Men’s Mental Health Month: Understanding Gender Differences in Depression and Anxiety

June is Men’s Mental Health Month—a time to raise awareness, reduce stigma, and start long-overdue conversations about what it really means for men to struggle with mental health.

One of the most important—and most overlooked—topics is the way depression and anxiety show up differently in men compared to women. These differences aren’t just about biology—they’re shaped by culture, expectations, and how men are taught to respond to emotional pain.

Understanding these patterns can help more men recognize what they’re experiencing, seek help sooner, and feel less alone in the process.

Depression Doesn’t Always Look Like Sadness

When people think of depression, they often imagine someone tearful, withdrawn, or visibly down. And while that’s certainly one way depression can appear, it’s not the only one.

In men, depression often presents as:

  • Irritability or anger

  • Restlessness or agitation

  • Emotional numbness

  • Risk-taking or reckless behavior

  • Substance use (alcohol, drugs, or overworking)

  • Physical symptoms (like back pain, headaches, or fatigue)

  • Disconnection from relationships

Rather than saying, “I feel sad,” many men with depression say, “I feel off,” “I’m tired all the time,” or “I get frustrated at everything.” It’s not always recognized as depression—by themselves or the people around them.

Anxiety in Men: Hiding in Plain Sight

Like depression, anxiety can also look different depending on gender.

While many people picture anxiety as visible worry or panic, men are more likely to show anxiety through:

  • Over-controlling or perfectionistic behavior

  • Difficulty relaxing or always staying busy

  • Irritability or “short fuse” reactions

  • Trouble sleeping or constant fatigue

  • Avoiding vulnerability or emotional conversations

In a culture that rewards stoicism and self-reliance in men, anxious thoughts and feelings often get pushed down—or channeled into productivity, physical symptoms, or distraction.

Unfortunately, that means anxiety in men can go unnoticed or untreated for years.

Why Men Often Don’t Get Diagnosed or Treated

Men are significantly less likely than women to be diagnosed with depression or anxiety—even though rates of mental health struggles are likely similar.

This gap is influenced by:

  • Stigma around mental health

  • Social norms that discourage emotional expression in men

  • Misunderstanding of symptoms (especially when they don’t match the “typical” picture of anxiety or depression)

  • Fear of seeming weak, dramatic, or incapable

  • Limited access to mental health support in some communities

The result? Many men suffer in silence, not recognizing that what they’re feeling is treatable—and that they’re not alone.

Men Deserve a Full Emotional Life

Mental health is a human experience—not a gendered one. But to reach more men with care and compassion, we have to meet them where they are. That means creating spaces where emotional honesty is safe, strength includes vulnerability, and seeking help is seen as an act of courage—not failure.

Therapy can help men:

  • Make sense of their emotional world

  • Develop healthy ways to manage anger, anxiety, or stress

  • Heal from unspoken trauma

  • Improve communication and connection in relationships

  • Learn how to care for themselves in real, sustainable ways

Whether it’s talk therapy, group support, mindfulness, or just beginning to name what they feel—every step matters.

This Men’s Mental Health Month, Let’s Normalize the Full Spectrum of Being Human

Men feel grief, fear, sadness, self-doubt, joy, hope, and love—just like anyone else.
The difference is that, for too long, they’ve been told to feel less, show less, and cope alone.

Let’s change that.
Let’s start more honest conversations.
Let’s help more men get the support they deserve.

If you’re someone who’s been struggling, quietly or loudly: you’re not broken, you’re not weak—and you’re not alone.


Julie Kolzet, Ph.D.