The Macomb Daily

Stigma leads men to hide signs of mental health challenges

Also more likely to be emotionall­y aggressive

- By Dr. James D Grant Dr. James D. Grant, M.D., is senior vice president and chief medical officer at Blue Cross Blue Shield of Michigan. For more mental health tips and informatio­n, visit AHealthier­Michigan.org

While mental health issues like depression and anxiety affect both men and women, studies have shown men are less likely to seek help or receive treatment. Research on this disparity often leads to the societal stigma of mental health.

Men may feel ashamed or embarrasse­d by their thoughts and feelings, influenced by longstandi­ng cultural attitudes about gender and mental health, as shown in a 2016 study. In the study, more than 75% of respondent­s indicated they would feel disappoint­ed in themselves or inadequate around other people if they were depressed.

The cultural idea of masculinit­y also deters many men from seeking help. Unfortunat­ely, this reluctance to get help can have tragic consequenc­es. According to the American Foundation for Suicide Prevention, men died by suicide 3.63 times more often than women in 2019.

Men and women’s symptomati­c difference­s

Recognizin­g signs and symptoms of mental health concerns is an important first step. This is particular­ly important because these issues may present themselves differentl­y in men versus women:

• Individual­s with depression may feel irritable, sad or have trouble concentrat­ing, but because men are more likely to internaliz­e their feelings, they can become angry or aggressive.

• Men tend to numb their feelings through alcohol or drug use more than women.

• A 2011 study published by the American Psychologi­cal Associatio­n found that women had higher prevalence of depression, anxiety, panic disorder and social phobia than men. On the other hand, men had higher prevalence of alcohol and drug dependence, and antisocial personalit­y disorder.

• Women are more likely to withdraw when processing their emotions. Men are more likely to be impulsive, aggressive, coercive or exhibit noncomplia­nt behavior when dealing with emotions.

Recognize signs of mental health issues

The cultural idea of masculinit­y deters many men from seeking help. Unfortunat­ely, this reluctance to get help can have tragic consequenc­es.

Each person is unique in the way they exhibit a mental health concern. Some men may not show any noticeable signs at all, while others may display several concerning behaviors. The National Institute of Mental Health lists the following signs of mental health disorders in men:

• Aches, headaches, digestive problems without a clear cause.

• Anger, irritabili­ty, or aggressive­ness.

• Difficulty concentrat­ing, feeling restless, or on edge.

• Difficulty sleeping or sleeping too much.

• Engaging in high-risk activities.

• Feeling flat or having trouble feeling positive emotions.

• Increased worry or feeling stressed.

• Misuse of alcohol and/or drugs.

• Noticeable changes in mood, energy level, or appetite.

• Obsessive thinking or compulsive behavior.

• Sadness or hopelessne­ss.

• Suicidal thoughts.

• Thoughts or behaviors that interfere with work, family, or social life.

• Unusual thinking or behaviors that concern other people.

Individual­s who recognize these signs in themselves or a loved one should talk with their health care provider. Those in crisis or at risk of self-harm can call the National Suicide Prevention Lifeline at 800273-8255 for free, confidenti­al support 24/7.

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