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Men and Therapy

A Case of Masked Male Depression

University of Redlands, California, fredric_ rabinowitz{at}redlands.edu

Sam V. Cochran

University of Iowa, Iowa City

Socialization influences may result in a masking of men's symptoms of depression. This masking renders assessment a challenge for most clinicians, who are often sidetracked by more-immediate presenting concerns (relationship or job loss, developmental transitions, or alcohol or substance abuse). Clinicians may overlook a longer-term and more pernicious underlying mood disorder. This case presentation describes the assessment and treatment of a 53-year-old White male in both group and individual therapy. He initially sought a men's therapy group for support for developmental transitions but was actually suffering from a more severe underlying depression. The theoretical rationale and treatment implications for working with masked depression in men are presented.

Key Words: men • masked depression • psychotherapy

This version was published on December 1, 2008

Clinical Case Studies, Vol. 7, No. 6, 575-591 (2008)
DOI: 10.1177/1534650108319917


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