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Anxiety Looks Different in Men

395 pointsby andygcookalmost 6 years ago

22 comments

spaceprisonalmost 6 years ago
This is a great article. For years I didn&#x27;t know how to handle anxiety so I handled it &quot;like a man&quot; which lead to a pretty decent drinking habit.<p>Now that I&#x27;ve stopped drinking and being open about what&#x27;s going on with me, my anxiety looks like traditional anxiety which was easy for my gp to help diagnose.<p>Taking the leap to be open and get help was the best thing to happen to me in years.
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dkarlalmost 6 years ago
Anxiety is one of the emotions that I have to consciously think about how to express. I have to imagine what people look like in the movies when they&#x27;re scared, and then I try to reproduce it. I can show many other emotions naturally, without thinking about it: happiness, anger, disgust. But fear I have to consciously simulate. (I suppose if I was in a bus going off the edge of a cliff or someone stuck a gun in my face, my repressive instincts would be overcome and I&#x27;d look terrified, but in normal situations it doesn&#x27;t come out.) I think I&#x27;ve internalized the ability to hide it, to camouflage it as annoyance or boredom, so thoroughly that I have to layer a bad acting job over my lockdown of the natural expression.<p>I didn&#x27;t know this until I got in group therapy and realized that many of the other people in my group (the women, in fact) didn&#x27;t register the fact that I was feeling a lot of anxiety, even though I talked about all the time. When I talked about it, they didn&#x27;t see any reflection of it in my face or body language, so what I said didn&#x27;t register. I could say that I was feeling anxious, I could tell them about situations where I was paralyzed with anxiety, and still the absence of the expression they expected outweighed what I was telling them. They even accused me of withholding and not being open about my feelings until I learned how to act it out for them. I had to fake it to be accepted as authentic; my words were not enough.<p>This knowledge has proved to be very important to me. I realized that in many situations where I have mentioned my fear of something without expressing it physically, people have assumed I was lying. For example, when I talk about my fear of the financial consequences of a purchase, if I don&#x27;t <i>show</i> fear, my wife may assume my fear is not real, and I&#x27;m making up an excuse because I want to spend the money on something else. Also, in situations where everybody else is feeling and expressing fear, if I don&#x27;t consciously produce an expression of fear, I will come off as apathetic and detached.<p>It&#x27;s very, very frustrating. From a young age we learn we are punished for showing fear, conditioned to hide it, and then later we realize there are situations where we are punished for our inability to show it.
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furyofantaresalmost 6 years ago
I’ve thought about this a bit. I don’t have anger issues but I have anxiety issues and I spent decades not understanding that I experienced anxiety. In my experience, the culture tells men to exhibit strength and show no weakness. What counts as strength&#x2F;weakness has changed over time and varies depending on your social groups — it’s not just the stuff associated with typically masculine values, but it also shows up in coding skills, or parenting skills, or how much work one takes on in those or other domains without complaint. In Behave by Robert Sapolsky, it’s repeatedly observed that testosterone doesn’t necessarily amplify aggression, but it does drive status-seeking&#x2F;maintaining behavior, where status is some set of collective values where one member can have more or less of it than another and be seen as above or below the other. To me, this maps very well to generalized sense of strength or weakness.<p>So, in my opinion, men are both wired and trained by the culture to avoid admitting anxiety, to themselves and others, because it is a weakness.
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gavia1almost 6 years ago
This surprises me as a male who suffers from anxiety and exhibits none of these symptoms.<p>To be more specific my anxiety manifests as a feeling of unease, sometimes fear; and at times blends in with OCD where I become unsure of my short term memory and whether or not something did or did not happen.
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yodsanklaialmost 6 years ago
I&#x27;m an anxious person, but my anxiety just looks like regular anxiety. It led me to take sub-optimal decisions and overall made my life more difficult that what it could have been. I didn&#x27;t know anxiety was a thing, and that it was &quot;curable&quot; until I was 25. At that time, my gf who just became MD noticed my issue and prescribed me benzodiazepines. They really helped. I know they have bad press as they can be abused, but in my case, I take them occasionally and I haven&#x27;t noticed any side effect or addiction.<p>I don&#x27;t think anxiety can be cured but the symptoms can certainly be alleviated. It really helped me to understand that it was a condition, like headache, and that it was temporary and could be controlled to some extent.<p>It&#x27;s also interesting that while I&#x27;m still anxious, I&#x27;m not anxious for the same things anymore. I used to be paralyzed by the mere thought of giving a talk (esp. in English). I don&#x27;t care as much anymore. Now it manifests itself in other occasions.
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ggmalmost 6 years ago
Most sex differentiated medical stories which pop up in my feed tend to be about drug interactions in women being misunderstood because of the overtesting of males. That mental illness is mis-characterised in men, speaks to me of two things:<p>1) we haven&#x27;t had a large enough war to produce the volume of war psychosis outcomes which correct for this and<p>2) women are tragically over-represented in all forms of mental illness profiles, which may relate to their real condition but also may relate to distortions in societal views of women and mental illness.
