Depression in men can affect sexual desire and performance. Men often are unwilling to admit to problems with their sexuality.Depression in men often goes unrecognized–by themselves, colleagues, family and even physicians. Yet some researchers estimate the depression rate among middle-aged men approaches 40%–considerably higher than the rate among women (25%)! Depression in men is slowly becoming more recognized, but is often difficult to spot the symptoms even by long-term partners or health professionals. Men exhibit depression differently and the way they cope can often camouflage their state of mind.
Depression in men may always have been far more common than we knew. Depression in men is often masked by high-risk behaviors such as alcohol and drug abuse. Common symptoms among depressed men include feelings of hopelessness and helplessness, irritability, and anger. Depression in men often manifests the same as it does in women, yet men have a tendency to ignore or minimize the symptoms. Chronic sadness or irritability, sleep disturbance, changes in appetite or weight, problems with attention and memory, decreased motivation and suicidal thoughts are all symptoms of depression.
Mental health professionals increasingly acknowledge that men are less likely than women to recognize their depression or admit to feelings that could alert others to their condition. Mental health goes hand in hand with physical health to promote overall health and well-being. But doctors often don’t ask their male patients about sensitive topics, such as personal issues or emotional healthPatients should also be hospitalized if they articulate or display a strong urge to act on suicidal thoughts or if they have a specific suicide plan that is likely to be successful. Typically, such patients require management by a psychiatrist Patients with psychotic depression are seriously ill and will almost always require hospitalisation. Antidepressant therapy alone is unlikely to be effective.
Treatment choice will depend on the patient’s diagnosis, severity of symptoms, and preference. In general, severe depressive illnesses, particularly those that are recurrent, will require a combination of treatments for the best outcome.

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