5 Ways Depression Manifests in Men

By Jamie Lococo, MA, MFT-C

Depression is complex. For some, it is an ongoing mental health condition that affects individuals regardless of gender. However, it is increasingly recognized that depression can manifest differently in men compared to other genders. Let’s explore how depression shows up in men and the challenges associated with identifying and addressing it. 

Man, covering his face with his hand and hair

1. Masking Emotions

Societal expectations and gender norms can significantly impact how depression is expressed in men. Men are often socialized to suppress their emotions and maintain a stoic façade. Traditional masculine ideals often discourage men from openly expressing vulnerability or seeking help for emotional distress. Instead of feeling able to express sadness or hopelessness, these emotions may be masked by anger, irritability, frustration, or aggression which serve as a defense mechanism to mask emotional pain. 

In men, emotional pain might be masked by defensive anger or frustration.

 
silhouetted man with long curly hair, holding his head like he has a headache

2. Physical Symptoms

Although depression is primarily a mental health condition, it can also manifest as physical symptoms. Men may be more likely to experience physical complaints such as headaches, digestive issues, chronic pain, or fatigue. These physical symptoms can be a manifestation of the underlying psychological distress. 

 

3. Social Withdrawal
and Isolation

Men with depression may be prone to social and emotional withdrawal, finding isolation more comfortable/safe than seeking social support. Simply being with others may be too painful. This withdrawal can be a coping mechanism or a result of traditional societal expectations that discourage emotional expression in men. 

Societal norms that discourage emotional expression can lead men to isolate themselves.

 

4. Reliance on Work
or Achievement

Men sometimes channel their depressive feelings into work or other achievements. They may become excessively focused on their careers, working long hours, and neglecting other aspects of their lives. This channeling behavior can serve as a distraction from emotional pain that perpetuates the cycle of stress and burnout. 

 

5. Risk-Taking Behaviors

Engaging in risky behaviors can be a manifestation of male depression. Men may seek adrenaline-inducing activities, excessive drinking, drug use, or reckless driving to cope or distract themselves from their emotional pain. These activities provide temporary relief of symptoms but often exacerbate symptoms in the long run. 

Temporary self-medication can make depression worse.

 

Note: The manifestations explored here are not an exhaustive list and may be experienced by all genders and non-binary folks.

These manifestations of depression increase the strain and confusion in men’s relationships, because the underlying depression may not be immediately apparent. Recognizing the unique ways in which depression manifests is crucial for early detection, effective intervention, and support.

By understanding the societal and cultural factors that influence how men express their emotions, we can work towards creating a more inclusive and supportive environment for mental health. Encouraging and participating in open conversations, promoting emotional literacy, and challenging oppressive gender norms can help men (and all people) feel more comfortable seeking help, accessing mental health resources, and finding healthier ways to cope with depression and improve overall well-being. 

Seeking professional help from mental health providers is essential for effective treatment and support for anyone experiencing depression, regardless of gender.