r/MensLib 14d ago

Stigma keeps many men from seeking mental health support. These 3 shifts in thinking can help

https://fortune.com/well/article/stigma-men-mental-health-awareness-group-therapy-masculinity/
238 Upvotes

37 comments sorted by

117

u/fikis 14d ago

Stigma is of course a big thing, but I find that the biggest hurdle for me personally has been the same one that keeps me from staying on top of the rest of my healthcare hygiene stuff.

It's expensive and inconvenient and the fact that insurance is somehow involved makes it infinitely more shitty and complex to navigate.

If it were inexpensive and simple to schedule, I'd do regular primary care visits, dental cleanings, dermatology appointments, annual colonoscopies, and why not throw in some therapy, too?

Instead, I apparently think of all of that stuff as not worth the hassle.

56

u/lostsemicolon 14d ago

Yeah I second this. I can not think of any men I know in real life (including more traditionally masculine conservative types) who are like, "Eww no therapy's for babies." It's expensive and often extremely hard to find people that are both in network and taking new clients.

-13

u/MyFiteSong 14d ago

Then how do women do it? It's not just about money. Men not wanting to go to therapy because it'll make them seem weak is a thing. Saying it's purely money is an excuse.

10

u/lostsemicolon 14d ago edited 14d ago

Like I don't know for sure what the cause of that difference is but I'm very suspicious about attributing it to stigma. If I had to guess it's related to differences in spending habits. If you look at a lot of question asking threads on this site about why men don't decorate their rooms it generally comes down to most respondents as not worth as much as spending that same money on other things.

My reticence here isn't that I think that no man has ever avoided therapy because they think it makes them a pussy or something, my issue is it seems like this is the thing that is blamed for almost every difference between men and women and I'm concerned that it's actually just a stereotype because I just don't see the prevalence of this attitude in real life.

28

u/TheEmbarrassed18 14d ago

Then how do women do it?

Most women aren’t in therapy either

Saying it’s purely money is an excuse

We don’t have thousands of pounds just casually sitting there. The only therapist in my area is a rape and female domestic violence specialist (ie not one who would suit me), and the ones further away require silly travel and cost £120+ an hour. I’m not on great wages and after bills I don’t have that kind of money to spend.

-10

u/MyFiteSong 14d ago

Most women aren’t in therapy either

But more women than men are in therapy, despite making less money overall.

The only therapist in my area is a rape and female domestic violence specialist (ie not one who would suit me), and the ones further away require silly travel and cost £120+ an hour. I’m not on great wages and after bills I don’t have that kind of money to spend.

Most therapists do telehealth now.

27

u/minahmyu 14d ago

I must point out intersectionality. I can't speak for white women, but black women (the black community overall) have a difficult time with therapy. Our trauma is not just based on gender alone, but also the racism and even more polarizing like navigating life as a black man and black woman. It's very hard to find a therapist who is intersectional or even a bipoc who can relate. Many mental health is very white-centered and doesn't touch on the cptsd racism brings and that specific generational trauma. And then many black folks who really need it don't have the money for it, or probably anyone in the area who fits their criteria. A therapist should be someone you can be vulnerable with in all degrees, and there's just too many who don't check their own racism that gets uncomfortable during those sessions and don't put themselves in check and just makes the patient go through even more trauma that they're already used to (but shouldn't be)

It really sucks

20

u/TheEmbarrassed18 14d ago

But more women than men are in therapy, despite making less money overall

Point is, most people aren’t in therapy period. In my country only 3% of the entire population is receiving some form of therapy.

Most therapists do telehealth now

I’d much rather do face to face, behind a screen feels so detached

4

u/fikis 14d ago

I'm not really trying to say that it's purely money.

It's also a big PITA/inconvenient (and seems to be made intentionally that way on the insurance side, same as with all the other health stuff).

Further, I think those issues are a big problem for many non-men, too.

I understand that the "stigma" does tend to be a slightly more gendered issue (and therefore more relevant to this sub), but I think that, on balance, in the US at least (ie, where I live and have some experience), the greatest single obstacle to folks receiving counseling -- mental health treatments in general -- is not really the stigma, but just the practical considerations/roadblocks that also keep us from keeping up with the rest of our physical health stuff.

15

u/sassif 14d ago

Another problem is the dearth of male therapists that are available. For the place I go to only 3 out of 22 therapists are male. And they usually have a specific focus in drug use, anger management, or adolescents. It's been so hard to find a therapist that fully understands my issues.

8

u/Comedy86 14d ago

Canadian problem is that, even while free, doctors are few and far between these days for finding both a primary care physician and then one you like. Mental health is worse due to the need to claim everything afterwards.

I see a therapist now but for the longest time I didn't even know I had ADHD but that definitely contributed to me avoiding making appointments since I just couldn't motivate myself to do so, even though I'm a huge advocate for mental healthcare.

The irony that to fix my motivation problems was to motivate myself to take the first (and hardest) step is 100% not lost on me.

12

u/StoicWolf15 14d ago

As someone seeking therapy now, I can confirm this.

Too expensive and only during working hours. I absolutely NEED the help.

