Depression is a global problem affecting people of all ages. An estimated 350 million people suffer from depression, according to the World Health Organisation. Although it affects both genders, the symptoms of depression are often different in men than in women – partly because of cultural pressures for members of each gender to behave in certain ways – a factor that may contribute to missed diagnoses. Depression among men is also less likely to be discussed.
As The National reported yesterday, societal pressure and fear of judgment make it difficult for many men to admit they need help. This could explain why many in this country shy away from seeking medical assistance.
In many cultures, men are raised to appear tough and urged to “man up”. This could be a bigger issue in patriarchal societies, in which the culturally authorised idea of “hegemonic masculinity” intensifies the stigma associated with depression and other mental health issues. Naturally men in those societies who face serious mental problems – be they in terms of work, marriage, finances or even substance abuse – are reluctant to talk about them, let alone seek professional support.
This has to change because undiagnosed cases of depression can have devastating consequences not just for individuals but also for their families. Experts say that while depressed women may feel sad or worthless, men tend to become aggressive, hostile and withdrawn. In extreme cases, depression may lead to suicide.
We need to break the silence and speak openly about this issue. More importantly, we need to improve mental heath services by making sure we have the infrastructure in place to treat those who come forward. We also need to have more clarity from insurers over mental health issues. That’s because many people may avoid treatment simply because they are unsure of whether they can afford it or whether their health insurance covers it.
Psychiatrist Yaseen Aslam pointed out that the lack of insurance cover is contributing to the issue. However, as we develop our system, we also need to avoid over-diagnosis and over-medication for depression, which have been serious issues in countries such as the United States. Changing the culture will require improving the system first.
