Therapy for men addresses unique mental health challenges that men face, including higher rates of suicide, substance use, and delayed help-seeking behaviors. While men are more likely to die by suicide than women, only 40% of men with a mental illness received mental health care services in 2021, compared with 52% of women. Understanding the specific needs and barriers that men experience in therapy is crucial for improving treatment outcomes and reducing the significant mental health disparities affecting men today.
Mental health professionals are increasingly recognizing that traditional therapy approaches may need adaptation to better serve male clients. Research shows that male-tailored psychoeducation can lead to greater reduction in negative affect and state shame compared to standard approaches. As societal understanding of masculinity evolves and mental health awareness grows, more men are beginning to seek the support they need to lead healthier, more fulfilling lives.
Table of Contents
- What Brings Men to Therapy?
- Common Mental Health Issues in Men
- Barriers to Treatment
- Evidence-Based Therapy Approaches for Men
- Couples Counseling and Men
- Group Therapy for Men
- Online and Digital Mental Health Resources
- How Therapy Can Help
- Frequently Asked Questions
What Brings Men to Therapy?
Men seek therapy for various reasons, though their path to treatment often differs from women's experiences. Research from 2023 shows that men are more likely to address their psychological issues when someone they trust in their community encourages it or when the condition starts to impact them physically. Common reasons men enter therapy include:
Life Transitions and Stressors
- Career challenges, including job loss or workplace stress
- Relationship difficulties or divorce
- Fatherhood and parenting concerns
- Financial pressures
- Health problems or chronic illness
- Grief and loss
Crisis Points
During the COVID-19 pandemic, rates of men seeking mental health care services increased more than five-fold over the prior year, demonstrating how major life disruptions can catalyze help-seeking behavior. Men often wait until reaching a crisis point before seeking help, which can complicate treatment and recovery.
Physical Symptoms
Men may initially seek help for physical symptoms that are actually manifestations of mental health issues, such as:
- Chronic pain or headaches
- Sleep disturbances
- Digestive problems
- Fatigue or low energy
- Sexual dysfunction
Common Mental Health Issues in Men
Depression
Over 6 million men in the U.S. experience depression annually, but it often goes undiagnosed. Depression in men frequently presents differently than in women, with symptoms including:
- Anger and irritability
- Risk-taking behaviors
- Substance use
- Social withdrawal
- Difficulty concentrating
- Physical complaints
Anxiety Disorders
More than 3 million men live with panic disorder, agoraphobia, or other phobias. Nearly 1 in 10 men experience depression or anxiety. Men may experience anxiety through:
- Excessive worry about work or finances
- Physical symptoms like chest pain or shortness of breath
- Avoidance behaviors
- Irritability and restlessness
- Sleep difficulties
Substance Use Disorders
In 2024, 16.8% of the U.S. population aged 12 or older met the criteria for a substance use disorder. Men are more likely than women to use substances to cope with emotional distress, leading to higher rates of alcohol and drug dependency.
Trauma and PTSD
Men experienced increased rates of PTSD symptoms during the pandemic, particularly those triggered by mechanical ventilation treatment and hospitalization. Military veterans face particularly high rates of mental health challenges, with 17.6% of U.S. Veterans experiencing a mental illness in 2023.
Suicide Risk
According to 2022 CDC data, the suicide rate among males was approximately four times that of females, with men accounting for nearly 80% of suicides. In 2022, there were 39,282 men lost to suicide in the United States.
Barriers to Treatment
Stigma and Cultural Expectations
Mental health stigma is recognized as an extreme barrier to those needing mental health treatment. Men face unique challenges including:
- Traditional masculinity norms: Beliefs that seeking help shows weakness
- Emotional suppression: Cultural expectations to be stoic and self-reliant
- Fear of judgment: Concerns about how others will perceive them
- Lack of male role models: Few examples of men openly discussing mental health
Systemic Barriers
According to 2024 CDC data, nearly half of adults did not get the mental health care they needed due to costs. Additional barriers include:
- Provider shortage: In a 2022 survey, 3 in 5 psychologists reported no capacity for new patients
- Geographic access: Rural and underserved communities lack adequate providers
- Insurance coverage: Many providers don't accept insurance
- Treatment misalignment: Men often feel that providers mislabel and underestimate their needs, with research showing mental health providers may miss or misdiagnose psychological problems in men due to gender biases
Evidence-Based Therapy Approaches for Men
Cognitive Behavioral Therapy (CBT)
Meta-analysis of 223 studies showed large pre-post treatment effects for depression (d = 0.96) and anxiety (d = 0.8) in routine practice. CBT helps men:
- Identify and change negative thought patterns
- Develop practical coping strategies
- Set concrete, achievable goals
- Address behavioral patterns contributing to distress
Male-Tailored Interventions
Research groups have developed male-specific psychotherapy programs based on CBT principles, currently being evaluated in randomized controlled trials. These approaches include:
- Gender-sensitive psychoeducation: Information on how masculinity affects mental health
- Strength-based focus: Building on existing coping skills
- Action-oriented techniques: Emphasis on doing rather than just talking
- Normalization of help-seeking: Reframing therapy as a tool for self-improvement
Digital and E-Mental Health Interventions
A systematic review found equal overall effectiveness between online and face-to-face CBT delivery. Benefits for men include:
- Privacy and anonymity
- Flexible scheduling
- Reduced stigma
- Accessibility in underserved areas
Third-Wave Therapies
Newer approaches showing promise for men include:
- Acceptance and Commitment Therapy (ACT): Focuses on psychological flexibility
- Mindfulness-Based Interventions: Helps with emotional regulation
- Dialectical Behavior Therapy (DBT): Combines acceptance with change strategies
Couples Counseling and Men
Men in relationships may benefit from couples therapy to address:
- Communication difficulties
- Emotional intimacy challenges
- Conflict resolution
- Parenting disagreements
- Sexual concerns
- Trust and commitment issues
Integrative process models view intimacy, sexual satisfaction, and global satisfaction as mutually reinforcing—movement in one domain is likely to propagate across the others. Couples therapy can help men:
- Express emotions more effectively
- Understand partner perspectives
- Develop healthier relationship patterns
- Navigate major life transitions together
Group Therapy for Men
Effectiveness of Group Therapy
Meta-analytic results demonstrate that group therapy is effective compared with nonactive treatment and is equivalent to other active treatments for various mental disorders. Numerous studies have shown that group therapy is equally as effective as individual therapy, particularly in the treatment of depression.
