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Men Are Still Less Likely to Seek Mental Health Care

From depression to ADHD, men face real risks but stigma and outdated norms often keep them from getting the help they need.

Men experience mental health conditions at rates similar to women but they’re far less likely to talk about it, let alone seek professional help. Social pressures and outdated gender norms play a major role, making men more likely to stay silent, self-isolate, or even turn to substances instead of treatment.

Understanding the mental health challenges men face and what to do about them can help close this gap and potentially save lives.

Why Men Don’t Seek Mental Health Support

Despite growing awareness about mental health, many men still struggle to reach out. Cultural expectations about masculinity often label emotional expression as weakness. As a result:

  • Men are less likely to open up about feelings of sadness, stress, or anxiety.

  • Emotional suppression is linked to higher rates of substance use and aggression.

  • The belief that they should "tough it out" often delays diagnosis and treatment.

In a study on depressive symptoms, men with more severe mental health struggles were even less likely to talk to friends or family a first step often critical for recovery.

Key Statistics on Men’s Mental Health

While some mental health conditions are more frequently diagnosed in women, men face distinct risks:

  • Nearly 1 in 5 men in the U.S. live with a mental health condition.

  • 6.2% of men experienced a major depressive episode in the past year.

  • Men are twice as likely as women to die by suicide.

  • Men have 1.5 to 2.3 times higher rates of substance use disorders.

  • ADHD is diagnosed nearly twice as often in men compared to women.

The LGBTQ+ community particularly queer and trans men also faces disproportionately high mental health challenges due to systemic discrimination and lack of access to affirming care.

Common Mental Health Conditions Affecting Men

• Depression
In men, depression often shows up differently. Rather than sadness, symptoms may include:

  • Irritability or anger

  • Aggressive or risky behaviors

  • Difficulty concentrating

  • Substance use

  • Thoughts of self-harm or suicide

• Anxiety Disorders
Men with anxiety may experience:

  • Restlessness, irritability, or aggressive outbursts

  • Physical symptoms like rapid heartbeat, sweating, or muscle tension

  • Trouble sleeping

  • Intrusive thoughts paired with self-blame

• Substance Use Disorders
Men are more likely than women to struggle with alcohol, nicotine, and drug misuse. Red flags include:

  • Needing more of a substance to feel its effects

  • Withdrawing from social life

  • Trouble at work or school

  • Using substances despite knowing the risks

• ADHD
ADHD symptoms in men often appear as:

  • Trouble focusing or following through

  • Hyperactivity or constant fidgeting

  • Impulsivity or difficulty controlling reactions

  • Frequently losing personal items

• Conduct Disorders
These include oppositional behaviors and frequent anger outbursts. Common signs:

  • Defiance toward authority

  • Destructiveness or aggression

  • Repetitive, violent outbursts

Risk Factors That Affect Men’s Mental Health

Some men are more likely to develop mental health issues due to life experiences or identity-related challenges. Common risk factors include:

  • Childhood trauma or abuse

  • Chronic illness or physical disability

  • Discrimination (e.g., racism, homophobia, transphobia)

  • Major life transitions like divorce, job loss, or fatherhood

  • Financial instability

  • Social isolation or lack of support

Treatment Options That Work

Men often benefit from the same mental health treatments available to everyone—but stigma can delay getting started. Effective options include:

• Psychotherapy
Also known as talk therapy, it helps individuals work through challenges, gain insight, and develop coping strategies. Sliding-scale services like Open Path Therapy Collective offer more accessible care.

• Medications
Prescriptions such as antidepressants or ADHD medications can ease symptoms and improve daily function.

• Neurostimulation
For treatment-resistant cases, this approach uses targeted magnetic or electrical signals to activate certain brain areas.

• Lifestyle & Self-Care
Evidence-based strategies for managing mental health include:

  • Exercise: Boosts mood, reduces anxiety, and improves sleep.

  • Nutrition: A diet rich in vegetables, whole grains, and lean protein can support brain health.

  • Sleep: Aim for consistent, high-quality sleep each night.

  • Social connection: Isolation is a major risk factor stay engaged with friends, family, or support groups.

  • Mindfulness and stress management: Practices like meditation, deep breathing, and journaling are simple yet powerful.

  • Avoiding substances: Limiting or eliminating alcohol, drugs, and smoking can dramatically improve mental well-being.

How to Support a Man Who’s Struggling

If you’re concerned about a loved one, you don’t need to be an expert to help:

  • Notice the signs: Withdrawal, irritability, and unusual behavior changes are key indicators.

  • Start a conversation: Express concern in a non-judgmental way and let them know you're there to listen.

  • Do your homework: Learn more about mental health conditions to better support them.

  • Encourage professional help: Offer to help research therapists, hotlines, or support groups.

  • Take care of yourself, too: Supporting someone else starts with staying grounded in your own well-being.

If you or someone you know is experiencing suicidal thoughts, call or text 988 to reach the Suicide & Crisis Lifeline. In immediate danger, dial 911. If law enforcement interaction is a concern, ask for a mobile crisis team.

Final Thoughts

Men face real and unique challenges when it comes to mental health, but no one should suffer in silence. Raising awareness, challenging stigma, and encouraging supportive conversations are critical steps in creating change for ourselves and for future generations.

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