Help-Seeking Among Men for Mental Health Problems

  • June S. L. BrownEmail author
  • Ilyas Sagar-Ouriaghli
  • Luke Sullivan


In this chapter, we will review the current situation regarding the mental health of men. We will then review help-seeking among men and women before reviewing important factors which may contribute to men being less likely to seek help from mental health professionals. We will then go on to describe recent positive work that has been carried out on male help-seeking and suggest some ways forward.


Help-seeking Mental health Stigma Masculinity Coping 


  1. Addis, M. E., & Mahalik, J. R. (2003). Men, masculinity, and the contexts of help seeking. American Psychologist, 58, 5–14.PubMedGoogle Scholar
  2. Angst, J., Gamma, A., Gastpar, M., Lépine, J. P., Mendlewicz, J., & Tylee, A. (2002). Gender differences in depression. European Archives of Psychiatry and Clinical Neuroscience, 252(5), 201–209.PubMedGoogle Scholar
  3. Archer, M., Brown, J., Idusohan, H., Coventry, S., Manoharan, A., & Espie, C. (2009). The development and evaluation of a large-scale self-referral CBT-I intervention for men who have insomnia: An exploratory study. Behavioural and Cognitive Psychotherapy, 37(3), 239–248. Scholar
  4. Bebbington, P. (2000). The need for psychiatric treatment in the general population. In G. Andrews & S. Henderson (Eds.), Unmet need in psychiatry (pp. 85–96). Cambridge: Cambridge University Press.Google Scholar
  5. Brown, J. S. L., Ferner, H., Wingrove, J., Aschan, L., Hatch, S. L., & Hotopf, M. (2014). How equitable are psychological therapy services in South East London now? A comparison of referrals to a new psychological therapy services with participants in a psychiatric morbidity survey in the same London borough. Social Psychiatry and Psychiatric Epidemiology, 49(12), 1893–1902.PubMedPubMedCentralGoogle Scholar
  6. Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., et al. (2015). What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological Medicine, 45(1), 11–27. Scholar
  7. Cheshire, A., Peters, D., & Ridge, D. (2016). How do we improve men’s mental health via primary care? An evaluation of the atlas men’s well-being pilot programme for stressed/distressed men. BMC Family Practice, 17(1), 13.PubMedPubMedCentralGoogle Scholar
  8. Conrad, D., & White, A. (Eds.). (2010). Promoting men’s mental health. Oxford: Radcliffe Publishing.Google Scholar
  9. Cottone, J. G., Drucker, P., & Javier, R. A. (2002). Gender differences in psychotherapy dyads: Changes in psychological symptoms and responsiveness to treatment during 3 months of therapy. Psychotherapy: Theory, Research, Practice Training, 39(4), 297.Google Scholar
  10. Courtenay, W. H. (2009). Theorizing masculinity and men’s health. In A. Broom & P. Tovey (Eds.), Men’s health: Body, identity and social context (pp. 9–32). London, UK: Wiley-Blackwell.Google Scholar
  11. Culph, J. S., Wilson, N. J., Cordier, R., & Stancliffe, R. J. (2015). Men’s sheds and the experience of depression in older Australian men. Australian Occupational Therapy Journal, 62(5), 306–315. Scholar
  12. Diamond, M. J. (2004). The shaping of masculinity: Revisioning boys turning away from their mothers to construct male gender identity. International Journal of Psychoanalysis, 85, 359–380.PubMedGoogle Scholar
  13. Doyal, L., Payne, S., & Cameron, A. (2003). Promoting gender equality in health. London: Equal Opportunities Commission.Google Scholar
  14. Edwards, S., Tinning, L., Brown, J. S., Boardman, J., & Weinman, J. (2007). Reluctance to seek help and the perception of anxiety and depression in the United Kingdom: A pilot vignette study. The Journal of Nervous and Mental Disease, 195(3), 258–261.PubMedGoogle Scholar
  15. Emslie, C., Ridge, D., Ziebland, S., & Hunt, K. (2006). Men’s accounts of depression: Reconstructing or resisting hegemonic masculinity? Social Science and Medicine, 62(9), 2246–2257.PubMedGoogle Scholar
  16. Emslie, C., Ridge, D., Ziebland, S., & Hunt, K. (2007). Exploring men’s and women’s experiences of depression and engagement with health professionals: More similarities than differences? A qualitative interview study. BMC Family Practice, 8(1), 43.PubMedPubMedCentralGoogle Scholar