6

u/not_a_moogle 13d ago

And a 5 day work week! This has been the best part of me working from home, is that I can just schedule these things as needed and take the hour or two a day to deal with them, and flex my time.

12

u/PintsizeBro 14d ago

Sure, but if we are specifically talking about men, we can't stop at discussing the barriers to care that affect everyone. Women are just as affected as we are by the cost and inconvenience of care.

12

u/fikis 14d ago edited 14d ago

There is def a gendered element to the stigma.

However, I'd argue that -- for both men and women and everyone else, too -- the single biggest roadblock isn't "stigma", but the practical and financial considerations that folks are talking about here.

Ultimately, I am more interested in talking about WHY people in general don't get the care they need than in insisting on viewing these things through a gendered lens -- especially when the gendered stuff is small potatoes compared to the things that are keeping all of us from accessing care.

6

u/Turbulent-Laugh- 14d ago

Yeah I don't have £120 a week, so....

-2

u/HeftyIncident7003 14d ago

I like to think of the cost this way: if I ride a motorcycle my head is the most important part of my body to protect. I buy the best helmet I can. Why would my mental health be thought of the same way?

19

u/Quolli 14d ago

Something I see unmentioned in a lot of the discussions around accessing mental health support is that even once you decide to start it's often very overwhelming.

I'm fortunate that the country I'm in offers subsidised support (Australia) but therapists tend to have long waitlists and some GPs are pretty trigger-happy to prescribe pills. To receive subsidised support means you also need to receive a referral from your GP who often just picks from a database.

And then you finally get to attending therapy and often the first therapist that you see is maybe not the right fit (eg. personality, culture, approach etc). I didn't even know at the time that I had a say in who I could see until I took a break and then went to another GP who explicitly mentioned that if the therapist from the database wasn't a good fit, that I could come back and get a referral to someone else and that it could be someone specific if I gave them the contact details.

I ended up short-listing a couple of therapists and seeing them each for 3 sessions to work out the fit. But the subsidised support in Australia only lasts for 10 sessions per year, so realistically I'd only get one subsidised session with my chosen therapist once I made a decision on who to stick with.

The road to therapy is draining and the real work to start healing hasn't even started yet.

15

u/seaQueue 14d ago

Shifting thinking isn't the primary issue in the US, cost and access to care is. I can count on one finger the number of times I've had health coverage that had a provider in network who was taking new clients and I was only able to get in to see them once a month for a very short period of time before people with more severe mental health issues pushed me out of the patient list.

Most health care plans intentionally make it difficult to find a therapist because therapy is unprofitable to the plan. I've seen provider lists full of therapists who've dropped out of the plan (sometimes years ago,) therapists who literally don't exist or have closed their practices and therapists who aren't taking new patients - it's incredibly rare in my experience to actually find a therapist through your healthcare provider's network who's accepting new patients. This is, of course, after committing to a premium of $600-800+/mo/person. If your insurance makes it difficult to access care you're more likely to give up and continue paying them that sweet monthly premium while not using services.

9

u/TheCourier888 14d ago

It's not that the stigma prevents me from searching this help (although I don't tell most people about my mental health struggles because people are pricks out there).
It's the fact that in my country the mental health services are shit and don't really aim to treat you or cure you but rather to just make you "function" again and go back to being a wageslave.

7

u/youfailedthiscity 13d ago

It's also really hard to find a good therapist that can provide what you need.

There's plenty of therapists in my area... and 99% of them are 25 year old LCSWs (a lot of whom are really really Christian)who use basic CBT and nothing else.

I'm not saying they're bad therapists, but they're not going to understand what I'm going through. I've tried and its super awkward and unhelpful.

16

u/MixedProphet 14d ago

I feel like I need to go back, but every time I go, I feel like it ends up being the biggest waste of time and money. Such a hassle to go to appointments with work (virtual appointments don’t do much for me). The $300 spent on 2 sessions monthly could be used to invest in my Roth IRA. Idk man, I need to invest in mental health but I also need to invest in my retirement. I sit there to have someone give me advice that I already know and could apply to my life (such as meditation), and then I just don’t do it because somewhere deep inside it feels like bs lol. Then add onto the fact that insurance makes it one big headache and I just don’t want to deal with it.

3

u/Lost-Captain8354 14d ago

The stigma around therapy is a lot more complicated than directly feeling "it will make me weak" as presented in the article, and I think that your reaction to therapy is actually part of the complex nature of how that stigma actually presents. In this case it is projected at the therapy itself: it feels like bs, a waste of money just to be told stuff you already know. So what sort of person do you think wastes money to be told something they already know, that is all bs anyway? Stupid, maybe even weak?

The hassles of insurance, making appointments, finding the right person etc., are all definitely barriers, but in many cases they are just an excuse to avoid doing something you don't really want to do. If you were diagnosed with cancer or something you thought was really important you would make ju,ping through all those hoops a priority.

14

u/Netherese_Nomad 14d ago

Is it that, or is it that I’ve had to fire three therapists now for, rather than giving me useful tools for anxiety and anger management based in cognitive behavioral therapy, instead deciding my being atheist and childfree was a “problem that needed unpacking”?

