The Future of Men’s Mental Health

Part 1 — Men and Mental Health, What Are We Missing?

            I  have been interested in men’s mental, emotional, and relational health for a long time. When I was five years old my mid-life father became increasingly irritable, angry, and depressed because he felt he couldn’t support our family, my mother and me, doing the work he loved. In desperation he took an overdose of sleeping pills to stop the pain. Fortunately, he didn’t die, but  our lives were never the same. He was committed to Camarillo State Mental Hospital.

             My father had been an actor in New York and moved to California with the hopes of working in the emerging movie and television industry. But like many creative artists of the period he ran into the “red scare,” was blacklisted, and couldn’t find work. His time in the mental hospital only made him worse. I grew up wondering what happened to my father, when it would happen to me, and how I could prevent it from happening to other families.

            After graduating from college I was accepted into U.C. San Francisco Medical School with hopes of becoming a psychiatrist. I hoped to learn and develop the skills to help men like my father as well as the families who love them. However, medicine, at the time, was too restrictive for me and I transferred to U.C. Berkeley where I earned my Master of Social Work Degree. My initial interest focused on addiction medicine, but I soon expanded my work to include Gender-Specific Medicine and men’s health. I later returned to school and earned a PhD in International Health. My dissertation research was published as a book: Male vs. Female Depression: Why Men Act Out and Women Act In.

            Following the birth of our first son, Jemal, in 1969 and daughter, Angela, in 1972, I launched MenAlive.com as my window to the world to house my books, articles, and on-line programs. I’ve had seventeen books published including international best-sellers Male Menopause and The Irritable Male Syndrome: Understanding and Managing the 4 Key Causes of Depression and Aggression, as well as trend-setting books including Looking for Love in All the Wrong Places: Overcoming Romantic and Sexual Addictions, The Warrior’s Journey Home: Healing Men, Healing the Planet, Stress Relief for Men, and Long Live Men! The Moonshot Mission to Heal Men, Close the Lifespan Gap, and Offer Hope to Humanity.

            The field of gender-specific healing and men’s mental health has grown considerably since I began in 1972. I estimate that there are now at least a thousand organizations that focus on various aspects of men’s health. In 2021, I invited several colleagues who were doing great work to join me in what I called my Moonshot Mission for Mankind and Humanity. We began meeting monthly to get to know each other, share ideas, and create an on-line hub to bring individuals and organizations together to help men live fully healthy lives.

            With the help and support of one of our founding members, Joe Conrad, Founder and CEO of Man Therapy, we developed a website and introductory film at MoonshotforMankind.com.  I believe that men are both the “canaries in the coalmine” alerting us to the problems faced by humanity and also they are the key players in solving the problems that undermine the health of all. The Moonshot site shares our vision and call to connect:

“The journey to heal humanity has begun.”

Our Moonshot vision can be summarized simply:

            “We believe man’s mental, emotional, and relational health is the key to empowering men to live long and well. Our mission is to help men live healthier, happier, more cooperative lives—fulfilling lives of purpose and productivity, where men are supported and valued as they make positive contributions to their families, friends, and communities. When that happens, families grow stronger, communities prosper, and humanity takes its next leap forward.”

Men and Mental Health: What Are We Missing?

            According to report by Derek M. Griffith, PhD, Ayo Ogunbiyi, MPH, and Emily Jaeger, MPH at Georgetown University’s Center for Men’s Health Equity,

“Men aren’t the problem. The way that we — society as a whole and health care providers specifically — treat them is.”

In an April 2, 2024 article titled “Men and mental health: What are we missing?,” they detail a number of important issues that we often fail to address including the following:

• It is time that primary care physicians, mental health service providers, and policymakers look critically at the accuracy and utility of their assumptions and explanations for men’s rates of depression, anxiety, burnout, substance abuse, and other common mental health conditions.

• 40% of men with a reported mental illness received mental health care services in the past year, compared with 52% of women with a reported mental illness, according to the National Institute of Mental Health.

• The COVID-19 pandemic exacerbated the crisis of men’s mental health.

• The uncertainty of the pandemic, loneliness from social distancing, financial stresses, relationship challenges, and other contextual factors contributed to increased rates of men having difficulty sleeping, alcohol and substance use, and post-traumatic stress disorder (PTSD) symptoms.

• Traditionally, men are socialized to define their worth by their ability to contribute economically to a household. However, as the labor market has shifted away from traditionally male-dominated jobs, men must now redefine their worth outside of their employment, income, and home.

• The notion of “precarious manhood,” which is the belief that manhood is an achieved social status that must be earned and constantly defended, means that men may feel it is their character — rather than their behavior — being judged during more tumultuous economic times.

• Even when men seek care, that care often falls short. Data from Canada and the United States found that more than 60% of men who died by suicide had accessed mental health care services within the previous year.

• When men do seek mental health care services, it is not uncommon for them to feel that providers mislabel and underestimate their needs, and that these providers do not seem to have a genuine interest in their problems.

• The fact that men are diagnosed with depression at lower rates than women, despite their higher rates of suicide, substance use, and violent behavior, suggests that more could be done to improve the tools used to diagnose men with depression.

• While some mental health care service providers may be gender sensitive and recognize the ways that aggressiveness, alcohol use, and risky behavior are part of the presenting symptoms men with depression may exhibit, there are few courses and trainings that focus on gender differences in mental health, potentially leading to mental health care service providers being less equipped to serve and offer gender-sensitive resources to men.

            We need a new approach for addressing men’s mental health issues. In the second part of this series, I will address the reality that men’s mental health issues don’t just impact men. They impact everyone. If you’d like to read more articles like these, please visit me at MenAlive.com and receive our free newsletter with new articles and tools you can use to improve your mental, emotional, and relational health.