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David Mrazek, M.D.
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David Mrazek, M.D.
David Mrazek, M.D.
Dr. David A. Mrazek is chair of the Department of Psychiatry and Psychology at Mayo Clinic, Rochester, Minn., and a professor of psychiatry at College of Medicine, Mayo Clinic. Dr. Mrazek has developed a federally funded psychiatric pharmacogenomics research program and implemented clinical psychiatric pharmacogenomics services at Mayo Clinic.
He has received numerous awards including the Award for Creativity in Psychiatric Education from the American College of Psychiatrists and the Agnes Purcell McGavin Award for Distinguished Career Achievement in Child and Adolescent Psychiatry from the American Psychiatric Association. He currently serves as chairman of the board of the American Board of Psychiatry and Neurology.
Dr. Mrazek has focused his current efforts on using pharmacogenomics testing to improve clinical care. One of his specific goals is to decrease the risks of taking psychiatric medications.
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Depression blog
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Oct. 23, 2008
Depression in men less frequent than women
By David Mrazek, M.D.
Depression occurs in the young and the old and in men and women. We do know that the rate of depression in men is less than for women.
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The symptoms that men experience can be different from those that women experience. Symptoms including anger, irritability, and feeling discouraged are more common in men than symptoms of hopelessness or helplessness.
Typical symptoms we associate with depression such as depressed mood may not be present in depression in men. This can make it more difficult to recognize depression in men. Many famous men, including President Abraham Lincoln and Winston Churchill, had depression and still lived successful lives.
Unfortunately, men are not as likely as women to admit to having depression. Even if they do admit to having depression, they may be less likely to seek treatment. Men may stuff their feelings instead of verbalizing them. They may work more, gamble, or use alcohol or drugs to avoid their feelings. Their sleep and or appetite may change. They may suddenly begin talking about divorce or separation.
Women attempt suicide more often than men, but the rate of completed suicide in men is 4 times that of women. Suicide rates peak in mid life and again later in life. Men age 85 and older have the highest suicide rate.
Men want and need to be strong for their families; they don't want to appear weak or vulnerable. If they are the primary bread winner, they can feel pressure to provide for their dependents. Of course, these general statements can be applied to women as well.
Depression in men is treatable. If you suspect a friend or loved one may be depressed, urge them to seek a professional evaluation. There are many options, including medication, therapy or a combination of the two.
Please share your experiences regarding depression in men.
29 comments posted
January 12, 2012 8:10 p.m.
I agree with Ramsay. Society's demands of how men are supposed to be contribute a lot to their being ashamed to admit they have depression. And it's not just the rugged, stoic superhero stereotype that colors this view; society's overwhelming adoration of athletes of all stripes also plays a role in it. Watch the next televised football/hockey/basketball/baseball game to see what I mean.
- Pat
July 31, 2011 12:22 a.m.
"men are not as likely as women to admit to having depression" you hit it right on the head. Society says men who disclose that they have depression or symptoms of depression are considered weak, which keeps them in the dark suffering needlessly.
- Ken
June 5, 2011 3:54 a.m.
Just as no two people are affected the exact same way by depression, there is no “one size fits all” treatment that cures depression. What works for one person might not work for another. The best way to treat depression is to become as informed as possible about the treatment options, and then tailor them to meet your needs.
- Jenny Ledd
April 20, 2011 6:53 a.m.
As you told that the women are suffering from the depression more than men,but here you gave more importance to men ,Y NOT WOMEN....?
- Ramya shalini
August 10, 2010 11:51 a.m.
I believe that the reality of men admitting to depression being "less" then women is far, far greater then commonly stated (numbers dangerously high). The problem is educating society and men specifically, that depression isn't any more un-manly then washing the dishes! You havn't failed, you've just changed. I speak from experience. Think about it, sharing what we believe and feel is really what it's about: Men and Women.
- William
June 22, 2010 2:32 p.m.
I am a 30 yr old male. I've been diagnosed as having Bi-Polar Depression, which I never though would have been an accurate diagnosis. I have an easy-going, non-stressful job; 3 sons and a loving immediate family. To start I was missing days from work, couldn't get out of bed. First, it would be a day, then two, a week, and finally 2 weeks. I realized in the past this same pattern has cost me a lot of great jobs. I had to learn how to live at a minimal, because I didn't know if this would happen again. I was tired of starting over. I was spending less time with my kids, playing video games to lose myself. I was avoiding my family and friends. I was even in a great relationship, things were going good. Then, the depression kicked in. I ended up telling her that I loved her and didn't want to hurt her because, I didn't know if things would get better, and when will this happen again. So, I was able to take a leave of absence to take care of myself; without pay which was how much I needed to fix this. I finally attended an out-patient program for drug, alcohol, and mental disorder patience. Also, a psychologist and a psychiatrist. I wasn't thrilled at the fact. When, I attended the program; I learned a whole lot of things about my diagnosis and I. I've been dealing with this since high school (missed out). The program helped a lot, plus, working with my psychologist so that I was getting on the right track. THIS IS A TRUE TESTAMENT! DON'T WAIT IT COULD COST YOU YOUR LIVELY-HOOD!
