Depression in Men is Real Though Treatable
Men Tend to Suffer Silently, Needlessly as a Result of Stigma
Mar 8, 2009
But, depression in men is common. It is estimated that depression affects six million men in the United States every year. National Institute of Mental Health (NIMH) focus groups report that men describe symptoms without realizing they are depressed. Many are not aware that symptoms like headaches, digestive disorders, and chronic pain, are part of depression. Men also voiced concerns about the stigma of seeking help. They are afraid that the negative impacts include problems at work, loss of respect from family or friends, or their standing in the community. Men are raised to be strong, avoid signs of weakness and handle problems on their own.
Changes Brought by Research
Things are changing. Twenty years of research, including genetics and neuroimaging, has improved understanding of the brain, how its chemistry goes awry, and how to treat mental illness. Brain imaging allows scientists to see changes in brain activity that result from medications, counseling or both. As research into depression continues, it is clear that depression is real and treatable. Depression is no greater sign of weakness than pneumonia. Hopefully, men will feel empowered to get help and improve their quality of life.
Studies have found that men can experience depression differently than women and they cope differently. Men are less likely to show the typical signs of depression used for diagnosis although they may be present . These are:
- Persistent sad, anxious or "empty" feelings
- Feelings of hopelessness
- Feelings of worthlessness, or helplessness
- Loss of interest in previously enjoyable activities, including sex
- Decreased energy, fatigue
- Difficulty concentrating, remembering, or making decisions
- Trouble sleeping and/or oversleeping
- Changes in appetite and/or weight
- Thoughts of suicide, or suicide attempts
- Restlessness or irritability
- Persistent physical symptoms that do not respond to routine treatment
Because depression is stereotyped as "not manly" men struggle to avoid crying, sadness, hopelessness/helplessness, or guilt as manifestations of their depression. Instead they "bottle up" feelings, turn to alcohol or drugs, display frustration and anger, "workaholism", and reckless, high risk behavior.
Causes of Depression
So, what causes depression? Neuroscience has found that circuits responsible for regulation of moods and behavior fail to function properly. Neurotransmitters, chemicals that brain cells use to communicate, are out of balance. Genetic research has established that depression runs in families. People with a combination of genetic factors that interact with other non-genetic factors may be at a higher risk for developing depression. Other clinical investigation has led scientists to think that a combination of genetic, cognitive, and environmental factors is involved in the onset of depression. Trauma, loss of a loved one, loss of a job, marital problems, prolonged exposure to some chemicals can trigger depressive episodes. Later episodes of depression may occur without an obvious cause.
What should men do if concerned about depression?
- Drop the stigma! Depression is nothing to be ashamed about.
- See your doctor and express concerns about depression.
- Seek treatment early. It takes time for medication to work. The best treatment is medication with counseling.
- Take charge! Don't believe the myths about handling it on your own. That can lead to suicide. If you have those thoughts call the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255)
Real men take charge to get what they need. Identifying and seeking treatment for depression is a sign of strength. After all, it is the best way to take care of those that depend on you and your strength.
