapies for Mental Health. Bloomington, IN: Author House.


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