Men's mental health: Social norms and cultural stigma

Men's mental health: Social norms and cultural stigma

Men's mental health has been a topic of discussion in recent years, and for good reason. The stigmas associated with mental health can make it difficult for anyone to talk about it, but men, in partic

Reviewed by:
Austin Lin, MD
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November 30, 2021
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Key takeaways

Men's mental health has been a topic of discussion in recent years, and for good reason. The stigmas associated with mental health can make it difficult for anyone to talk about it, but men, in particular, are often fed messages that discourage them from showing emotion or being vulnerable.

It’s time that we consider how dangerous these societal pressures can be. Here, we’ll look at some staggering statistics about men's mental health and the unique issues men face that can prevent them from seeking the help they need.


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Shame and its impact on men's mental health

Talkiatry staff psychiatrist Dr. Avreliya Shapiro explains,

“Men are much less likely than women to seek both physical and mental health care and are less likely to discuss troubles with anxiety or depression with their primary care doctors compared to women. Women also tend to share their struggles with mental health with their friends and family more frequently than men.” 

Often, the tendency for men to ignore or downplay their mental health symptoms can be traced to long-held social norms and cultural stigmas that impose shame on men. Joseph Harper, executive director of Comprehensive Behavioral Health Center in East St. Louis, writes,

“Too many men think they are supposed to be strong or macho all the time — even when in pain. For many, it would be unimaginable, intolerable for anyone to know they were battling anxiety, depression, or were bogged down by their emotions.”

The fear of being considered weak or not “manly” enough leaves many men reluctant to speak up about their symptoms or seek the help they need. Here are some eye-opening statistics from Mental Health America about men’s mental health in the United States, revealing the dangerous consequences social norms and cultural stigmas can lead to:

Suicide

  • Since 2000, male suicide rates have risen and is now the 7th leading cause of death for men.
  • The suicide rate for men is four times higher than that of women, and men who survive suicide attempts usually suffer much worse injuries.
  • The rate of suicide attempts among gay men is higher, especially before the age of 25.
  • Caucasian men over 85 have the highest suicide rates in the U.S.

Mental health disorders

  • Each year, 6 million men are affected by depression, and 3 million men experience an anxiety disorder.
  • Heterosexual men are less likely than gay and bisexual men to experience mental health problems.
  • A low testosterone level is associated with depression, stress, and mood swings, especially in older men.

Substance abuse

  • Approximately one in five men will develop alcohol dependency in their lifetime.
  • There is a higher likelihood of substance abuse among homosexual men than heterosexual men.
  • There are nearly twice as many male veterans who abuse alcohol and drugs as female veterans, regardless of their form of service.

Combatting shame and embracing vulnerability as a society

Dr. Brené Brown, a renowned shame and vulnerability researcher and best-selling author, holds a special place in the conversation when it comes to shame. Dr. Brown suggests that the ultimate countermeasure to shame is vulnerability, which she defines as uncertainty, risk, and emotional exposure. In an article examining shame and vulnerability in men, she asserted:

Shame is the most powerful, master emotion. It's the fear that we're not good enough. For men, it's the fear of not being wealthy enough, tough enough, or smart enough. The number one shame trigger for men is being perceived as weak. Men walk this tightrope where any sign of weakness elicits shame, and so they're afraid to make themselves vulnerable for fear of looking weak. But if you can't be vulnerable, then you can't truly grow and be your best self. Women can either embrace and help men walk across the tightrope, or we can be the ones who push them off.”

Men have deeply internalized society’s messages about masculinity, and although she calls out women specifically, this quote points to the role we play as a society in men’s mental health. If a man opens up about his struggles (or, more specifically, his mental health), do we allow him to do so? Do we hold space for his vulnerability? Our reaction matters.

If our goal is to end outdated stigma and harsh cultural norms and reverse some of the troubling facts about men’s mental health today, we must adopt a new vision for masculinity that values men’s ability to embrace uncertainty and the risk of emotional exposure. Brown cautions us, explaining, “Men are smart. They hear us asking for their vulnerability, but are also very aware that we may act scared or resentful when they show their vulnerable side.” If we aren’t ready to embrace male vulnerability as a society, we can’t begin to solve these serious problems associated with men’s mental health.

A new narrative surrounding men's mental health

Successful changes start small—and with you. Get involved in this important conversation about men’s mental health by talking to your friends, family, partners, and loved ones. If you’re a woman, encourage the men in your life to be vulnerable, and make sure you respond with respect and gratitude when they are. You can also support better mental health for men by educating yourself on the signs and symptoms of mental health disorders in men. While they’re similar to signs women present, men are less likely to talk about their feelings or seek help.

