We Need To Talk: Examining The Problem Of Getting Men To Open Up

loaded spoke to Stephen Buckley, Head of Information at MIND, to find out why men like Casey Affleck in Manchester By The Sea struggle with their emotions.

Casey Affleck alongside Lucas Hedges.
Casey Affleck in Manchester By The Sea Alongside co-star Lucas Hedges.

If the Oscar-tipped drama Manchester-By-The-Sea teaches us anything, it’s that the issues surrounding men and their ability to share and express feelings remain as problematic today as they ever did.

From drinking in dive bars to picking fights with complete strangers, Casey Affleck’s Lee Chandler is your archetypal bloke in many ways, thrust into the most tragic of scenarios after his brother dies and leaves him in charge of his only son.

Carrying his own tragic baggage, Affleck’s understated performance serves as a reminder to the continuing problems among men who often fail to address emotional and mental problems in their lives – often with tragic consequences.

Figures produced by the Office for National Statistics in February of 2016 revealed that men account for more than three times as many suicides as women in the UK.

So how do we change perceptions? How do we spot the signs of a problem? And what is the best course of action? loaded spoke to Stephen Buckley, Head of Information at Mind, to find out.

loaded: What are some of the most common signs that someone might need to talk through a particular issue?

Buckley: Because men can often be more closed about their feelings it can be harder to spot if a friend or family member might be experiencing depression or anxiety. There may be certain things that trigger your friend or relative’s depression, for example, feeling stressed, relationship problems or money worries. You may be able to learn what their triggers are, or spot when an episode might be starting, and encourage them to take action before it gets any worse.

“The idea that ‘real men don’t cry’ can prevent men from accessing the help that they need”

loaded: Is there a particular problem among men when it comes to talking about emotional issues?

Buckley: Sadly too many men wrongly believe that admitting they are experiencing a mental health problem makes them weak, and this kind of self-stigma can prevent them from seeking help and ultimately can cost lives.

The idea that ‘real men don’t cry’ can prevent men from accessing the help that they need. Men are half as likely to talk to their friends about problems as women and only 31 per cent of men would discuss worries with their relatives, compared to 54 per cent of women. While women tend to have a solid network of friends and family with whom they are comfortable discussing emotional issues, men are much more likely to rely solely on their partner – if anyone at all. This puts men at a greater risk of emotional isolation.

Men also often try and find ways of dealing with their problems independently rather than reaching out and sharing their problems. Instead of talking about their problems, men prefer to watch TV, exercise or drink alcohol whereas women were twice as likely to talk to their friends, when trying to unwind.

Even when they do reach out, many men may not be diagnosed as having a mental health problem because more typically ‘male’ symptoms, such as aggression or self-medicating with drugs or alcohol, which may mean their problems are misdiagnosed or overlooked.

loaded: What are some of the common mistakes made by men when it comes to dealing with these issues?

Buckley: Men find it much harder than women to talk to their friends about their mental health – generally, men tend to rely on their partner as their sole means of support, whereas women seek support from a wider group of friends and relatives. This means that the breakdown of the primary relationship in their life can leave men thinking that they have no-one to turn to and ask for help.

It’s also common for men to feel unsure about seeking support for their mental health, and to feel like they can handle things by themselves. But it’s always ok for you to ask for help – even if you’re not sure if you are experiencing a specific mental health problem

Some reasons why you might choose to get help could include: finding it difficult to cope with your thoughts, feelings or behaviour; these thoughts, feelings and behaviours having an impact on your day-to-day life; or just wanting to find out about support that might be available to you.

“It takes a lot for someone to say “I need help”, but it doesn’t hurt to raise the subject yourself”

Research conducted by Time to Change, the anti-stigma campaign run by Mind and Rethink Mental Illness, shows us that men are still not comfortable talking about mental health problems and don’t realise the impact their attitude and behaviours have on others.

That’s why in February, Time to Change is kicking off a five year social marketing campaign, targeted at men. Keep an eye out!

loaded: What can people do to make themselves available to any friends or family that might be experiencing a mental health problem?

Buckley: If you think a friend or family member is depressed or anxious or simply not themselves there are a few things you can do to support them:

  • Get talking

It takes a lot for someone to say “I need help”, but it doesn’t hurt to raise the subject yourself. Sometimes you don’t have to explicitly talk about mental health to find out how your friend or family member is doing – it can be as simple as texting them to see if they want to do something, whether they are free for you to visit them. Time to Change, the anti-stigma campaign run by mental health charities Mind and Rethink MentalIllness, has useful tips for having conversations about mental health.

  • Encourage them to seek help

Perhaps the most important thing that you can do is to encourage your friend, relative or loved one to seek appropriate treatment. You can reassure them that it is possible to do something to improve their situation, but try to do this in a caring and non-judgemental way.

  • Don’t blame

Try not to blame the individual for feeling anxious or depressed, or tell them to ‘pull themselves together’. They are probably already blaming themselves, and criticism is likely to make them feel even worse.

  • Be patient

Someone with depression may get irritable, and be more liable to misunderstand others, or feel misunderstood, than usual; they may need reassurance in some situations, and you may need to be patient with them.

Manchester By The Sea with Michelle Williams and Casey Affleck.
Manchester By The Sea Starring Michelle Williams and Casey Affleck Image Studio Canal

loaded: Does alcohol play a harmful role when it comes to men dealing with personal problems?

Buckley: Compared to women, men expose themselves to greater risk of general ill-health. For example, men are more likely to drink alcohol to excess, more likely to misuse drugs, more likely to work very long hours, and more likely to be overweight. These lifestyle factors are important because there are known correlations between physical health and mental health.

Alcohol and drug misuse are, for example, directly linked with an increase in mental health problems and we know that there’s a temptation for men to use alcohol or other recreational drugs as a way of coping with problems. In the medium term, over-use of alcohol can contribute to poor decision-making, lack of concentration, memory problems and – for some people – addiction.

loaded: Should more men seek professional help? E.g. therapy. Do enough men utilise these services?

Buckley: Although anyone can be affected by a mental health problem, men are far less likely than women to seek support. Mind research showed that almost a third of men would be embarrassed about seeking help for a mental health problem and less than a quarter of men would visit their GP if they felt down for more than two weeks, in comparison to a third of women.

loaded: What sort of support is out there both online and in person?

Buckley: Mind has a confidential information and support line, Mind Infoline, available on 0300 123 3393 (lines open 9am – 6pm, Monday – Friday)

Mind’s new campaign, Find The Words, is also urging anyone who is worried about their mental health to speak to their GP. The mental health charity has put together a guide called ‘Find the Words’ offering advice on how to take that first step and have the conversation.

loaded: Thanks for speaking to us today, Stephen.

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