FOR NO REASON

Men's Mental Health: Signs, Why Men Don't Ask for Help, and What Helps (Movember 2026)

A tall bonfire of stacked logs burning at night
Photo: Sandis Helvigs, CC0, via Wikimedia Commons

If you are thinking about ending your life, please stop reading and reach out now. Call your local emergency number. In the US and Canada call or text 988. In the UK and Ireland call Samaritans on 116 123 (free, 24/7). In Australia call Lifeline on 13 11 14. Elsewhere: findahelpline.com. More on our crisis help page. You matter more than you can feel right now.


November is Movember, the month when moustaches appear for a good cause: men's health, including mental health and suicide prevention (Movember). It is a good month to say something that many men find hard to say, or to hear:

I'm not doing as well as I look.

Why men's mental health needs attention

The gap is not because men feel less. It is often because men show it differently, and ask for help later.

Signs that are easy to miss in men

Depression in men does not always look like sadness. Watch for:

  1. Anger, irritability or a short fuse.
  2. Working all the time, or throwing yourself into the gym, the garage or a screen.
  3. Drinking more, or using drugs to switch off.
  4. Taking risks: driving fast, gambling, picking fights.
  5. Pulling away from friends, family and things you used to enjoy.
  6. Sleeping badly, or sleeping all the time.
  7. Physical complaints: headaches, stomach problems, aches, tiredness.
  8. Feeling numb or flat rather than sad.
  9. Trouble concentrating or making decisions.
  10. Thoughts that others would be better off without you.

NIMH lists similar signs, including anger, irritability, aggression, changes in mood and energy, misuse of alcohol or drugs, and thoughts of suicide (NIMH). A review of research on masculinity and depression also describes how men's distress can show up as anger, substance use and withdrawal (Seidler et al., 2016).

Why many men don't ask for help

The same review found that conforming to traditional masculine norms, such as self-reliance, emotional control and not showing weakness, was linked with less willingness to seek help (Seidler et al., 2016). Psychologists Michael Addis and James Mahalik argued that help-seeking also depends on context: men are more likely to ask for help when it feels normal among their peers, when they can give something back, and when asking does not cost them respect (Addis & Mahalik, 2003).

That is useful to know. It means the answer is not "men should just talk more". It is making it normal, practical and mutual.

Many men don't need a therapist's couch first. They need a circle around a fire where they are allowed to be honest. If you want that: request to join.

What helps

For yourself

For someone you're worried about

  1. Choose a private moment, ideally side by side: a drive, a walk, a job you are doing together.
  2. Ask directly: "How are you really doing? You've seemed a bit off lately."
  3. Ask twice. If he says "fine", try: "Are you sure? I'm asking because I care."
  4. Listen more than you speak. You do not need to fix it.
  5. Encourage action: a doctor's appointment, a helpline, one trusted person.
  6. Check in again in a few days. Persistence says you meant it.
  7. If you are worried about suicide, ask directly: "Are you thinking about ending your life?" Asking does not put the idea in someone's head. If the answer is yes, stay with him and contact a crisis line or emergency services together.

Movember ideas that help

Help, by country

A task for this week

If you are struggling: tell one person, in one sentence. If you are doing fine: ask one man in your life how he really is, and ask twice. Either way, you just did something for men's mental health.

If you want a tribe where honesty is welcome and nobody walks alone: request to join.

Walking beside you,

The Chief

Sources

Related reading: The male loneliness epidemic · 12 signs you're lonely · What to do when you feel lonely

Questions

What are the signs of poor mental health in men?

Besides sadness, men often show anger, irritability or aggression, working all the time, drinking or using drugs more, risk-taking, withdrawing from friends and family, trouble sleeping, physical complaints like headaches or stomach problems, and loss of interest in things they used to enjoy.

Why don't men ask for help with mental health?

Research links traditional masculine norms, such as self-reliance, staying in control and not showing vulnerability, with less willingness to seek help for depression. Many men also worry about being judged or do not recognise their symptoms as depression.

What is Movember?

Movember is a yearly campaign in November in which people grow moustaches or take on challenges to raise awareness and funds for men's health, including mental health, suicide prevention and prostate and testicular cancer.

How can I help a man who is struggling?

Ask directly and privately, side by side if that is easier (on a walk or a drive): 'How are you really doing?' Listen without fixing, ask again if he brushes it off, encourage him to see a doctor, and check in again. If you are worried about suicide, ask him directly and help him contact a crisis line.

Where can men get help right now?

In an emergency, call your local emergency number. In the US and Canada call or text 988; in the UK and Ireland call Samaritans on 116 123; in Australia call Lifeline on 13 11 14. Findahelpline.com lists free helplines in many countries.

General information for wellbeing, not medical, psychological or financial advice. If you are struggling, see crisis help.