Men and Emotional Pain: Common Signs of Male Depression

Society glorifies resilience and strength in men, but at what cost? 

For many men, these societal norms discourage self-reflection and emotional openness, leading to undiagnosed and untreated depression. 

Drew Pittman, PMHNP, of Sound Psychiatry and Wellness, often sees the unique challenges men face in recognizing and seeking help for depression. He offers telepsychiatry services in Ohio, Colorado, Massachusetts, and Florida to help men address these challenges. 

This June for Men’s Health Month, Drew explains how male depression differs from female depression, common causes, symptoms to look out for, and ways men can improve their mental health. 

How is male depression different from female depression? 

Depression affects both men and women, but the way it manifests often varies due to biological, psychological, and societal factors. 

Societal norms and emotional suppression 

Many men are conditioned to avoid expressing vulnerability, which can lead them to internalize symptoms. Instead of openly acknowledging sadness or hopelessness, many men channel these feelings into escapist behaviors like working extra hours, consuming excess alcohol, or withdrawing socially. 

Different symptom patterns 

While women with depression usually react with sadness and tearfulness, men might exhibit anger, irritability, or even increased risk-taking behaviors. Physical symptoms, such as headaches or digestive problems, are also more likely to take center stage, overshadowing the emotional pain below the surface. 

Higher suicide rates 

Although women tend to attempt suicide more frequently, men are significantly more likely to die by suicide. This is often due to the use of more lethal methods and a reluctance to seek help. 

Understanding and acknowledging these differences could be life-saving. 

What causes depression in men? 

The origins of male depression are complex and influenced by a mix of biological, environmental, and societal factors. 

Brain chemistry and genetics

Depression can be hereditary. If you have a close family member who has experienced depression, your likelihood of developing it increases. 

Also, imbalances in neurotransmitters, such as dopamine or serotonin, heighten your risk. 

Chronic stress

Financial pressures, work-related stress, and unrealistic societal expectations to be providers can weigh heavily on men. Over time, this chronic stress can spiral into depressive episodes. 

Life transitions

Divorce, job loss, or other major life events can be big depression triggers. For example, retirement, often seen as a reward for decades of hard work, can sometimes leave men feeling purposeless or isolated. 

Medical conditions

Studies show the bidirectional relationship between depression and chronic illnesses like diabetes, heart disease, or chronic pain conditions. 

What are the common signs of male depression? 

Recognizing male depression can be tricky, as the symptoms often deviate from the classic signs portrayed in media or textbooks. Men may overlook their emotions as fleeting or attribute them to stress. 

Signs to watch for include: 

• Heightened irritability or displays of anger 
• Excessive escapist behavior, such as burying oneself in work or hobbies 
• Increased alcohol or drug use 
• Physical complaints like frequent headaches, fatigue, or digestive issues 
• Sudden social withdrawal or difficulty getting along with others 
• Reckless or risky behavior, such as speeding or gambling 
• Feelings of hopelessness, sadness, or worthlessness (less commonly verbalized) 

If these symptoms persist for two weeks or more, call Drew to schedule a consultation. 

Ways men can address depression 

Taking control of mental health starts with small changes. Here are steps to consider if you or someone you love might be struggling with depression. 

1. Recognize the issue 

Depression isn’t a weakness; it’s a medical condition that requires professional attention and care. The sooner you recognize that, the better.

2. Reach out for help 

Speaking with a mental health professional, such as Drew Pittman at Sound Psychiatry and Wellness, can make a world of difference. 

Drew offers telehealth services, which are particularly convenient for men hesitant about face-to-face consultations. You can call in from Colorado, Ohio, Florida, and Massachusetts, and these sessions allow for confidential and professional care from the comfort of your own space. 

3. Address lifestyle factors 

A few healthy habits can alleviate your symptoms of depression. For example, try:

• Maintaining a consistent sleep schedule to steady your moods
• Exercising regularly to boost endorphin levels
• Managing stress with yoga, meditation, or deep breathing 
• Limit alcohol and avoid substance use, as they can worsen depression symptoms

Apply whichever tip is relevant to your life and circumstances, and talk to Drew about more tips to help you manage your symptoms. 

4. Explore treatment options 

While some men may benefit from talk therapies like cognitive behavioral therapy (CBT), others may require medication, such as antidepressants. Drew also offers genetic testing to determine which treatments are most likely to work for your specific needs. 

If you’re ready to take the first step toward better mental health, Drew Pittman is here to help. Schedule a telehealth appointment today and discover a path to emotional well-being tailored to you.