
A man in his late thirties once came into therapy after weeks of persuasion from his wife. He sat quietly for a few moments before saying, almost automatically, "I honestly don't know why I'm here. I'm fine."
The truth was, he wasn't.
For months, he had barely been sleeping. He had lost interest in things that once brought him joy and found himself snapping at his children over the smallest things. But admitting that something was wrong felt far more uncomfortable than pretending everything was okay.
It's a story that many mental health professionals hear in different forms. A lot of men don't seek support when the struggle begins. They wait until stress spills into their relationships, work starts suffering, or their physical health begins to show the strain.
The Messages Boys Grow Up With
June is recognised as Men's Health Month, yet conversations around men's emotional well-being still don't happen as openly as discussions about fitness or physical health.
Part of the reason begins in childhood. For many boys, words like, “Be strong,” “Don’t cry,” or “Man up,” are spoken without malice, but heard over and over again, they send a clear message: you should not show emotion, you should not feel emotion, you should not even have emotion.
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In adulthood, many men are masters at suppressing feelings. They bury themselves in work, stay busy, or tell themselves that whatever they’re feeling will pass on its own. Therapy is only something they consider when they feel like they’ve tried everything else.
The Silent Gap
Across the world, men are generally less likely than women to seek professional mental health support.
In India, where therapy is still surrounded by stigma, that hesitation can be even stronger. Ironically, while men account for a large proportion of suicide deaths, they are often missing from therapy rooms until they reach a breaking point.
What's interesting is that emotional distress doesn't always sound like someone saying, "I'm depressed."
Instead, it often shows up differently. Men may complain of constant fatigue, poor sleep, irritability, burnout, headaches or feeling emotionally numb.
Many are still making deadlines, going to work, doing their jobs, all the while quietly struggling inside.By the time they finally ask for help, the emotional burden has often been building for months—or even years.
When Emotions Wear a Different Mask
One of the biggest myths about men's mental health is that men simply don't feel emotions as deeply. That isn't true. Men experience sadness, fear, loneliness and anxiety just as intensely as anyone else.
Often the difference is in the way those feelings are expressed. Depression may appear as anger rather than tears.
Anxiety may look like constant busyness, an inability to switch off, or an overwhelming need to stay in control. Emotional pain can hide behind productivity, long working hours or silence.
This is why it's worth asking a different question. Instead of wondering why men don't open up, perhaps we should ask whether they've ever truly felt safe enough to do so.
Making It Easier to Ask for Help
Many men first reach out because they're overwhelmed by work stress, career uncertainty, burnout or relationship challenges. Rarely do they begin by talking about emotions.
And that's perfectly okay. Therapy doesn't require someone to arrive with the right words. It takes time for the discussion to unfold. Approaches like Cognitive Behavioural Therapy (CBT), mindfulness-based techniques and solution-focused therapy tend to be helpful because they bring together practical approaches with an emotional understanding.
Many men say they feel a sense of relief over time, finally giving voice to the feelings they’ve been carrying in silence for years. Not because every problem disappears overnight, but because they don’t have to bear the burden in silence anymore.
A Different Definition of Strength
The man who once insisted he was "fine" still attends therapy today. He sleeps better, feels more connected to his family and says he understands himself in ways he never did before.
The only regret he shares is that he waited so long. Seeking help doesn't make someone weak. It doesn't diminish masculinity or resilience. If anything, it’s brave to admit that something isn’t right and to decide to work through it.
“Nobody should have to wait until relationships break down, stress becomes unbearable or life feels overwhelming before seeking support. Maybe it’s time we redefine strength—not as carrying every burden alone, but having the courage to say, “I’m not okay,” and letting somebody help.
The views expressed are personal