Perinatal mental health: more than postpartum depression
Mental health disorders are a common pregnancy complication, and can include disorders such as postpartum depression, anxiety, OCD and PTSD.
Everyone has encountered stress at least one time in their lives and responded in different ways. However, research shows men are less likely than women to turn to loved ones, friends or professionals to help themselves manage their stress.
According to Dr. Hans Crumpler, a board-certified family medicine physician affiliated with Sharp Grossmont Hospital, there is still a preconceived notion that “being a man” means being silent and strong. But struggling to manage emotions can take its toll on both the physical and mental health of men.
Men worry that talking about behavioral health issues can give the perception of weakness or a diminished character, says Dr. Crumpler. “It makes it difficult at times for men to feel free and honest about their emotions and let somebody know they actually need to talk to get the proper guidance,” he says.
Understanding the stress men encounter
Regardless of gender, the COVID-19 pandemic increased stress for everyone. During that time, men faced increased stress related to the role they play within their household. Issues surrounding their employment, security and difficulty managing financial constraints were challenging.
Many of those stressors persist. The assumed roles that men play within society, the home and the workplace often make men feel that financial responsibilities sit squarely on their shoulders, Dr. Crumpler says. “When stress hits, who do they turn to and confide in? The fear of being judged and criticized is so great, they just do not want to bring it up,” he says.
Why men and women respond differently to stress
There is a distinct difference in the way men respond to stress. In general, it comes down to their degree of trust and their desire to not be judged negatively for showing emotions. However, women are more able to talk about their personal issues without fear of retribution or judgment.
According to one report, the male stress response can be characterized as “fight or flight.” When men are faced with a stressful situation, their bodies release hormones that prompt them to either stay and confront the problem, or to run away and avoid it. Women, on the other hand, approach stressful situations with a “tend and befriend” approach, where they seek support from their social group.
“Most women are more in tune with each other and are able to confide in one another and speak about personal experiences,” says Dr. Crumpler. “Not in every situation, but it is sufficient to say that there is a shared enough experience that is very unique to the female body that allows that openness to take place.”
The impact of stress on men’s health
Complications from stress can make people sick. According to one study, 60% to 80% of visits to primary care doctors may have a stress-related component.
Chronic illnesses connected to stress in men include:
Prostate cancer
Erectile dysfunction
Male infertility
Cardiovascular disease
Risk of stroke and heart attack
Kidney failure
“It is important that men recognize the negative factors affecting their health,” says Dr. Crumpler. “The mind is a very powerful organ that can direct in a positive and negative way.”
How to manage stress
Managing stress can help relieve symptoms of chronic illnesses and lower the risk for stress-related complications. To reduce stress, Dr. Crumpler recommends men and women:
Maintain a positive attitude
Find support through their primary care provider
Cut back on stressors
Spend time with others
Stay active
Set aside time to relax and practice mindfulness
“The solutions to most of life's problems can be found directly within our path,” Dr. Crumpler says. “There are some situations that can seem insurmountable, but with the right guidance and with the right support, we can find the solutions ourselves.”
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