- Ty
February 23, 2010 6:37 p.m.
I am a widower, 64, with a 14 year old adopted daughter. When my wife of 35 years died, I quit work to manage my affairs and take care of my daughter. This is a very tough job, and I find myself burned out by the experience. My mother suffered from what I would call depression during my early teen years. She would withdraw to her room and read. There might have been a day or two at a time when she would not leave her room. I sometimes feel I have that disease. I try to escape into a book, find myself tired soon after waking, need a nap several times a day. I see a psychologist and a psychiatrist. I am taking Zoloft and Vivance by prescription. I seem to just go through the motions of living. Sometimes it is all I can do to be responsive to the needs of my daughter. I have gained size and weight over the past four years. I feel this has a direct effect on my attitude and life. I have joined a gym and started walking. If I see measurable improvement, I'll write it here. Thank you for reading.
- Geoff
October 24, 2009 9:27 p.m.
I am a woman and having significant problems with a man I believe, has some depression issues...and it is so hard convincing him to get help. I believe our friends sometimes blame the lady at home for any problems, also. He is unwilling to so far to get help...he does great at work on the surface, but has a non-existent life at home, and long-term doesn't move up w/career. It is getting worse, and it involves a lot of anger and low self esteem. He also overeats and video games under stress. Yet he has a job with a low stress level. I am going to try to help him, don't know how without him wanting it.
- JA
August 10, 2009 3:20 p.m.
I am an expectant Mom for the 2nd time and I think my husband is going thru depression. He refuses to get help because he says he is not depressed. We have been together for 17yrs and he thinks I don't know him by now. He has lost interest in everything including sex. He says his mind is so full of thoughts that he can't enjoy it. I have been trying for the past 2 months to get him to get help, but it has been useless. They say it is rare for men to get depressed during a woman's pregnancy but this all started a couple of weeks before I found out I was pregnant. This is tearing our family apart also, especially since we were so looking forward to conceiving again after 14yrs. Is there any type of natural medication that I give him for now, while it sinks in that he needs help.
- Stressed and worried
June 4, 2009 8:47 p.m.
I met a wonderful man with whom we were extremely compatible and things were going great and we were falling in love. Then he started having alot of stressful things occur in his life & started to show signs of depression. Then he told me that he loved me and then he broke up with me all in the same breath. He said he broke up with me because he didn't want to take me down an unknown path. He did indicate that he started seeing a therapist. He has severed all contact with me, he doesn't call or email or anything. I do love him and want to help him any way I can but should I honor his wishes and remove myself from the situation or should I try and reach out to him. If I reach out to him, I don't want it to backfire on me. I am heartbroken; does anyone have any suggestions? I have never had to face a situation with a a loved one having depression and need guidance.
- DT
May 21, 2009 6:28 p.m.
Many more men have depression than is commonly thought - some of them overcompartmentalize their life and while they may be doing great at work, are actually totally absent at home. That can be difficult to see unless you live with them. They also show an absence of a normal range of emotions; they also can show anger instead of the usual "sad" emotions we think of when we think of depression.
- JA
April 24, 2009 2:04 p.m.
I think my husband is suffering from depression. I tried to talk to him last night, after two days of silence that came after he sent me a "I'm not happy at home anymore" text message. I've also noticed that he has thrown himself into a new diet and excercise. He spends a lot of time away from home, and when he is home, he doesn't participate in our family. He refuses to take part in any type of counseling. How do I get him to see a doctor about depression? This is not normal behavior for him; the anger is tearing our family apart. What am I supposed to do?
- A Wife on Pins and Needles
April 3, 2009 1:55 p.m.
My husband of 20 years (in 12 days), has been diagnosed with depression recently. He is a retired deputy sheriff, injured in the line of duty 5 years ago. He feels like he had failed me and the kids because he doesn't feel like the man he was. He desperately misses being an officer. I feel he has lost his identity. He has had his ups and downs over the past 5 years, but within the last 8 months things started getting worse, and I thought he was just stressed with his new job. I left him alone when he was moody, because when he gets moody thats what he wants. After about 2 months of it, I finally asked him what was going on, because he is not one to talk. He started verbally attacking me and telling me I pushed him away. I have tried repeatedly to tell him how much I love him and I'm sorry I gave him the space I thought he wanted and needed. We are now seperated because he wanted time to be alone so he could "get his head on straight", this was before he was diagnosed. Since being diagnosed, I have tried to get him to come back home to me and our two kids that desperately miss their father. He tells me he likes being alone. He has gone to the doctor and is taking medication that helps him a little, but he will not seek therapy. He feels less of a man, he told me. I don't know what else to do, I give him constant support that he sometimes likes and sometimes gets mad at. Any advice would be great. I need help!!!
- Extremely scared wife
March 24, 2009 11:12 a.m.
