Hidden Depression in Men

by admin on April 12, 2012

It used to be that psychologists thought that women were far more likely to suffer from depression than men. Researchers eventually found layers of defense that men use far more often than women, and have kept hidden much of the depression that men suffer from.

“I Don’t Want to Talk about It: Overcoming the Secret Legacy of Male Depression” by Terrence Real is a wonderful book that brings forth a series of insightful perspectives about ways that men tend to hide their depression both from themselves and from others. Men are afraid to face or expose their depression because they subconsciously believe that they will be perceived as effeminate or even gay. As a result, the weakness and helplessness that accompany depression are qualities that men tend to be much more averse to than women.

In an attempt to manage their feelings of depression, men tend towards two strategies: addiction, and domination. Addiction can be any behavior or substance that might offer some short term relief from the pain and confusion of depression: substances, work, sex, adrenaline all work just fine to this end. Domination behaviors such as violence (domestic or otherwise) or situations where they can assert their power over others to excess, such as with children, spouses, employees, other drivers on the road…. the list is endless.

The process of healing from depression for women is not always easy, but has fewer pitfalls. Women tend to be much more comfortable with their vulnerability, as well as much more relational when in it. They will get support from their friends, and be more likely to drop into the underlying traumatic events that have overwhelmed them and led them to their depression.

Navigating the healing process for men can be trickier than with women. Because of men’s fear of vulnerability concurrent homophobia, men need to first work through the matrix of their fear of vulnerability, which can be insurmountable for some.  Once this has been navigated well enough, then they need to face and work through their addictive or dominating behavior, which can be even trickier, especially when the light at the end of the tunnel is clouded with their underlying depression. Facing their depression, and feeling the underlying feelings of overwhelm, helplessness and hopelessness with courage and tenacity, is not so easy. Finally to process and heal the underlying traumas that have led to the depression is possible, but carry their own difficulties.

Getting support from a therapist is essential for many men, though it often takes a long time for some to get to the point where they are willing. Learning how to find the positive feelings, and sensations in the body, even while suffering from depression, or facing traumas is, in my opinion, essential to be able to release trauma from the nervous system, and restore health. Whether it be working with a trained Somatic Experiencing Practitioner, or integrating various forms of bodywork into the practice under the guidance of a psychotherapist, including the body in the healing process is essential in the transformation process. Without it, there is only the pain of depression and trauma.

Often times, finding a men’s group can be a helpful support. Being with other men, sharing in each other’s humanity, becoming more comfortable in their own sexuality, learning where there is a difference between mutual support of other men and being gay, are all thresholds that are more available for men in a group. Sometimes they are more accessible in a group than in one on one therapy.

Whatever strategy you use to work through this, begin to hold this Path of vulnerability as a doorway. It is, in my experience, more difficult and courageous to move towards opening one’s heart to it’s inherent vulnerability than to turn away from it.

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Welcome to my site!

by admin on June 16, 2009

I am in the process of upgrading this site.

Check back on June 19 to see more….

Eric

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Top Ten Ways to Calm an Anxiety Attack

by Eric on January 13, 2009

As we move beyond the holidays, I find that it might be helpful to give a review of some of the strategies that have helped my clients manage themselves when they felt challenged, and ways to prevent some of the difficulties.

1. Become aware of signs of activation or being triggered: anger, fear, sweaty palms. This awareness is often all that is needed to begin to relax.

2. Become aware of signs of dissociation: dreamy state, feeling far away, glazed, absent minded. Awareness and acceptance of dissociation are often the most important actions to relieve dissociation.

3. If and when you see or feel such signs, know that this awareness is the most important first step. Take a breath and acknowledge your success.

4. Pause. Stop what you are doing, if possible.

5. Orient: trauma lingo for getting to the place and time that you are in right now: look around, let your eyes follow what they want to. Invite your innermost senses to be here now.

6. Touch something: Slide the fabric of your clothes between your fingers or “fidget” with something like a bottle cap, a marble, or your keys – whatever is handy.

7. If the situation you are in is causing the difficulty you are having and it is possible, leave the situation.

8. Connect to people, places, things, or activities that feel good to you. Friends, lover, nature, music.

9. Gently tap your skin with your hands: legs, arms, torso, head.

10. Take a cool or cold shower. Feel your skin. Alternate with warm water.

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A Story of Transformation

by Eric on January 13, 2009

A client came to me recently suffering from years of what he considered to be manifestations of ADHD wherein he would intermittently enter into a fairly paralyzed state where he was unable to address or perform tasks crucial to his  self-care and his livelihood. He would hide out in his apartment, not making contact with others, and internally berate himself for his inability to function more effectively. 

Movements in his body and head led me to invite him to become present to these movements in a gentle process from the Somatic Experiencing model of trauma healing. Within a few sessions he had more resolution than after a decade of intense study and practice of ADHD mitigation techniques. Some large degree of the cause of his issues likely came from several head trauma incidents that he suffered beginning as a young child. 

I often find clients come to me after years of struggling with various issues: distractibility, high anxiety, confusion, disabling focus on unimportant things, difficulty focusing on important tasks, depression,  unexplained chronic aches and pains, or any number of troublesome symptoms. More often than not, through session work and allowing my clients the time and opportunity to gently come into contact with the subtle sensations and movements that are their bodies’ attempts at conversation and resolution, some major portions of these difficulties resolve.

 The term PTSD or Post Traumatic Stress Disorder is used a lot these days, especially in light of the returning Iraq war vets, yet is not really understood by the general public. We often think of the vet who is completely immobilized by his trauma, having flashbacks where he might believe that he is back in a frightening and life-threatening situation in the war, unable to be present to what is happening around him. This is an extreme form of PTSD.

 The truth is that PTSD can be a much more subtle and more prevalent disorder. In fact, the National Institute of Mental Health lists PTSD  among the most common disorders. Many men and women (3.6% and 9.7% o the population, respectively) will suffer from PTSD in their lifetimes. The symptoms are often missed by both mental health and medical practitioners, and many sufferers do not seek help at all, blaming themselves, or tangled in their own shame about the problems that they are having. Clearly these statistics reflect a much larger number of sufferers than just war veterans, especially among women.

 To summarize, it is common to suffer from PTSD, and even more common not to know that you do.  There are many treatments available today that work to address this disorder. The most gentle and effective that I know of is Somatic Experiencing.

 

 

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