Why Therapy Works Worse for Men

Avery
3 min readSep 16, 2023

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While the intention behind therapeutic practices is universal — the betterment of mental well-being — the approach often neglects to factor in differences stemming from gender-based social conditioning. A significant number of men find the traditional therapeutic environment alienating, and there are reasons rooted deep within the historical, societal, and systemic structures of therapy itself.

The Historical Landscape of Therapy
Historically, the domain of therapy has seen a skew. The majority of patients undergoing psychotherapy have been women. This has naturally influenced the design and direction of therapeutic practices, which have leaned more towards verbal expressions of emotions — a mode that may not resonate universally. The majority of therapists being women also contributes to shaping the discourse, which isn’t necessarily a bad thing, but does point towards a lack of diversity in perspective.

Women, in therapy, are often diagnosed with emotion-centric disorders, while men are frequently categorized under externalizing disorders centered on behavior. This divergence isn’t just a clinical observation but is also a mirror reflecting societal expectations.

Men are often directed, subtly and overtly, to “act out” rather than “talk out.”

Decoding Men’s Emotional Language
A unique facet of male emotional communication lies in its indirectness. Affection, pride, or camaraderie might be expressed through gentle teasing or actions rather than words. Recognizing and interpreting these expressions correctly is vital for effective therapeutic interventions.

Men speak an emotional language of action; it’s time therapy listens and responds in kind.

Given the evident challenges, it’s time to rethink therapy for men. Men don’t need to bypass therapy but should look for a tailored experience. This can mean seeking therapists who employ active and guidance-based approaches, or even methods that integrate physical activities, like Tai Chi or yoga. Additionally, techniques such as EMDR or tapping, which involve both mind and body, can be particularly beneficial.

The good news is that the mental health landscape is evolving. Men’s work groups are emerging, focusing on integrating communication with physicality. These groups offer a space for men to explore their emotional health in a supportive and relatable environment.

Reframing Masculinity: A Global Endeavor
As we navigate the 21st century, a global reframing of masculinity is underway. Movements and initiatives across continents are challenging old narratives, spotlighting the richness of the male emotional palette. In some Scandinavian countries, for instance, there’s a cultural push to recognize and celebrate male vulnerability. Similarly, in parts of Africa and Asia, community initiatives aim to redefine strength to include emotional openness.

As we collectively move towards this new paradigm, therapy can be a crucial catalyst. By acknowledging and addressing the systemic biases, while also embracing the diverse tapestry of male emotional expression, therapeutic practices can aid in shaping a future where men’s emotional health is understood, accepted, and nurtured in all its complexity.

In the journey to mental and emotional well-being, understanding the unique needs of every individual is pivotal. For men, the path might be different due to societal expectations and systemic biases, but it’s by no means non-existent. With tailored approaches and a broader understanding of male emotional language, there’s hope for more inclusive, effective therapeutic practices for everyone.

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Avery
Avery

Written by Avery

Psychology, philosophy, and self improvement content. I'll bring you along my journey of discovering perspectives.

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