My boyfriend (34) suffers from depression and will not admit it. Over the past 3 years it has gotten worse and I can almost peg the times where it will peek to the week. I don't know what to do for him I have suggested seeing a doctor, therapist, etc but he feels that his counselling doesn't help and refuses to see the doctor. He only sleeps for an hour at a time at night and wakes up with heart pounding anxiety and each time he enters these deep depressions it is harder and harder on me and our relationsihp. I don't know what to do anymore and I don't know how to support him. I feel that I am enabling his behaviour by staying with him as he treats me very poorly when he is like this, but I love him and don't want to turn my back on him. I just want to get him help so he doesn't feel like this anymore. Is there anything that I can do that would help him get the help he needs? HELP!!!!
- Supportive girlfriend
December 29, 2008 9:09 p.m.
Exactly what are the rates for major depression between and women? My impression is that most experts agree that women are twice as likely to develop clinical depression during their lifetime. But is that really so? What if of depression in men is underdiagnosed because: 1) men usually have very different symptoms (as this post indicates) and 2) men are less likely to see someone for their mental health issues. My guess is that if you can somehow control for these variables you'd find very similar rates of depression. Has anyone actually attempted such studies? I think a similar phenomenon may contribute to much lower levels of depression in Japan. It's probably not because Japanese are 'happier', but rather because of cultural issues surrounding depression.
- IAK
December 16, 2008 5:55 p.m.
My husband has been acting differently in the last year or so, he is always irritated angry and mad. he complains with so many physical symptoms. all his medical exams and test coming back normal. I do not know what to do I checked the following site http://www.anxietyzone.com and I can relate to some of the discussion there. I think he suffers from anxiety disorders. My question is how i an convince him to see a psychologist.
- concerned wife
December 6, 2008 7:23 p.m.
I am a 26 year old male and I fit all the symptoms described for male depression. I am irritably, I change moods alot and snap sometimes. I can get easly sad for some reason. My question is how Can I resolve this issue, what can I do to be better and happier
- Concerned & Confused
November 1, 2008 12:31 p.m.
I suppose one could attribute the seemingly lower occurrence of depression in men to the fact that we live in a society that expects men to be able to handle their minimal feelings, a society that glorifies the psychopathic tendencies of action heroes and has no place for sensitivity. Maybe this same societal construct could be seen as a reason for why men tend to complete suicide with much more frequency than women.
- Ramsay
October 30, 2008 11:28 a.m.
Thank you for the article about mens'depression.The symptoms of anger, irritability and being discouraged are certainly what I experienced. In a stressful and demanding job I found myself avoiding tough challenges. I had no confidence in my abilities which actually were very good. My thinking was many times irrational and unrealistic. I was plaqued by several painful physical illnesses for which there seemed to be no treatment. Although I don't recall thinking of suicide, my dreams were often about me being carried out of my house in a body bag. All my relationships suffered particularly family and friends. Being in the military worsened the situation as asking for treatment for depression and the associated symptoms, was frowned upon and could have negatively affected my career.To survive I knew I had to make deep changes to my life. I therefore resigned from the military, connected with an MD who prescribed some excellent medication, went into therapy with a physcologist who brought me back from the edge of disaster, and met and married a wonderful woman who gave me a daily foundation of sanity and stability. I am also in a self-help group that has provided me with many close and loving friends.All the foregoing took a number of years, but through it all I had hope that I deserved a better and happy life. My hopes have been realized, and I am grateful.
- Doug
October 29, 2008 7:35 p.m.
My husband is suffering from severe depression but is having symptoms that include loss of sensation and loss of taste. Is this something that can happen with depression and what can be done to fix this?
- Anne
October 29, 2008 6:44 p.m.
why is it said the woman cuts off sex - maybe men needs to take a look at what they are contributing to the situation.
- ann mn
October 29, 2008 6:24 p.m.
Despression comes when your wife cuts off sex. When your hearing fails. When you have absolutely nothing more to live for. THAT is when depression comes
- Tommy
October 28, 2008 9:23 p.m.
Depression is definitely a major cause for unhappiness. There are things that can be done for a bout of depression where there is a reason for it. In these situations we slowly reconcile to the bitter reality and overcome the bad mood. The problem is when you feel blue without any tangible cause or for even the smallest of reasons. Of course professional help is the most logical solution but as what Lee had written the so called professionals are bothered about getting more and more appointments and not genuinely interested in alleviating the suffering. May be they become numb to sufferings. So, one recourse may be spiritual pursuit. Whatever rationalists say (I myself is a rationalist) there are many cases when a person get involved in spirituality he becomes happier and are able to find more meaning in life. Here too one should guard against addiction to spirituality too. The idea is not to get addicted also. Even to the God.
- Devidas
October 27, 2008 1:05 p.m.
Depression is a symptom of a disease not a disease on it's own. All of the symptoms many wrongly say are caused by depression are just additional symptoms of the same disease process causing the depression. If you can find and treat this disease the depression will get better along with the other symptoms. The problem is most doctors are incompetent when it comes to diagnosing what is really wrong with their patients. They are too busy trying to make as much money as they can as quickly as they can to spend enough time with a patient to really find out what is wrong. Lee
- Lee
October 27, 2008 1:00 p.m.
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29 comments posted