Top 10 Men’s Issues


By David Joel Miller

What are Men’s issues and how are they different from the other issues that bring clients to counseling?

Men have issues. We are not talking about back copies of the swimsuit issues either. Men traditionally have avoided coming to counseling for those issues even when they really could have used some help. Men try to tough it out and cope without asking for help. That reluctance to come to see a counselor is changing. The result of this trend has been an increase in counselors who specialize in “Men’s issues.”

Men will spend thousands on a career counselor or a life coach to help them with job’s or business success but when it comes to relationships, children and their own happiness and well-being, they have been slow to accept the need for assistance.

When I started in this profession, I was surprised to see relatively few men in the classes with me. There were few men counselors and few men in treatment. The few men who did come to see a counselor were referred to treatment by a judge, parole or probation.

When I worked as a substance abuse counselor there were lots of men. They predominate in treatment and in the profession when it comes to substance abuse, domestic violence, drunk driving and similar issues. When it comes to social work or the therapy room the men disappear on both sides of the desk. Among clients, this is beginning to change as men realize the need for more resources in managing life’s problems.

Men report to me that they have felt like their role in the family was that of a prepaid debit card. They go out and make money which is placed at the disposal of their family. If they fail to earn enough they are likely to be discarded like a maxed out credit card. Beyond the simple maintenance of their most basic needs, food, sex and a few expensive toys, men were conditioned to think that they should not have feelings or weaknesses.

For a man to ask for help implies accepting failure. Men kept going even when injured emotionally until they could not keep going. The homeless veterans of past wars, tortured by the symptoms of PTSD, are testimony to the way in which men that showed a weakness can be discarded. To ask for help with an emotion was tantamount to accepting failure.

This situation is changing and for good reason. Men are learning that to acknowledge feelings is not a sign of failure. To seek consultation for struggles with life’s problems is not weakness but wisdom.

More men than ever before are assuming the role of primary custodians of their children. They are moving into the areas of childrearing that once were the exclusive territory of women. Methamphetamine and other drug addiction has accelerated this trend as more women leave their children to run the streets. Some men step up and become Mr. Mom and Dad.

Men come to counseling for information on being a good parent. They want to know how to raise happy children and they want to know how to experience this happiness after the loss of their allusion that all they needed to do to make things come out right was to earn more money.

The major “men’s issues” continue to be the traditional issues of men forced to treatment by someone else with some new issues brought on by the changes in the American family and society.

The top “men’s issues” in my practice are:

1. Career

2. Achieving success

3. Fatherhood

4. Single parenthood

5. Maintain relationships with children after divorce or separation

6.  Getting close and trusting others

7. Substance abuse

8. Anger management

9. Male sexual issues

10. Trauma

These Top Ten Men’s Issues have a lot in common with issues that bring women to therapy. The largest differences I see in the experiences are that women are a lot more attuned to the idea of working with and paying attention to their feelings. Women are schooled in expressing their feelings as a way to get relief from unpleasant experiences. Men tend to ignore feelings until overwhelm by them.

Men come to counseling looking to find solutions to their problems. What they may discover is that feelings are a valuable source of information that they will need use to find the solution that is right for them and their relationships.

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For more about David Joel Miller and my work in the areas of mental health, substance abuse and Co-occurring disorders see the about the author page. For information about my other writing work beyond this blog check out my Google+ page or the Facebook author’s page, up under David Joel Miller. Posts to the “books, trainings and classes” category will tell you about those activities. If you are in the Fresno California area, information about my private practice is at counselorfresno.com. A list of books I have read and can recommend is over at Recommended Books

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5 thoughts on “Top 10 Men’s Issues

  1. Pingback: Men’s issues | David Miller, Licensed Marriage and Family Therapist

  2. Pingback: Unemployment – the top “men’s issue” these days | David Miller, Licensed Marriage and Family Therapist

  3. Pingback: Career setbacks and unemployment are top men’s issues | counselorssoapbox

  4. Pingback: Ca. Professional Counselors – CALPCC and LPCC’s | counselorssoapbox

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