Benefits for Men
Group therapy offers unique advantages for male clients:
- Peer support and validation: Men use other group participants as sources of support, information, and positive role models
- Reduced isolation: Breaking down beliefs that "I'm the only one"
- Skill practice: Real-time feedback on interpersonal interactions
- Normalization: Seeing other men successfully manage emotions
- Accountability: Group members encourage follow-through
Types of Men's Groups
- General support groups: Focus on various life challenges
- Issue-specific groups: Depression, anxiety, grief, divorce
- Skills-based groups: Anger management, communication, parenting
- Trauma-focused groups: For veterans, abuse survivors
- Substance use recovery: AA, SMART Recovery, other peer support
Research Findings
Preliminary findings in men's supportive-expressive group therapy show that participation is associated with improvement in distress and coping behavior in male cancer patients. Results suggest that group therapy may work differently in men compared to women due to the externalization of depression as anger.
Online and Digital Mental Health Resources
Evidence-Based Online Platforms
Research comparing online and face-to-face interventions reported comparable effects, with CBT being the common model across studies showing promising outcomes for PTSD, stress, and depression.
Available Resources for Men
- 988 Suicide and Crisis Lifeline: Call or text 988 for immediate support
- Veterans Crisis Line: Call 988, press 1 for veteran-specific support
- SAMHSA National Helpline: 1-800-662-HELP (4357)
- HeadsUpGuys: Depression resource specifically for men
- Man Therapy: Uses humor to address men's mental health
- Therapy apps: Headspace, Calm, BetterHelp (for those preferring digital options)
Benefits of Digital Resources
- Available 24/7
- Anonymous and private
- Lower cost than traditional therapy
- Accessible in rural areas
- Self-paced learning
How Therapy Can Help
Immediate Benefits
- Crisis stabilization and safety planning
- Symptom relief through coping strategies
- Validation and normalization of experiences
- Professional assessment and diagnosis
Long-Term Outcomes
Long-term follow-up data shows that effects of therapy, including reduced cortisol and depression, are maintained over time compared with control conditions. Men in therapy report:
- Improved relationships with partners and children
- Better work performance and satisfaction
- Enhanced emotional intelligence
- Reduced substance use
- Increased life satisfaction
- Better physical health outcomes
Treatment Engagement Strategies
Successful therapy for men often includes:
- Clear goal-setting: Concrete objectives and measurable progress
- Practical focus: Emphasis on problem-solving and skill-building
- Flexibility: Various formats (individual, group, online) to meet preferences
- Male therapists: When preferred, though effectiveness depends more on therapeutic alliance
- Integration with medical care: Addressing physical and mental health together
Frequently Asked Questions
How do I know if I need therapy?
Consider seeking therapy if you're experiencing persistent sadness, anxiety, anger, or other emotions that interfere with daily life; having relationship difficulties; using substances to cope; or having thoughts of self-harm. Physical symptoms like chronic pain, sleep problems, or fatigue may also indicate underlying mental health concerns.
What's the difference between therapy for men versus women?
While core therapeutic principles remain the same, therapy for men may include more focus on recognizing and expressing emotions, addressing masculine socialization, using action-oriented approaches, and normalizing help-seeking behavior. Many core concepts of traditional masculinity ideologies, such as being in control or emotional inexpressiveness, potentially conflict with therapeutic processes.
How long does therapy typically last for men?
Treatment length varies based on individual needs and issues. In 2023, 42% of psychologists reported seeing an increase in their patients' length of treatment. Some men benefit from brief interventions (6-12 sessions), while others need longer-term support. The key is finding what works for your specific situation.
Is online therapy as effective as in-person therapy?
Studies of non-group interventions reported comparable effects between online and face-to-face therapy. Online therapy can be particularly beneficial for men who value privacy, have scheduling constraints, or live in areas with limited mental health providers.