And for the men reading this—don’t be embarrassed to seek help if you feel you need it. As Harper points out, “Conditions such as anxiety and depression are much more common than you realize, and they don’t discriminate.” Unfortunate norms about masculinity have existed for generations—but together, we can change them.

Talkiatry can help

Talkiatry provides accessible, affordable mental health care solutions that are personalized, in-network, and focused on helping you feel better, faster. We also offer flexible appointment options via telemedicine or in-office visits, matching our therapeutic and modern approach to psychiatric care. 

Receive a preliminary diagnosis by taking our free and easy assessment today, then get matched with one of our psychiatrists, who will help you manage and treat your symptoms based on your unique needs.

Talkiatry is a mental health practice, and our clinicians review everything we write. However, articles are never a substitute for professional medical advice, diagnosis, or treatment. If you think you may need mental health help, talk to a psychiatrist. If you or someone you know may be in danger, call 911 or the National Suicide and Crisis Lifeline at 988 right away.

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Frequently asked questions

Does Talkiatry take my insurance?

We're in network with major insurers, including:

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Even if your insurer isn't on the list, we might still accept it. Use the insurance eligibility checker in our online assessment to learn more.

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Call the number on your insurance card and ask about your plan’s coverage for outpatient psychiatric services.

What kind of treatment does Talkiatry provide?

At Talkiatry, we specialize in psychiatry, meaning the diagnosis and treatment of mental health conditions. Your psychiatrist will meet with you virtually on a schedule you set together, devise a treatment plan tailored to your specific needs and preferences, and work with you to adjust your plan as you meet your goals.

If your treatment plan includes medication, your psychiatrist will prescribe and manage it. If needed, your psychiatrist can also refer you to a Talkiatry therapist.

What's the difference between a therapist and psychiatrist?

Psychiatrists are doctors who have specialized training in diagnosing and treating complex mental health conditions through medication management. If you are experiencing symptoms of a mental health condition such as depression, anxiety, bipolar disorder, PTSD, or similar, a psychiatrist may be a good place to start.  

Other signs that you should see a psychiatrist include:  

  • Your primary care doctor or another doctor thinks you may benefit from the services of a psychiatrist and provides a referral    
  • You are interested in taking medication to treat a mental health condition  
  • Your symptoms are severe enough to regularly interfere with your everyday life

The term “therapist” can apply to a range of professionals including social workers, mental health counselors, psychologists, professional counselors, marriage and family therapists, and psychoanalysts. Working with a therapist generally involves regular talk therapy sessions where you discuss your feelings, problem-solving strategies, and coping mechanisms to help with your condition.

How does Talkiatry compare to face-to-face treatment?

For most patients, Talkiatry treatment is just as effective as in-person psychiatry (American Psychiatric Association, 2021), and much more convenient. That said, we don’t currently provide treatment for schizophrenia, primary eating disorder treatment, or Medication Assisted Treatment for substance use disorders.

Who can prescribe medication?

All our psychiatrists (and all psychiatrists in general) are medical doctors with additional training in mental health. They can prescribe any medication they think can help their patients. In order to find out which medications might be appropriate, they need to conduct a full evaluation. At Talkiatry, first visits are generally scheduled for 60 minutes or more to give your psychiatrist time to learn about you, work on a treatment plan, and discuss any medications that might be included.

About
Austin Lin, MD

Dr. Austin Lin is a double board-certified adult and addiction psychiatrist who has been in practice for over 9 years. At the center of Dr. Lin’s clinical approach is a strong emphasis on establishing trust and using a collaborative approach to help patients develop an individualized and cohesive plan so that they are able to achieve their goals.

Dr. Lin's practice focuses on medication management. Typically, he offers this in conjunction with supportive therapy, motivational interviewing, and/or cognitive behavioral therapy in 30-minute follow-up visits. Occasionally, Dr. Lin may recommend that additional therapy is needed and ask that you bring a therapist into your care team in order to provide the best outcome.

Dr. Lin received his medical degree from St. George’s University School of Medicine. He went on to complete his residency in psychiatry at Harvard South Shore, an affiliate of Harvard Medical School, where he served as Chief Resident and earned his 360° Professionalism award. He then had additional training in Addiction Psychiatry through his fellowship at the University of Texas Southwestern Medical Center. After completing training, Dr. Lin has worked as an Addiction Psychiatrist and Director of Adult Services in the Trauma and Resilience Center (TRC) at the University of Texas Health Science Center at Houston (UTHealth). He specialized in treating patients with a history of depression, anxiety, trauma, and substance use disorders.

Dr. Lin has held an academic appointment at UTHealth, and he has spent his professional career supervising and teaching medical students and psychiatry residents.



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