Men In and Out of Treatment for Depression: Strategies for Improved Engagement
Abstract
ObjectiveWhile the prevalence of major depressive disorder continues to rise, many men are reticent to seek and sustain psychotherapy. The current study explored Australian men's experiences with treatment for depression with a view to guiding recommendations for improving treatment engagement.MethodTwenty men (23–64-years) who had received psychotherapy for depressive symptoms in the past 3-years took part in individual, semi‐structured interviews. Interviews were transcribed verbatim and coded in line with interpretive descriptive methodologies.ResultsFindings suggested men's preference for a transparent orientation to treatment, including the provision of a clear structure for therapy. Men's preferred structure included focusing on individualised goals and expected progress, establishment of trust, and a sharing of decisional control. Providing an action‐oriented functional treatment with targeted skills attainment was recommended as most engaging. The focus on “doing” in treatment, as distinct from pure talk therapy, engendered feelings of strength and empowerment in the men, bridging self‐management of symptoms and wellness. Most participants, however, did not receive a treatment style that properly engaged them, and articulated clear recommendations for changes needed.ConclusionsFindings highlight the potential for development and dissemination of gender sensitive, strength‐based clinical training and treatment options for better engaging men in psychotherapy for depression.
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Individuals who identify as male have expressed hesitation around psychotherapy and help-seeking for psychological distress in past literature, including those with IBD.
“Individuals who identify as male have expressed hesitation around psychotherapy and help-seeking for psychological distress in past literature, including those with IBD (Dober et al., 2021; Seidler et al., 2018).”
From Moving Towards Acceptance and Values: A Qualitative Study of ACTforIBD Compared to IBD Psychoeducation (2024) · cites this paper as Seidler et al., 2018
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Self-citationBayes, J., Schloss, J. M., & Sibbritt, D. W. (2022) · Clinical Nutrition ESPEN · doi:10.1016/j.clnesp.2022.12.016 · Cited by 8 · see citing works
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Sharp, P., Kealy, D., Rice, S., Seidler, Z. E., Oliffe, J. L., & Ogrodniczuk, J. S. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.12.133 · Cited by 7 · see citing works
Self-citationWalther, A., Schneeberger, M., & Eggenberger, L. (2024) · Psychotherapy Research · doi:10.1080/10503307.2024.2398085 · Cited by 8 · see citing works
Hanlon, C. A., Chopra, J., Boland, J., McIlroy, D., Poole, H. M., & Saini, P. (2022) · Journal of Public Mental Health · doi:10.1108/jpmh-09-2021-0123 · Cited by 6 · see citing works
Exploring the Influence of Masculine Norms on Suicidal Ideation and Help-Seeking Behavior
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Aguayo, F. (2022) · Psicologia & Sociedade · doi:10.1590/1807-0310/2022v34251463 · Cited by 4 · see citing works
Wilkin, K., Evans, S., Van Niekerk, L., Romano, D., Fuller-Tyszkiewicz, M., Knowles, S., Chesterman, S., Raven, L., & Mikocka-Walus, A. (2024) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-023-09999-5 · Cited by 5 · see citing works
“Individuals who identify as male have expressed hesitation around psychotherapy and help-seeking for psychological distress in past literature, including those with IBD (Dober et al., 2021; Seidler et al., 2018).”
BackgroundA Social Identity Intervention to Improve Mental Health in Construction Workers
Young, T., Hunter, J. A., Bentley, S. V., Millear, P. M. R., Haslam, S. A., & Haslam, C. (2025) · Journal of Construction Engineering and Management · doi:10.1061/jcemd4.coeng-15283 · Cited by 4 · see citing works
Sharp, P., Coroiu, A., Rice, S., Seidler, Z. E., Kealy, D., Ogrodniczuk, J. S., & Oliffe, J. L. (2023) · American Journal of Men s Health · doi:10.1177/15579883231161023 · Cited by 4 · see citing works
Self-citationSeidler, Z. E., Benakovic, R., Wilson, M. J., Fletcher, J. R., Oliffe, J. L., Owen, J. J., & Rice, S. (2023) · JMIR Medical Education · doi:10.2196/48804 · Cited by 4 · see citing works
Self-citationLisk, S. C., Sagar-Ouriaghli, I., Carter, B., Sclare, I., Holly, J., & Brown, J. S. L. (2023) · American Journal of Men s Health · doi:10.1177/15579883231177975 · Cited by 6 · see citing works
Men’s Health Promotion in Waiting Rooms: An Observational Study
Whitehead, M., Chok, H. N., Whitehead, C., & Luck, L. (2021) · International Journal of Men s Social and Community Health · doi:10.22374/ijmsch.v4i1.48 · Cited by 4 · see citing works
Gender effects on outcomes of psychosomatic rehabilitation are reduced
Burghardt, J., & Sprung, M. S. (2021) · PLoS ONE · doi:10.1371/journal.pone.0256916 · Cited by 5 · see citing works
Lyons, D., Clarke, P., & Dempsey, R. C. (2022) · Journal of Clinical Sport Psychology · doi:10.1123/jcsp.2022-0014 · Cited by 3 · see citing works
Nonprecsion (Standard) Psychosocial Interventions for the Treatment of Mental Disorders
