Most boys and young men won’t talk about their mental health, but that doesn’t mean they’re not struggling. Sadly, stigma and outdated ideas about masculinity often keep them from getting the support they need.
Unlike girls, who tend to build support networks through emotional sharing, boys often rely on shared activities for connection. This can make it harder for them to recognise, express and address their challenges, especially when societal expectations subliminally discourage vulnerability.
At NextGen Psychology, we specialise in supporting the mental health of adolescents and young adults, especially males. We understand that this stage of life can be complex, making open conversations, early intervention and a supportive family environment essential for long-term wellbeing.
The teenage years are critical for mental health, with girls and boys often experiencing and expressing struggles in different ways. For boys, emotional suppression poses a significant challenge, as societal expectations often pressure them to appear strong and in control. Rather than verbalising sadness or stress, they may internalise these feelings, which increases their risk of anxiety, depression and emotional burnout. This not only delays seeking support but also makes their mental health issues harder to recognise.
Many boys express distress through coping mechanisms like risk-taking, aggression or substance use rather than sadness or verbal communication. These behaviours mask underlying pain and are often misinterpreted as defiance or recklessness. Without intervention, they may escalate, leading to long-term physical and mental health consequences.
Although young men report lower rates of depression than young women, they are more likely to die by suicide. Sadly, this is partly due to underdiagnosed mental health conditions, a reluctance to seek help, and a tendency to use more lethal methods in suicide attempts.
Boys are often taught, either explicitly or implicitly, that showing emotion is a sign of weakness. Cultural messaging and media frequently reinforce the idea that strength means self-reliance, which leads many young men to suppress their emotions and shy away from vulnerability.
Some boys also struggle with alexithymia, the difficulty in recognising and describing their emotions. This makes it harder for them to process their feelings or communicate when they need support. As a result, their struggles may go unnoticed or be misinterpreted as indifference, frustration or disengagement, leading to further isolation and unaddressed emotional challenges.
For many boys, self-esteem is closely tied to achievements in academics, sports or future financial success.
As such, they often feel an undue pressure to outperform their peers and meet unrealistic expectations, which can act as a catalyst for chronic stress, anxiety and feelings of inadequacy. When success becomes the primary measure of self-worth, setbacks—such as a poor test result or a lost sporting opportunity—can feel overwhelming and deeply personal.
While girls often form emotionally supportive friendships, boys connect through shared activities like sports, gaming or hobbies. While these bonds are valuable, they may lack the emotional depth needed during difficult times. Without the freedom to openly express themselves, male teens can feel isolated and hesitant to seek support.
Spotting mental health struggles in boys isn’t always straightforward, as their distress often shows up in ways that don’t fit common expectations. Since early intervention is crucial, parents, teachers and peers should pay attention to behavioural shifts that may signal deeper issues.
Behaviours to watch for include increased irritability, sudden mood swings and outbursts. While these can sometimes be mistaken for defiance, they may signal something deeper. Changes in social dynamics are also important to notice—conflict with family and friends, withdrawing from relationships or losing friendships can all be signs of inner pain. Others may disengage from activities they once enjoyed or begin engaging in reckless actions.
Physical manifestations can also point to underlying distress, including headaches, stomach pain or muscle tension without a clear medical cause. Sleep disturbances are another concern, whether it’s insomnia or excessive sleeping. Changes in physical appearance, like poor hygiene, dishevelled clothing or a lack of self-care, can reflect a loss of motivation or energy. Significant weight fluctuations may indicate shifts in appetite linked to emotional suffering. Additionally, boys can seem disengaged, have trouble concentrating or express a persistent sense of failure, even in areas where they previously excelled.
Some of the more serious warning signs include substance use, a noticeable drop in school performance or disengagement from responsibilities. Making negative self-statements or casually referencing not wanting to be around must always be taken seriously, and you should seek urgent support and intervention.
Supporting the mental health of males in their teenage and early adult years requires strengths-based, goal-oriented approaches rooted in practicality and relatability. Instead of focusing solely on problems, create environments where they feel comfortable expressing emotions. Encouraging realistic goal-setting, whether in academics, sports or hobbies, fosters confidence and a sense of achievement. Positive male mentorship can also play a critical role.
Boys are more likely to open up when emotional conversations feel natural rather than forced. Teaching emotional literacy by naming feelings helps them articulate their experiences in ways that make sense to them. Parents, teachers and mentors can support this by role-modelling vulnerability as a crucial part of mental resilience and showing that it is not a sign of weakness.
Teaching practical coping strategies like deep breathing, muscle relaxation, or journaling can help manage stress. Technology can also be a valuable tool, with apps that track moods and support mindfulness.
Sports, outdoor activities and structured exercise are among the most effective tools for managing stress and improving mood, which is why they’re so beneficial for young men’s mental wellbeing. Beyond the physical benefits, these activities foster strong friendships and community connections and build a reliable support system.
Good sleep and nutrition are essential for overall health. A consistent bedtime routine and less screen time improve sleep quality, while a balanced diet supports energy, focus and mood. Encouraging these habits helps build resilience and stability.
We don’t want to rely on stereotypes, but there are real differences in how young men experience mental health. Social expectations and cultural influences can make it harder for them to seek support, and this is something we need to acknowledge.
Support begins with creating non-judgmental spaces where young men feel heard and understood. If you’re concerned about your son or someone in your life, let them know they’re not alone and that you’re there to listen. Professional help is also available, and at NextGen Psychology, we specialise in tailored therapy and support for young people.
Taking the first step toward seeking help can feel daunting, but it’s also a clear sign of strength and courage. Contact us to learn more.
David Merrick is a registered Clinical Psychologist who has spent over a decade helping teens and young adults, adults and defence personnel through complex challenges. He has worked in schools, community health, the Australian Defence Force and private practice, specialising in therapies and assessments.
Awarded a Dean’s Medal for his postgraduate research into anxiety and developmental psychology, David draws on his studies and life experience, including in education, business, government and the ADF, to connect with people of all ages and help them move forward.
He has a particular interest in treating anxiety disorders (including generalised anxiety, OCD, social anxiety, phobia and panic) and trauma-related conditions such as PTSD and moral injury. David is also advanced trained in EMDR, an evidence-based therapy for trauma.
Taking the first step may feel overwhelming, but it’s an act of strength. Contact David to start a conversation that can lead to lasting change.
Taking the first step toward support can feel overwhelming, but it’s also a decisive demonstration of strength.
At NextGen Psychology, we’re here to listen, offer guidance, and help you or your loved one move forward. Reach out today, and let’s begin a conversation that can bring positive, lasting change.