Depression is a common but often misunderstood mental health condition that affects millions of men every year. However, societal expectations and stigmas can make it difficult for men to identify that they have a problem and seek help. Understanding the signs of depression in men is crucial for providing timely support and effective treatment.

Why Depression in Men Is Often Overlooked

Cultural norms often pressure men to appear strong and stoic, discouraging them from expressing vulnerable emotions or seeking help. This can lead to the suppression of feelings and an increased risk of developing depression.

Here are some of the reasons men may not get the help they need for depression:

• Stigma and societal expectations: Men may feel societal pressure to “tough it out,” leading to reluctance to seek help.
• Underreporting of symptoms: Men are less likely to discuss feelings of sadness or hopelessness, which are commonly associated with depression.
• Different manifestations: Depression in men may manifest through anger, irritability, or risk-taking behaviors rather than traditional signs of sadness.

Recognizing and addressing these issues is vital for fostering a supportive environment where men feel comfortable seeking help.

Signs of Depression in Men

Depression in men can present itself in various ways, often manifesting somewhat differently than depression in women. Men with depression are slightly more likely to show signs of irritation or anger, as well as an increase in risky behaviors or “acting out.”

Watch out for the following emotional, physical, and behavioral signs of depression in men:

Emotional changes:

• Persistent sadness: A continuous low mood, numbness, or expressing feelings of emptiness
• Irritability: Increased frustration over minor inconveniences
• Feelings of worthlessness or hopelessness: Persistent feelings of guilt, expressing a sense of helplessness or that they’re “not good enough”
• Suicidal thoughts: Any mention of wanting to die or “not be around anymore”
• Loss of interest: A lack of interest in activities once enjoyed, including hobbies and social engagements

Behavioral changes:

• Withdrawal: Avoiding social interactions and isolating from family and friends
• Risky behaviors: Engaging in reckless behaviors such as excessive drinking, substance abuse, reckless driving, or other dangerous activities
• Work issues: Difficulty concentrating, completing tasks, or maintaining productivity at work or school
• Neglecting responsibilities: Failing to manage daily responsibilities at home or work
• Escapism: Burying themselves in their work or another hobby to avoid socializing or dealing with the depression
• Aggressive or violent behaviors: Some men may “act out,” not knowing how else to cope with the depression

Physical changes:

• Fatigue or low energy levels: Chronic tiredness or consistent lack of energy
• Sleep disturbances: Insomnia, waking up in the night, or excessive sleeping
• Appetite or weight changes: Either eating more or less than they used to, leading to weight loss or gain
• Physical complaints: Aches or pains that don’t have any other explanation
• Sexual problems: Lack of desire or arousal, difficulty with erection or orgasm

If you or a loved one are feeling suicidal or experiencing a mental health crisis, please reach out for immediate support by contacting your local emergency services, visiting your local emergency room, or calling/texting the National Crisis Hotline at 988.

Treatment for Depression in Men

Recognizing the signs of depression is the first step toward seeking help. Northeast Health Services offers a range of depression treatments, offering individualized care plans and support for men with depression.

Treatment for depression can include:

• Therapy: Therapy, especially cognitive behavioral therapy (CBT), is the first-line treatment for depression. Our therapists tailor care plans to each client, often utilizing a range of approaches to help people better understand their symptoms and learn new coping strategies.
• Medication: When deemed necessary, medication helps to target brain chemicals that can impact depressive symptoms. Our team of psychiatric providers work with our therapists to track symptoms and ensure appropriate medication and dosage.
• Transcranial magnetic stimulation (TMS): A non-drug treatment using magnets to stimulate underactive areas of the brain, with very few side effects. Typically used when medications have been unsuccessful.
• Spravato® nasal spray: The first FDA approved nasal spray for hard-to-treat depression, a form of esketamine that can alleviate symptoms quickly, with many finding relief in several hours.

Connect with Northeast Health Services for Depression Treatment in Massachusetts

Depression in men is a severe issue that requires attention and understanding. By recognizing the signs and seeking professional help, men can take the first step towards recovery. At Northeast Health Services, we are dedicated to providing compassionate and effective depression treatments tailored to meet the unique needs of each of our neighbors throughout Massachusetts.

If you’re ready to take the next step in your mental health journey, call 508.794.8711 or schedule your first appointment. For existing clients, find your office location to contact them directly.