  17. Englar-Carlson, M., & Kiselica, M. S. (2013). Affirming the strengths in men: A positive masculinity approach to assisting male clients. Journal of Counseling & Development, 91(4), 399–409.Google Scholar
  18. ESEMeD/MHEDEA 2000 Investigators. (2004). Use of mental health services in Europe: Results from the European study of the epidemiology of mental disorders (ESEMeD) project. Psychiatrica Scandinavica, 109, 47–54.Google Scholar
  19. Fischer, A. R. (1970). Orientations to seeking professional help: Development of research utility of an attitude scale. Journal of Consulting and Clinical Psychology, 35, 79–90.PubMedGoogle Scholar
  20. Fivush, R., Brotman, J. P., Buckner, J. P., & Goodman, S. H. (2000). Gender differences in parent-child emotion narratives. Sex Roles, 42, 233–253.Google Scholar
  21. Fortney, J., Rost, K., & Zhang, M. (1998). A joint choice model of the decision to seek depression treatment and choice of provider sector. Medical Care, 36(3), 307–320.PubMedGoogle Scholar
  22. Galdas, P. M., Cheater, F., & Marshall, P. (2005). Men and health help-seeking behaviour: Literature review. Journal of Advanced Nursing, 49(6), 616–623.PubMedGoogle Scholar
  23. Gill, B., Meltzer, H., Hinds, K., & Petticrew, M. (1996). OPCS survey of psychiatric morbidity in Great Britain, Report 7: Psychiatric morbidity among homeless people. London: OPCS.Google Scholar
  24. Green, H., McGinnity, A., Meltzer, H., Ford, T., & Goodman, R. (2005). Mental health of children and young people in great Britain, 2005. Basingstoke: Palgrave Macmillan.Google Scholar
  25. Haggett, A. N. (2015). A history of male psychological illness in Britain, 1945–1980. Basingstoke: Palgrave Macmillan. Google Scholar
  26. Hammer, J. H., & Vogel, D. L. (2010). Men’s help seeking for depression: The efficacy of a male-sensitive brochure about counseling. The Counseling Psychologist, 38(2), 296–313.Google Scholar
  27. Houle, J., Mishara, B. L., & Chagnon, F. (2008). An empirical test of a mediation model of the impact of the traditional male gender role on suicidal behavior in men. Journal of Affective Disorders, 107(1), 37–43. Scholar
  28. House, J., Marasli, P., Lister, M., & Brown, J. S. (2018). Male views on help-seeking for depression: AQ methodology study. Psychology and Psychotherapy: Theory, Research and Practice, 91(1), 117–140.Google Scholar
  29. Hunt, K., Wyke, S., Gray, C. M., Anderson, A. S., Brady, A., Bunn, C., et al. (2014). A gender-sensitised weight loss and healthy living programme for overweight and obese men delivered by Scottish Premier League football clubs (FFIT): A pragmatic randomised controlled trial. The Lancet, 383(9924), 1211–1221. Scholar
  30. Johnson, J. L., Oliffe, J. L., Kelly, M. T., Galdas, P., & Ogrodniczuk, J. S. (2012). Men’s discourses of help-seeking in the context of depression. Sociology of Health & Illness, 34(3), 345–361.Google Scholar
  31. Kessler, R. C., Demler, O., Frank, R. G., Olfson, M., Pincus, J. A., Walters, E. E., et al. (2005). Prevalence and treatment of mental disorders, 1990 to 2003. The New England Journal of Medicine, 352, 2515–2523.Google Scholar
  32. Kingerlee, R., Precious, D., Sullivan, L., & Barry, J. (2014). Engaging in the emotional lives of men. The Psychologist, 27(6), 418–421.Google Scholar
  33. Kiselica, M. S., & Englar-Carlson, M. (2010). Identifying, affirming, and building upon male strengths: The positive psychology/positive masculinity model of psychotherapy with boys and men. Psychotherapy: Theory, Research, Practice Training, 47(3), 276.Google Scholar
  34. Kraemer, S. (2000). The fragile male. British Medical Journal, 321(7276), 1609–1612.Google Scholar
  35. Lane, J. M., & Addis, M. E. (2005). Male gender role conflict and patterns of help seeking in Costa Rica and the United States. Psychology of Men & Masculinity, 6, 155–168.Google Scholar
  36. Lawrence, V., Banerjee, S., Bhugra, D., Sangha, K., Turner, S., & Murray, J. (2006). Coping with depression in later life: A qualitative study of help-seeking in three ethnic groups. Psychological Medicine, 36(10), 1375–1383. Scholar
