Why Men Put Off Getting Help
Most men who start therapy have been managing something on their own for a long time. That is not a personal failing, and it is not rare.
The National Institute of Mental Health reports that men are less likely than women to have received mental health treatment in the past year, and that men are more likely to die by suicide. A 2025 systematic review in the American Journal of Men’s Health, which reviewed 47 studies published between 2000 and 2024, concluded that traditional masculinity norms significantly deter men from seeking mental health support. Across the studies it reviewed, one of the barriers that came up repeatedly was the fear of being seen as weak or unmanly for asking.
None of that means something is wrong with how you have handled things. It means the delay is common, and that waiting is usually the expensive part. NIMH notes that the earlier treatment begins, the more effective it can be.
How Depression and Anxiety Often Show Up in Men
Men and women can develop the same conditions, including anxiety and depression, but the symptoms that bring someone through the door are not always the ones people expect.
Anger, Irritability and a Shorter Fuse
NIMH lists anger, irritability and aggressiveness among the common symptoms of mental health conditions in men. If the people closest to you have started managing your moods, that is worth taking seriously rather than apologizing for. We treat this directly through anger management therapy.
Physical Symptoms With No Clear Cause
Aches, headaches or digestive problems without a clear cause appear on the same NIMH list, alongside changes in sleep, energy and appetite. Men often reach a doctor over the physical symptom long before they mention the mood behind it.
Overwork, Withdrawal and Numbing
Taking more risks and misusing alcohol or drugs both appear on the NIMH list, as does feeling flat, or having trouble feeling positive emotions at all. Working longer hours and pulling back from people are not clinical criteria, but they are among the most common things partners describe first. Feeling flat is one of the least discussed signs of depression. Our blog covers this pattern in more detail in signs of high functioning depression.
What Men Bring to Therapy
Men’s issues” is not a single condition. It is shorthand for the things men most often arrive with, and each of them has a path through our practice.
Work and Provider Pressure
The pressure to earn, provide and keep performing is the most common opening subject in men’s counseling. When it has turned into exhaustion, cynicism or dread on a Sunday night, that is the territory of stress and burnout therapy.
Anger and Irritability
Anger is usually information rather than the problem itself. Work often starts with what sits underneath it, which is commonly exhaustion, humiliation, fear or something older that was never dealt with.
Relationships and Fatherhood
Distance from a partner, arguments that repeat, or the feeling of being a visitor in your own home. This can be individual work, or it can involve couples therapy or family therapy when that fits better.
Substance Use and Other Ways of Coping
Drinking, cannabis, gambling or screens that started as a way to switch off and became the only way to switch off. Substance use disorder treatment is a service we provide directly rather than refer out.
Major Life Changes
Divorce, redundancy, a new baby, a move, retirement, or caring for an aging parent. These are addressed through life transitions therapy.
Grief and Loss
Men often carry grief quietly and for a long time, particularly after the death of a father, a friend or a partner. Grief counseling makes room for that without requiring you to perform it.
How Therapy for Men Works at Mental Care Plus
Sessions are typically one to one, and the agenda is set by what you actually want to change.
Cognitive Behavioral Therapy
CBT is structured, present focused and skills based, which suits people who want something to do between sessions rather than only something to talk about. It is one of the approaches our clinicians use most often.
Supportive and Solution Focused Work
Not everything needs a protocol. Some men need a confidential place to think out loud, once a week, with someone who is not a colleague, a partner or a friend. That is a legitimate use of individual therapy, not a lesser one.
Medication Management When It Is Needed
Therapy and medication are not competing options, and many men use only one of them. Our clinicians hold LCSW, LPC and LSW licenses. Our prescribing providers are a board-certified medical director and a board-certified nurse practitioner with prescribing authority. You can read about the team on our clinicians page.
What to Expect at Your First Appointment
The first session is a conversation, not a test. You will usually be asked what brought you in now, what has already been tried, how you are sleeping, how much you are drinking, and what you want to be different in three months. Nothing is required of you beyond answering honestly, and you can say that you do not know. The aim by the end is a plain description of what is going on and a proposed plan, including how often to meet and whether anyone else needs to be involved. If we are not the right fit for what you need, we will tell you.
Counseling for Men Who Have Never Tried Therapy
If you have never done this before, the useful thing to know is that you do not have to be articulate about feelings to benefit. Plenty of men start by describing the week factually, and the rest follows. You are also allowed to come in with a narrow, practical goal, such as stopping the arguments at home or sleeping through the night, rather than a general wish to feel better.
If you would rather read before you book, our blog post on men’s mental health and how to start the conversation covers the stigma side in more depth.
Online Therapy for Men Across New Jersey
If your schedule is the obstacle, telehealth usually solves it. We provide online therapy across New Jersey, which means sessions from a parked car between jobs, a home office, or anywhere private in the state. Remote sessions are not a lesser version. A 2018 meta-analysis of 295 studies covering more than 30,000 patients found that the alliance between client and therapist related to outcome at essentially the same strength for internet-based therapy as for face-to-face work.
Find a Therapist for Men in Bergen County and Across New Jersey
Our office is at 560 Sylvan Avenue, Suite 2115, Englewood Cliffs, NJ 07632, and we see men from across Bergen County in person as well as statewide by telehealth. If you are looking for a therapist for men near you, we serve these communities:
Insurance We Accept
Cost should not be the reason you put this off any longer. We accept the following plans:
- Aetna
- Carelon
- Cigna
- Fidelis
- Horizon NJ Health
- Horizon BCBS NJ
- Magellan
- Medicaid
- Medicare
- Optum (UnitedHealthcare)
- Oscar
- WellCare