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Art9681almost 6 years ago
This one hits home. I have been arguing with my wife over stupid things that have been triggering my anger. Two weeks ago I ended up in the emergency room with a heart rate of 220. Got diagnosed with Supraventricular Tachycardia. I have continued having episodes and it is obvious to me that the trigger is anxiety. I worry a lot about too many things. Always thinking of worst case scenario. I have a cardiology appointment in a few hours and depending how that goes my next step is to see a doctor to get my anxiety under control. Hopeful it will stop my anger issues.<p>Edit: I would also like to add that I think my anxiety and preparing for worst case scenario in everything I do has been a factor in my career success. I worry I will lose my &quot;edge&quot; if I change. Looking for advice on this.
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hanozalmost 6 years ago
Anxiousness, alertness to danger, and the imperative not to show it, is an essence of the male human condition surely?
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shangealmost 6 years ago
Toxic masculinity: &quot;The concept of toxic masculinity is used in psychology and media discussions of masculinity to refer to certain cultural norms that are associated with harm to society and to men themselves.&quot; - <a href="https:&#x2F;&#x2F;en.wikipedia.org&#x2F;wiki&#x2F;Toxic_masculinity" rel="nofollow">https:&#x2F;&#x2F;en.wikipedia.org&#x2F;wiki&#x2F;Toxic_masculinity</a><p>It&#x27;s not the same as misandry. &quot;Homophobia&quot; sounds like it means &quot;afraid of homosexuals&quot; but that is incorrect. &quot;Toxic masculinity&quot; kind of sounds like it means &quot;all masculinity is toxic&quot; but that is incorrect.<p>I am female, have been diagnosed with anxiety and depression, have been to therapy, and am interested in gender theory. These comments read like unguided group therapy mixed with fuzzy realization of the concept of toxic masculinity.
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psweberalmost 6 years ago
Many anxious men (and women) aren&#x27;t suffering from an anxiety disorder. Their anxiety is a perfectly reasonable response to the life they are living. I&#x27;m fine with therapy, meditation, and medication as long as they aren&#x27;t used as tools to make it bearable to stay in a bad situation.
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SkyMarshalalmost 6 years ago
I appreciate the TLDR in the subheading:<p><i>&quot;Instead of coming across as nervousness or worry, anxiety in men often appears as anger, muscle aches or alcohol use—leading many men to go undiagnosed&quot;</i><p>I wish all articles did that instead of burying the lede.
whiddershinsalmost 6 years ago
A few years back I for the first time labeled something I was feeling as “anxiety.”<p>It was liberating, really did change my life, I just had no idea that was what that feeling was called.
air7almost 6 years ago
&gt; When a man explodes in anger over something seemingly insignificant, he may appear like just a jerk. But he could be anxious.<p>What&#x27;s in a name... Its amazing the difference a title makes. Being &quot;a jerk&quot; is frowned upon, its &quot;bad&quot; and the jerk should know better. But when its &quot;anxiety&quot; its met with compassion and understanding. He needs help not a stern look.<p>Why do we feel that the jerk has agency over his actions but the anxious man doesn&#x27;t? If anything, I&#x27;d say it&#x27;s the opposite: the poor titleless jerk has no option but to be like he is. The anxious one could seek treatment to reconfigure his behaviour.<p>This whole arbitrary divide between agency and fatalism pops up again and again. See nature&#x2F;nurture, gayness, crime (compare poor vs richer perpetrators), insanity, acts committed under influence of drug etc etc. It seems like society had to decide on the age old unanswerable question of free will, and it did, arbitrarily.
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bradenbalmost 6 years ago
This article helped me to realize I probably should be seeking help for anxiety. I always knew I had anxious tendencies, but I didn&#x27;t ever think I was just &quot;sucking it up&quot; until I read this.<p>I grew up being taught that drinking alcohol is a sin and drugs are evil and your body is sacred. Although I don&#x27;t hold those beliefs myself I can&#x27;t help but be manipulated by them. In actuality, I think I&#x27;m glad I was raised that way because I think I could very well have fallen into a hole of substance abuse. I&#x27;ve had to learn to cope with my anxiety in other ways. I tend to get very stoic and hyper-focused on problems that make me anxious. I try to use logic to find solutions or--more likely--to find a way to run away and avoid the problem. It hasn&#x27;t always been easy on my marriage; fortunately I think my wife understands these emotions I have better than I do.<p>I don&#x27;t know if this is generally true, but for myself, I think the problem has gotten worse as my family has become more and more dependent on me to survive. My wife skipped getting an education to raise a family and as I make more and more each year and our lifestyle gets more and more comfortable then I feel this pressure building up to not fail. If my 18-year-old self could see me now he would be shocked. I&#x27;m totally risk-averse, far more introverted, and far more anxious. I don&#x27;t think it&#x27;s totally a bad thing, it keeps me and my family protected to a degree, but like everything in life it&#x27;s a sacrifice. I sacrifice some unknown quality of life to keep what I have now.<p>I find that sometimes I wish it would all come crashing down. That I would lose my job, lose my home, or worse. I think I fantasize about these possibilities sometimes because although they scare me I recognize that I might need an external force to change a life with too much momentum. To be clear, I&#x27;m pretty happy. I love my family, I have a decent job with fantastic coworkers, I make good money. I don&#x27;t have suicidal thoughts, I&#x27;m not &quot;healthy&quot; but I don&#x27;t abuse substances. That&#x27;s all great, but somehow it isn&#x27;t enough by itself. I&#x27;m just an anxious man I guess.
