Understanding Men’s Mental Health – Gender-Specific Therapy Approaches
Understanding Men’s Mental Health – Gender-Specific Therapy Approaches
Men are almost three times less likely to seek therapy or counselling than women, yet they face unique mental health challenges that often go unnoticed. This disparity highlights the importance of understanding how mental health problems present differently by gender and providing support to meet these needs effectively. Understanding men’s mental health – gender-specific therapy approaches.
Mental health problems can present differently in men and women
For example, depression is one of the most common mental health concerns, yet it can manifest in different ways depending on gender. Research suggests that men may be less likely to express their emotional struggles directly, such as through verbal communication about feeling sad or hopeless. Instead, they may show signs of distress through behaviours such as irritability, risk-taking, or substance dependence. This difference in expression can sometimes lead to under-recognition or misinterpretation of their struggles.
Traditional measures of depression often rely on self-reported feelings, which do not fully capture how men experience and express their emotions. For example, instruments such as the Gotland Scale, specifically designed to assess male depression, have detected higher rates of depression in men than previously thought.
Men may talk less about their feelings
When working with men, psychologists must look beyond what is said and pay attention to what may remain unsaid. Feelings of shame or social expectations about masculinity can make it difficult for men to share their struggles openly. Problems such as relationship breakdowns, job losses, or the inability to care for loved ones can weigh heavily on them. These experiences, while very personal, are often tied to broader cultural narratives about what it means to be a man. Creating a safe and non-judgmental space where men feel comfortable expressing their vulnerability is an important part of the therapeutic process.
“Men often come to therapy wanting to solve problems rather than focus on feelings. Meeting them where they are and focusing on practical solutions while gently exploring their feelings can create a bridge to healing,” said Adam Horvath, a clinical psychologist at Personal Psychology, a clinic located on Sydney’s Lower North Shore.
Communication style also plays an important role in how men engage with mental health support. While many women may find talking about their feelings helpful, men often prefer a more action-oriented approach. They may feel more comfortable when offered practical strategies to address their challenges rather than focusing on discussing feelings. This preference matches research that suggests men are more likely to engage in problem-solving when dealing with a crisis. A psychologist may find that incorporating structured, goal-focused interventions can help men feel more engaged and supported.
Different therapy settings may work better for men
Community-based approaches may be particularly effective in reaching men who may not seek help in traditional clinical settings. Informal environments, such as men’s support groups, barbershops, or employment centres, can serve as gateways to mental health support. These spaces often feel less intimidating and more relatable, allowing men to open up in ways they might not in a formal therapy setting. Group activities, whether physical or creative, can foster connection and provide a sense of purpose, which can be deeply therapeutic. A psychologist might consider collaborating with community organisations to create accessible pathways for men to access support. Approaching the question of masculinity carefully.
Approaching discussions about masculinity carefully and subtly is an important aspect of therapy with men. While some narratives present masculinity in a negative light, masculinity itself is not inherently harmful. Qualities associated with masculinity, such as resilience or a sense of responsibility, can be protective factors for mental health. However, social pressure to conform to rigid ideals of masculinity can sometimes lead to emotional repression or unhealthy coping mechanisms. Therapeutic interventions should aim to help men cope with these pressures by embracing positive aspects of their identity.
Ultimately, supporting men’s mental health requires a bit of flexibility and creativity. Tailoring approaches to align with their communication styles, preferences and cultural contexts can make a significant difference. Whether through one-on-one therapy, group activities or community-based initiatives, the goal is to meet men where they are and provide support in ways that are meaningful and accessible to them.
Featured photo from Freepik