Will my therapist understand men's issues?
Many therapists receive training in gender-sensitive approaches. Don't hesitate to ask potential therapists about their experience working with men and their approach to masculine socialization issues. Finding a therapist who understands your perspective is important for successful treatment.
How can I encourage a man in my life to seek therapy?
Men are more likely to seek help when encouraged by someone they trust. Focus on specific behaviors or symptoms rather than labels, normalize therapy as a tool for self-improvement, share resources designed for men, and offer practical support like helping find a therapist or attending the first appointment.
Find a Therapist
Ready to take the next step? GoodTherapy's directory can help you find a mental health professional who specializes in men's issues and understands the unique challenges men face. Search for therapists in your area who offer:
- Individual therapy for men
- Men's therapy groups
- Couples counseling
- Online therapy options
- Specialized treatment for veterans
- Culturally sensitive approaches
Remember, seeking help is a sign of strength, not weakness. Taking care of your mental health allows you to be more present for the people who matter most and to achieve your personal and professional goals.
References:
- American Psychological Association. (2024, January 1). Mental health care is in high demand. Psychologists are leveraging tech and peers to meet the need. Monitor on Psychology, 55(1). https://www.apa.org/monitor/2024/01/trends-pathways-access-mental-health-care
- American Psychiatric Association. (2024). Clinical practice guidelines. https://www.psychiatry.org/psychiatrists/practice/clinical-practice-guidelines
- Anxiety and Depression Association of America. (2026, January 23). Men's mental health. https://adaa.org/find-help/by-demographics/mens-mental-health
- Centers for Disease Control and Prevention. (2024). Suicide data and statistics. U.S. Department of Health and Human Services. https://www.cdc.gov/suicide/facts/data.html
- Eggenberger, L., Ehlert, U., & Walther, A. (2023). New directions in male-tailored psychotherapy for depression. Frontiers in Psychology, 14, 1146078. https://doi.org/10.3389/fpsyg.2023.1146078
- Gaskell, C., Simmonds-Buckley, M., Kellett, S., et al. (2023). The effectiveness of psychological interventions delivered in routine practice: Systematic review and meta-analysis. Administration and Policy in Mental Health and Mental Health Services Research, 50, 43–57. https://doi.org/10.1007/s10488-022-01225-y
- Griffith, D. M., Bruce, M. A., & Thorpe, R. J. (2024). Men and mental health: What are we missing? Association of American Medical Colleges. https://www.aamc.org/news/men-and-mental-health-what-are-we-missing
- McKenzie, S. K., Oliffe, J. L., Black, A., & Collings, S. (2022). Men's experiences of mental illness stigma across the lifespan: A scoping review. American Journal of Men's Health, 16(1), 15579883221074789. https://doi.org/10.1177/15579883221074789
- National Alliance on Mental Illness. (2025). Mental health by the numbers. https://www.nami.org/about-mental-illness/mental-health-by-the-numbers/
- National Association of Counties. (2025, August 13). SAMHSA releases new 2024 data on rates of mental illness and substance use disorder in the U.S. https://www.naco.org/news/samhsa-releases-new-2024-data-rates-mental-illness-and-substance-use-disorder-us
- National Institute of Mental Health. (2024). Men and mental health. U.S. Department of Health and Human Services. https://www.nimh.nih.gov/health/topics/men-and-mental-health
- Opozda, M. J., Oxlad, M., Turnbull, D., et al. (2024). The effects of using psychotherapeutic e-mental health interventions on men's depression and anxiety: Systematic review and meta-analysis. Current Psychology, 43, 9101–9115. https://doi.org/10.1007/s12144-023-04968-5
- Rafieifar, M., Hanbidge, A. S., Lorenzini, S. B., & Macgowan, M. J. (2025). Comparative efficacy of online vs. face-to-face group interventions: A systematic review. Research on Social Work Practice, 35(2), 217-232. https://doi.org/10.1177/10497315241236966
- Sequeira-Nazaré, J., & Schmitz, F. (2025). Shared paths to well-being: The impact of group therapy. Behavioral Sciences, 15(1), 57. https://doi.org/10.3390/bs15010057
- Substance Abuse and Mental Health Services Administration. (2024). Key substance use and mental health indicators in the United States: Results from the 2024 National Survey on Drug Use and Health. HHS Publication No. SMA 25-5068.
- Substance Abuse and Mental Health Services Administration. (2025). National Substance Use and Mental Health Services Survey (N-SUMHSS): 2024 Data on Substance Use and Mental Health Treatment Facilities. Publication No. PEP25-07-013. MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration.
- Wong, J., Bahji, A., & Khalid-Khan, S. (2024). Cognitive behavioral therapy in group settings: A meta-analysis of effectiveness for depression. Journal of Affective Disorders, 346, 123-135.
- Yevin, C., Links, P. S., Ba, D., & Kazi, A. (2024). Systematic review of the effectiveness and experiences of treatment for men with borderline personality disorder. American Journal of Men's Health, 18(4). https://doi.org/10.1177/15579883241271894