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Ostinusalmost 6 years ago
I can relate to this article. I didn&#x27;t know how to handle anxiety so I handled it like a man, by drinking, fighting, screaming.
jaequeryalmost 6 years ago
CBD is really working for me to curve anxiety. I’m surprised there not that many replies about it here yet.
VBprogrammeralmost 6 years ago
Question for fellow non-Americans. Is it just me or is anxiety rarely a condition someone would describe themselves as having? I only ever hear about it in relation to Americans.<p>I&#x27;m sure the difference not physiological. Perhaps anxiety is just rolled under the more general heading of depression?
pratap103almost 6 years ago
Has anyone experienced their anxiety symptoms flare up after a strenuous workout? I know this seems fairly obvious, but I was just wondering if anyone else experiences this.
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monksyalmost 6 years ago
That&#x27;s because as men: We aren&#x27;t allowed to be a worrier, anxious, etc.<p>We&#x27;re expected to be confident and assertive. If we aren&#x27;t then we possibly suffer rejection in relationships and we get socially isolated.
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ptahalmost 6 years ago
&gt; “Aggression tends to be more socially acceptable to many men than anxiety.”<p>Is this what is meant by &#x27;toxic masculinity&#x27;
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tluyben2almost 6 years ago
I sometimes suffer from bad and acute anxiety attacks: I carry xanax (with the md prescription so I can travel). It happens very rarely (few times per year) and only 1 max 2 pills is enough to kill it usually. Without pills it just keeps going and when it happens it is impossible to stop unless using alcohol but then it does not end soon; it can take a week or longer and the feeling drives you mad (if you do not know it, good for you; you would not wish it on your worst enemy). So I make sure I have 2-4 pills on me.<p>There is no underlying cause that they can find or use to ‘fix it’, although I have a specific moment when it started (20 years ago). It used to be far worse (every 2 weeks taking 2-3 days) than it is now.<p>I often notice someone behave a certain way (some kind of movements or suddenly being ill and having to stay home, especially when there is a stressor; it is usually that or a migraine, which also still has stigma (here?), like, just take an aspirin and get over it, by people who do not suffer from them (I do not anymore luckily)) or tell something specific that makes me wonder if they suffer from anxiety; when I talk with them it often is the case. That way I found out that many of my friends and acquaintances suffer from it even though they never told anyone or were not even sure what it was.<p>A few months ago I was driving with someone from my village who I told someone next to me in the plane was vomiting all the trip; she said that maybe he has that weird feeling losing control she sometimes has which leads her to stay at home and grab a bottle. I told her to go to the doctor and ask about anxiety; they sent her to the mental health dep after some tests and gave her xanax and diazepam; she now is much happier as she can stop the attacks before they become full blown. She never knew that it was anxiety and she was afraid people (including the doctor, who usually is a guy who does not really believe in this stuff; he tried to give me soothing tea before I got a signed and translated doc from my Dutch ex doctor saying what I have) would find her a whining weak person.<p>Of all people I know who suffer or suffered from it, including my wife and family members, noone got properly diagnosed because it seems there is a big stigma resting on this. Mostly people think they can just ‘man up’ and tell themselves it will be fine. That is often not how it works; once it really starts you just cannot stop it; no amount of meditation or positive thought or exercise helps. So you try to mask it (for yourself and others) in several ways.<p>If you have anything; just go see a doctor; if it is anxiety, your life will improve massively if you get proper help.<p>Edit: I don’t recognise the anger bit, but yes, without pills, drinking is the only thing that helps&#x2F;calms down and it often makes it worse besides being unhealthy (especially as this can happen any hour, day or night, and downing a few beers at 6am is not quite, well... good, so definitely get pills and keep them on you; no drink needed ever again).
black_puppydogalmost 6 years ago
Am I the only one who feels that all the gender studies that keep being mocked ultimately have the potential (if executed properly yada yada...) to benefit cis men as much as anyone else?
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