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Researchers estimate that at least six million men in the United States suffer from a depressive disorder every year. Research and clinical evidence reveal that while both women and men can develop the standard symptoms of depression, men often experience depression differently and may have different ways of coping with the depression symptoms.

Men may be more willing to acknowledge fatigue, irritability, loss of interest in work or hobbies, and sleep disturbances rather than feelings of sadness, worthlessness, and excessive guilt. Some researchers question whether the standard definition of depression and the diagnostic tests based upon it adequately capture the condition of male depression.

 



"I'd drink and I'd just get numb. I'd get numb to try to numb my head. I mean, we're talking many, many beers to get to that state where you could shut your head off, but then you wake up the next day and it's still there. Because you have to deal with it, it doesn't just go away. It isn't a two-hour movie and then at the end it goes 'The End' and you press off. I mean it's a twenty-four hour a day movie and you're thinking there is no end. It's horrible."

Patrick McCathern, First Sergeant, U.S. Air Force (Retired)


 

Men are more likely than women to report alcohol and drug abuse or dependence in their lifetime; however, there is debate among researchers as to whether substance use is a "symptom" of underlying depression in men, or a co-occurring condition that more commonly develops in men. Nevertheless, substance use can mask male depression, making it harder to recognize as a separate illness that also needs to be appropriately treated.

Instead of acknowledging their feelings, asking for help, or seeking appropriate treatment, men may turn to alcohol or drugs when they are depressed, or become frustrated, discouraged, angry, irritable and, sometimes, violently abusive. Some men deal with male depression by throwing themselves compulsively into their work, attempting to hide their depression from themselves, family, and friends; while other men may respond to depression by engaging in reckless behavior, taking risks, and putting themselves in harm's way.

 



"When I was feeling depressed I was very reckless with my life. I didn't care about how I drove, I didn't care about walking across the street carefully, I didn't care about dangerous parts of the city. I wouldn't be affected by any kinds of warnings on travel or places to go. I didn't care. I didn't care whether I lived or died and so I was going to do whatever I wanted whenever I wanted. And when you take those kinds of chances, you have a greater likelihood of dying."

Bill Maruyama, Lawyer



Four times as many men as women die by suicide in the United States, even though women make more suicide attempts during their lives. In addition to the fact that the methods men use to attempt suicide are generally more lethal than those methods used by women, there may be other issues that protect women against suicide death.

In light of research indicating that suicide is often associated with male depression symptoms, the alarming suicide rate among men may reflect the fact that men are less likely to seek treatment for male depression. Many men with depression do not obtain adequate diagnosis and treatment, which can be life saving.

 

 

 



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