Men and Mental Illness

by Brad Singletary, LCSW | Feb 18, 2021

Brad Singletary, LCSW

Brad Singletary, LCSW

Licensed Clinical Social Worker · Men's Coach

For 25+ years I've helped people build stronger character, healthier relationships, and lives they respect — through therapy, coaching, and writing.

One in five people has a diagnosable mental health disorder. Read that again slowly. That means in any room you walk into, twenty percent of the people present are dealing with something clinical, something that has a name, something that responds to treatment but that nobody in that room is probably talking about. The odds are overwhelming that someone you love is in that group right now.

Men especially need to get educated on this. Not because you are going to become therapists, but because you are going to encounter mental illness in yourself, in your partners, in your kids, in your brothers, and in your fathers. The man who can recognize the signs, have a real conversation about it, and take appropriate action is a more useful and more complete man than the one who shuts down when the subject comes up.

What These Disorders Actually Look Like

The conditions that show up most frequently in the people around you include PTSD, bipolar disorder, major depression, and various forms of anxiety. These are not exotic or rare. They are common, they are often invisible from the outside, and they are treatable when the person affected is willing to seek help and when the people around them know how to respond.

PTSD is not only a veteran's issue. It shows up in anyone who has experienced serious trauma, and trauma is more common than most men realize. Bipolar disorder gets misunderstood constantly because the high periods look like energy and productivity and the low periods look like laziness or depression. Major depression is not just sadness. It is a sustained disruption to sleep, appetite, concentration, motivation, and a sense of meaning. Anxiety disorders can look like anger, avoidance, control, irritability, or physical illness.

Knowing the difference between what is a normal rough patch and what calls for a real evaluation is a skill worth developing. When the emotions or behaviors you see in yourself or someone you love have been present for weeks, are interfering with daily function, or feel out of proportion to the circumstances, that is a signal to take seriously, not explain away.

What Men Can Do About It

First, get yourself evaluated if something has been off for a while. There is a medical side to mental health, and a prescriber who can assess whether medication might be part of your treatment plan is worth seeing. Go in prepared. Know your symptoms. Know how long they have been present. Know how they are affecting your life. Providers can only work with what you give them.

Second, learn how to support people in your life who are struggling. Loving someone with a mental health disorder requires a specific kind of patience and a specific kind of honesty. It does not mean absorbing unlimited chaos or pretending things are fine when they are not. It means staying engaged, encouraging treatment, holding appropriate expectations, and not making their illness the defining fact of the relationship.

Mental health literacy is not soft. It is practical preparation for the reality of being a human being surrounded by other human beings, all of whom are carrying more than they show. Get smart about it. Your people need you to be.