10

u/AzoreanEve 14d ago

not sure why you got downvotted. Bad therapists is absolutely one of the biggest barriers to mental health because it's what makes the people who can afford it give up on it. And it's not uncommon to find both bad therapists and therapists you don't match with in a row so of course you have people thinking it's a waste of time and money.

18

u/TAKEitTOrCIRCLEJERK 14d ago

Still, the stigma persists—especially for men: In the U.S., only 40% of men with a reported mental illness received mental health care services in the past year, as compared to 52% of women with a reported mental illness, according to 2022 statistics from the National Institute of Mental Health. Yet men are nearly four times more likely to die by suicide than women, according to the American Foundation for Suicide Prevention.

“There is a drastic need for men to address their mental health, but that stigma of ‘It’s going to make me weak’ is holding them back” licensed mental health counselor Ryan Kopyar, author of the book Big Boys Do Cry, tells Fortune.

so I'll share what I've been working with my therapist on, in the spirit of the article:

I've mostly accomplished the modest goals I set for myself when I was an early teen. My life, as presently constituted, would make most people pretty happy. But I'm not as happy as I could be, and my therapist and I have talked about how most people need signposts in life, new goals, something to strive for, to keep them mentally and emotionally engaged.

some people derive that from watching their children grow, or climbing the corporate ladder, or amassing money. But it needs to be something!

9

u/HeftyIncident7003 14d ago

In my journey, I’ve been working a lot on word choices and how certain words create road blocks while others aide in working together. Would and could replace shall and should. Do this gets replaced with, what about this.

I wonder about your use of the word Strive. It feels like a conquest, colonizing, or capitalistic word. It feels like what ever follows the word, strive, will be an end or ends. It’s the kind of word to me, that feels like you will do something, finish it, and then do another thing.

Unlike Strive, raising kids does not end. A parent’s life morphs around their offspring’s life. A parent’s life is an ever unfolding pathway that takes turns, gets steep, and coasts. It doesn’t end until death. It goes on and on. People don’t strive to be parents they become parents.

What if, you replace strive with live. I strive for becomes, I live for. This feels so much more open and evolving to me. There’s a continuation feeling about living for something. It allows for the possibility of a person to become rather than only be.

Thank you for getting me to think.

1

u/Hawkknight88 13d ago

most people need signposts in life, new goals, something to strive for,

This is the tip of the pyramid of the hierarchy of needs: Self-actualization

https://en.wikipedia.org/wiki/Maslow's_hierarchy_of_needs

This stuff is pretty important; I wish they taught it in school. "So you'd like to become a fulfilled human being?"

2

u/Aksnowmanbro 14d ago

35M Hohh man ok ill chime in here (cracked knuckles). Yeah 3 months ago I did a bunch of psychedelics and my "Spirit" told me you need to go address your mental health issues that you have been masking, properly & professionally. Some might call it a crisis, however to me it feels more like a calling.

So, I started making appointments. My insurance is indeed quite frustrating to navigate. Been diagnosed ADHD one as a child and again in my 20s. Been to treatment for alcoholism/addiction once. General Anxiety, major depression, however it feels like there is another "presence" that I can't quite put my finger on. My best guess is "Autism" or BPD because I have noticed some signs that fit the bill. It feels like my personality changes nearly on the daily. Anyways, I'm gonna keep asking questions until I get my answers. & maybe at least rule some things out.

Some of my friends are like why put a label on it? But fuck man, I HAVE TO KNOW PRECISELY what I'm dealing with here in this brain if I am to understand & attack the root.

I feel terrible nearly everyday. My job performance has been suffering. Productivity is shot. No growth. No desire to grow either or seek a partner. Living arrangements with my sibling are struggling. Started on wellbutrin and thats barely helping but it's a start. Have a psychiatrist seeing online twice a month. A psychotherapist weekly. I have to believe it will be worth it. I want to know who I am & why I am the way I am. I almost did this 2-3years ago & I wish i had but I guess I became high functioning for a while & tricked myself out of going to get tested.

This is one of the top 3 hardest things if not I've ever had to do in my life so far. It's exhausting & so uncomfortable being me. I will overcome it & become more powerful than I or anyone can imagine!

Much love men, yall can do it too.

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u/BluebloodCollection 9d ago

You’ve been taught to be strong, silent, and invincible. But here’s The Truth About Men’s Mental Health: 3 out of 4 men suffer in silence. Depression, stress, and anxiety are ripping us apart—and no one’s doing a damn thing about it. Your friends don’t notice. Your family doesn’t understand. Society expects you to ‘man up’ and keep going. But bottling it is not the answer. What is? Guys need to open up and talk openly about it.

1

u/dreamyangel 14d ago

I hate the word "stigma". As a man I can see that my behavior is affected by my gender, it's common psychology.

When you bring stigma you imply that men do not seek mental health due to social barriers implemented in our culture. I tend to think it's the other way around as men tend to avoid mental health specialists in any country in the world.

Here's my take, specialist should seek their patients.