Kazdin, A. E. (2022) · International Journal of Mental Health Promotion · doi:10.32604/ijmhp.2022.022522 · Cited by 3 · see citing works
Men’s Psychotherapy Dropout is Associated with Conformity to Traditional Masculinity IdeologiesPreprint
Schneeberger, M., Ehlert, U., Eggenberger, L., Seidler, Z. E., Wilson, M., Fisher, K., & Walther, A. (2023) · doi:10.31234/osf.io/afbd6 · Cited by 3 · see citing works
Self-citationUsing public spaces for male community mental health support
Shepherd, G., Murphy, H., Woodhams, J., & Watling, S. (2025) · Journal of Prevention & Intervention in the Community · doi:10.1080/10852352.2025.2558388 · Cited by 2 · see citing works
Spahn, C., Brüdern, J., Kranz, S., Panitz, J., Stengler, K., Rummel‐Kluge, C., Strauß, M., & Glaesmer, H. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-07420-z · Cited by 2 · see citing works
Zuo, H.-J., Liu, T., Zhang, D.-Y., Xu, Y.-C., Lou, H., Han, S.-S., Yu, S.-H., & Li, B. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1706872 · Cited by 2 · see citing works
Vickery, A. (2025) · Journal of Long-Term Care · doi:10.31389/jltc.421 · Cited by 2 · see citing works
Sharp, P., Ogrodniczuk, J. S., Sha, M., Kelly, M. T., Montaner, G. G., Kealy, D., Seidler, Z. E., Rice, S., & Oliffe, J. L. (2023) · Patient Education and Counseling · doi:10.1016/j.pec.2023.107873 · Cited by 2 · see citing works
Self-citationPerceived Anxiety Disorder Stigma: A Predictive Analysis
Nabors, S., Cicchetti, R. J., Szirony, G. M., Blum, C. R., & Banerjee, S. K. (2024) · Journal of Social Behavioral and Health Sciences · doi:10.5590/jsbhs.2024.18.1.20 · Cited by 1 · see citing works
Religion, Masculinity, and the Mental Health of African Men
Ojedokun, O., & Adebayo, D. (2025) · Springer eBooks · doi:10.1007/978-3-031-62891-7_41-1 · Cited by 1 · see citing works
Depresión masculina: barreras para la búsqueda de ayuda en hombres adultos en Chile
Aguayo, F., & Rivera-Aguilera, G. (2025) · Quaderns de Psicología · doi:10.5565/rev/qpsicologia.2138 · Cited by 1 · see citing works
Nassif, T. H., Adler, A. B., Atkinson, R. D., Bentley, K. H., Robin, B., D’Olympia, J., Edwards, E. R., Fortgang, R. G., Gaudiano, B. A., Geraci, J. C., et al. (2026) · Current Psychiatry Reports · doi:10.1007/s11920-026-01664-6 · Cited by 1 · see citing works
Mansour, K. A., Greenwood, C. J., Francis, L. M., Wilson, M. J., Biden, E. J., Misuraca, G. O., Olsson, C. A., & Macdonald, J. A. (2026) · Current Psychology · doi:10.1007/s12144-025-08531-2 · Cited by 1 · see citing works
Helping men build better intimate partner relationships: Canadian provider perspectives
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Self-citationPerfil demográfico y sintomatológico de pacientes de un centro psicoterapéutico mexicano
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ale undergraduate students’ perceptions of male student mental health
Wolstenholme, C. (2022) · Sheffield Hallam University · doi:10.7190/shu-thesis-00506 · Cited by 2 · see citing works
Logoz, F., Eggenberger, L., Schneeberger, M., & Walther, A. (2024) · doi:10.31234/osf.io/h3gcy · Cited by 1 · see citing works
Gay and bisexual men's mental health-related help-seeking : affect and norms online
Stander, W. J. (2020)
Delivering Men’s Health Webinar
Health, G. A. O. M. (2022) · International Journal of Men s Social and Community Health · doi:10.22374/ijmsch.v5i1.78
NARRATIVES ON DEPRESSION, MASCULINITY AND WORK. A STUDY WITH LIFE STORIES OF CHILEAN MEN
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Self-citationExperiences and Needs of Healthcare Providers Supporting Males with Suicidal Thoughts
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Meeting Men Where They Listen: Preferences for Podcast‐Delivered Mental Health Support
Dascombe, E. M., Morgan, P. J., Drew, R. J., & Young, D. M. (2026) · Mental Illness · doi:10.1155/mij/5510212
The Silent Crisis of Brittle Financial Health in Men
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Taha, M., & de Gracia, M. R. L. (2026) · Gender Issues · doi:10.1007/s12147-026-09411-0
- Authors
- Seidler, Z. E., Rice, S. M., Oliffe, J. L., Fogarty, A. S., & Dhillon, H. M.
- Affiliations
- The University of Sydney (AU)
- The University of Melbourne (AU)
- University of British Columbia (CA)
- UNSW Sydney (AU)
- Venue
- Australian Psychologist
- Publisher
- Informa UK Limited
- Published
- 2018-10-01
- Volume
- 53
- Issue
- 5
- Pages
- 405-415
- ISSN
- 0005-0067 (ISSN-L)
- 1742-9544
- OpenAlex
- W2765589571
- Cited by
- 96
- References
- 54
- Citations by year
- 2026: 7 · 2025: 9 · 2024: 7 · 2023: 12 · 2022: 25 · 2021: 16 · 2020: 11 · 2019: 4 · 2018: 3 · 2017: 2
- FWCI
- 6.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Australian Psychologist (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Gender Studies › Gender Roles and Identity Studies
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- male depression, treatment engagement, psychotherapy, gender differences in help-seeking, treatment preferences, treatment structure, trust in therapy, shared decision-making, skills training, empowerment, strengths-based approach, self-management
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