Men's Issues
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Men’s Mental Health and 'Men’s Issues' in Therapy
The phrase “men’s issues” in counselling refers to a range of psychological, emotional, relational, and social concerns that are either uniquely experienced by men, or commonly shaped by masculine socialisation, gender expectations, and cultural norms. Counsellors who work in men’s mental health aim to create a space that is attuned to these unique challenges, often working with men who may be hesitant or unaccustomed to discussing emotional distress. Below are listed some current issues.
Social Context and Gender Norms
Many men are raised with cultural expectations that promote traits such as stoicism, emotional self-sufficiency, competitiveness, dominance, and suppression of vulnerability. While these traits are not inherently negative, when internalised rigidly, they can lead to emotional restriction, reluctance to seek help, and increased psychological distress.
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Common “Men’s Issues” in Therapy
A. Emotional Suppression and Expression
Difficulty identifying and articulating emotions, fear of appearing weak or vulnerable, limited emotional vocabulary.
B. Depression and Anger
Depression in men is often masked as irritability, anger, risk-taking, or substance use.
C. Anxiety and Stress
Performance-related stress and anxiety tied to self-worth and societal expectations.
D. Relationship and Intimacy Challenges
Issues with communication, emotional closeness, and role-related conflicts.
E. Identity and Role Transitions
Struggles with fatherhood, aging, job loss, or evolving gender expectations.
F. Substance Use and Risk Behaviours
Use of substances or risk-taking to manage or escape distress.
G. Violence, Trauma, and Anger Management
History of trauma, exposure to violence, and difficulty regulating anger.
H. Loneliness and Social Isolation
Few close relationships and higher social isolation, especially in older men.
I. Male Body Image and Sexual Health
Concerns about body image, sexual performance, and masculinity.
J. Help-Seeking Barriers
Stigma, fear of judgment, and belief in self-reliance over professional support.
Key national concerns include:
Suicide prevention (men represent over 75% of suicides in Australia)
Campaigns to destigmatise mental health and broaden masculinity norms.
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Summary
“Men’s issues” in therapy refer to mental health concerns shaped by gender roles and expectations. Effective counselling for men requires a sensitive, gender-informed, and strengths-based approach that respects masculine identities while supporting emotional wellbeing.