Why don’t men go to therapy and why they should.

Numerous studies have highlighted a significant gender gap when it comes to seeking mental health support, with men being far less likely than women to attend therapy or counselling.

In the UK, only 36% of referrals for talking therapies like counselling and psychotherapy are for men (Baker, 2018). This disparity is concerning given that suicide rates among men are around three times higher than women (Office for National Statistics, 2022).

The reasons behind men's reluctance to seek therapy are complex and multifaceted. A major factor is the societal pressure to conform to traditional masculine norms of self-reliance, emotional control, and the perception that seeking help is a sign of weakness (Sagar-Ouriaghli et al., 2020). Many men struggle to express emotions, fearing it will lead to a loss of masculine identity (Scholz et al., 2017). There is also scepticism about the benefits of therapy, particularly when it involves self-disclosure and introspection (Lynch et al., 2018). However, the consequences of not addressing mental health issues can be severe.

Men are more likely to turn to unhealthy coping mechanisms like substance abuse, risk-taking behaviours, and even violence (Affleck et al., 2018). Unresolved mental health problems can also strain personal and professional relationships, leading to further isolation and distress. It’s crucial to challenge the stigma surrounding men's mental health and promote the idea that seeking support is a sign of strength, not weakness. Therapy can provide a safe, non-judgmental space for men to explore their emotions, gain insight into their thought patterns, and develop healthier coping strategies. It can help address a wide range of issues, including depression, anxiety, trauma, relationship problems, and low self-esteem (Orlando Health, 2023).

Moreover, therapy is not a one-size-fits-all approach. Alternative formats like coaching or online therapy may be more appealing to men who are hesitant about traditional face-to-face counselling (Berger et al., 2013; McKelley & Rochlen, 2007).

The key is finding a therapist or approach that aligns with individual needs and preferences. In conclusion, while the stigma surrounding men's mental health persists, it's crucial to recognise the importance of seeking support when needed. Therapy can be a powerful tool for personal growth, self-understanding, and overall well-being. By challenging outdated notions of masculinity and promoting open conversations about mental health, we can create a more supportive environment for men to prioritize their emotional well-being.

References:

Affleck, W., Carmichael, V., & Whitley, R. (2018). Men's Mental Health: Social Determinants and Implications for Services. The Canadian Journal of Psychiatry, 63(9), 581–589. https://doi.org/10.1177/0706743718762388

Baker, C. (2018). Obesity Statistics. House of Commons Library. https://researchbriefings.files.parliament.uk/documents/SN03336/SN03336.pdf

Berger, J. L., Addis, M. E., Green, J. D., Mackowiak, C., & Goldberg, V. (2013). Men's Reactions to Mental Health Labels, Forms of Help-Seeking, and Sources of Help-Seeking Advice. Psychology of Men & Masculinity, 14(4), 433–443. https://doi.org/10.1037/a0030175

Lynch, L., Long, M., & Moorhead, A. (2018). Young Men, Help-Seeking, and Mental Health Services: Exploring Barriers and Solutions. American Journal of Men's Health, 12(1), 126–139. https://doi.org/10.1177/1557988315619469

McKelley, R. A., & Rochlen, A. B. (2007). The Practice of Coaching: Exploring Alternatives to Therapy for Counseling-Resistant Men. Psychology of Men & Masculinity, 8(1), 53–65. https://doi.org/10.1037/1524-9220.8.1.53

Office for National Statistics. (2022). Suicides in England and Wales: 2021 registrations. https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/suicidesintheunitedkingdom/2021registrations

Orlando Health. (2023). Why Men Don't Go to Therapy. https://www.orlandohealth.com/content-hub/why-men-dont-go-to-therapy

Sagar-Ouriaghli, I., Godfrey, E., Bridge, L., Meade, L., & Brown, J. S. L. (2020). A Systematic Review of Barriers to Help-Seeking for Men Who Experience Intimate Partner Violence From Their Female Partners. Clinical Psychology Review, 78, 101851. https://doi.org/10.1016/j.cpr.2020.101851

Scholz, B., Crabb, S., & Wittert, G. A. (2017). "Males Don't Wanna Bring Anything up to Their Doctor": Men's Discourses of Depression. Qualitative Health Research, 27(5), 727–737. https://doi.org/10.1177/1049732316649352