  37. Leong, F. T. L., & Zachar, P. (1999). Gender and opinions about mental illness as predictors of attitudes towards seeking professional psychological help. British Journal of Guidance and Counselling, 27, 123–132.Google Scholar
  38. Levant, R. (1998). Desperately seeking language: Understanding, assessing, and treating normative male alexithymia. In W. Pollack & R. Levant (Eds.), New psychotherapy for men (pp. 35–56). New York: Wiley.Google Scholar
  39. Lin, E., & Parikh, S. V. (1999). Sociodemographic, clinical, and attitudinal characteristics of the untreated depressed in Ontario. Journal of Affective Disorders, 53(2), 153–162.PubMedGoogle Scholar
  40. Mackenzie, C. S., Gekoski, W. L., & Knox, V. J. (2006). Age, gender, and the underutilization of mental health services: The influence of help-seeking attitudes. Aging and Mental Health, 10(6), 574–582.PubMedGoogle Scholar
  41. Mahalik, J. R., Good, G. E., & Englar-Carlson, M. (2003). Masculinity scripts, presenting concerns, and help seeking: Implications for practice and training. Professional Psychology: Research and Practice, 34(2), 123–131.Google Scholar
  42. Mansfield, A. K., Addis, M. E., & Courteney, W. (2005). Measurement of men’s help seeking: Development and evaluation of the barriers to help seeking scale. Psychology of Men and Masculinity, 6, 95–108.Google Scholar
  43. Mansfield, A. K., Addis, M. E., & Mahalik, J. R. (2003). “Why won’t men go to the doctor?” The psychology of men’s help seeking. International Journal of Men’s Health, 2, 93–109.Google Scholar
  44. Masuda, A., Hayes, S. C., Fletcher, L. B., Seignourel, P. J., Bunting, K., Herbst, S. A., et al. (2007). Impact of acceptance and commitment therapy versus education on stigma toward people with psychological disorders. Behaviour Research and Therapy, 45(11), 2764–2772.Google Scholar
  45. McFall, M., Malte, C., Fontana, A., & Rosenheck, R. A. (2000). Effects of an outreach intervention on use of mental health services by veterans with posttraumatic stress disorder. Psychiatric Services, 51(3), 369–374.PubMedGoogle Scholar
  46. Meltzer, H., Bebbington, P., Brugha, T., Farrell, M., Jenkins, R., & Lewis, G. (2003). The reluctance to seek treatment for neurotic disorders. International Review of Psychiatry, 15(1–2), 123–128. Scholar
  47. Men’s Health Forum. (2006). Mind your head: Men, boys and mental wellbeing. London: Men’s Health Forum.Google Scholar
  48. Men’s Health Forum. (2010). Untold problems: A review of the essential issues in the mental health of men and boys. London: Men’s Health Forum.Google Scholar
  49. Men’s Minds Matter. (2017). Male suicide. Retrieved from
  50. Mojtabai, R., Olfson, M., & Mechanic, D. (2002). Perceived need and help-seeking in adults with mood, anxiety, or substance use disorders. Archives of General Psychiatry, 59(1), 77–84. Scholar
  51. Nam, S. K., Choi, S. I., Lee, J. H., Lee, M. K., Kim, A. R., & Lee, S. M. (2013). Psychological factors in college students’ attitudes toward seeking professional psychological help: A meta-analysis. Professional Psychology: Research and Practice, 44(1), 37.Google Scholar
  52. NHS Information Centre. (2009). Trends in consultation rates in general practice 1995 to 2008: Analysis of the Qresearch database. London: Department of Health.Google Scholar
  53. NICE. (2006). Parent-training/education programmes in the management of children with conduct disorders. London: NICE.Google Scholar
  54. Office for National Statistics. (2014). Statistical bulletin: Suicides in the United Kingdom 2014.Google Scholar
  55. Oliffe, J. L., Ogrodniczuk, J. S., Bottorff, J. L., Johnson, J. L., & Hoyak, K. (2012). “You feel like you can’t live anymore”: Suicide from the perspectives of Canadian men who experience depression. Social Science and Medicine, 74(4), 506–514.PubMedGoogle Scholar
  56. O’Neil, J. M. (1981). Male sex-role conflict, sexism, and masculinity: Implications for men, women, and the counseling psychologist. The Counseling Psychologist, 9, 61–80.Google Scholar
  57. Pevalin, D., & Rose, D. (2003). Social capital for health: Investigating the link between social capital and health using the British Household Panel Survey. London: Health Development Agency.Google Scholar
  58. Pollard, J. (2016). Early and effective intervention in male mental health. Perspectives in Public Health, 136(6), 337–338. Scholar
  59. Primack, J. M., Addis, M. E., Syzdek, M., & Miller, I. W. (2010). The men’s stress workshop: A gender-sensitive treatment for depressed men. Cognitive and Behavioral Practice, 17(1), 77–87.Google Scholar
  60. Prins, M. A., Verhaak, P. F., Bensing, J. M., & Van Der Meer, K. (2008). Health beliefs and perceived need for mental health care of anxiety and depression—The patients’ perspective explored. Clinical Psychology Review, 28(6), 1038–1058.PubMedGoogle Scholar
  61. Prison Reform Trust. (2005). The prison factfile. London: Prison Reform Trust.Google Scholar
  62. Reis, H. T. (1998). Gender differences in intimacy and related behaviours: Context and process. In D. J. Canary & K. Dindia (Eds.), Sex differences and similarities in communication: Critical essays ad empirical investigations of gender and interaction (pp. 203–232). Mahwah, NJ: Erlbaum.Google Scholar
  63. Rickwood, D., Deane, F., & Wilson, C. (2007). When and how do young people seek professional help for mental health problems? Medical Journal of Australia, 187(7), S35–S39.PubMedGoogle Scholar
  64. Ritchie, D. (1999). Young men’s perceptions of emotional health: Research into practice. Health Education, 2, 70–75.Google Scholar
  65. Robertson, C., Archibald, D., Avenell, A., Douglas, F., Hoddinott, P., van Teijlingen, E., et al. (2014). Systematic reviews of and integrated report on the quantitative, qualitative and economic evidence base for the management of obesity in men. Health Technology Assessment (Winchester, England), 18(35), v-424. Scholar
  66. Rochlen, A. B., McKelley, R. A., & Pituch, K. A. (2006). A preliminary examination of the “Real Men: Real Depression” campaign. Psychology of Men & Masculinity, 7(1), 1.Google Scholar
  67. Savage, H., Murray, J., Hatch, S. L., Hotopf, M., Evans-Lacko, S., & Brown, J. S. L. (2016). Exploring professional help-seeking for mental disorders. Qualitative Health Research, 26(12), 1662–1673.PubMedGoogle Scholar
  68. Seidler, Z. E., Dawes, A. J., Rice, S. M., Oliffe, J. L., & Dhillon, H. M. (2016). The role of masculinity in men’s help-seeking for depression: A systematic review. Clinical Psychology Review, 49, 106–118.PubMedGoogle Scholar
  69. Spendelow, J. S. (2014). Cognitive-behavioral treatment of depression in men. American Journal of Men’s Health, 9(2), 94–102.PubMedGoogle Scholar
  70. St. Mungos. (2016). Stop the scandal: An investigation into mental health and rough sleeping.
  71. Sullivan, L. (2011). Men, masculinity and male gender role socialisation: Implications for men’s mental health and psychological help seeking behaviour. D.Clin.Psych. thesis, Canterbury Christ Church University. Retrieved from
  72. Sullivan, L., Camic, P. M., & Brown, J. S. L. (2015). Masculinity, alexithymia, and fear of intimacy as predictors of UK men’s attitudes towards seeking professional psychological help. British Journal of Health Psychology, 20(1), 194–211.PubMedGoogle Scholar
  73. Timlin-Scalera, R. M., Ponterotto, J. G., Blumberg, F. C., & Jackson, M. A. (2003). A grounded theory study of help seeking behaviours among white male high school students. Journal of Counseling Psychology, 50, 339–350.Google Scholar
  74. Vogel, D. L., Wade, N., & Haake, S. (2006). Measuring the self-stigma associated with seeking psychological help. Journal of Counseling Psychology, 53, 325–337.Google Scholar
  75. World Health Organization. (2017). Depression and other common mental disorders. Retrieved from

Copyright information

© The Author(s) 2019

Authors and Affiliations

  • June S. L. Brown
    • 1
    Email author
  • Ilyas Sagar-Ouriaghli
    • 1
  • Luke Sullivan
    • 2
  1. 1.King’s College LondonLondonUK
  2. 2.South London and Maudsley NHS Foundation TrustLondonUK

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