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Men’s Mental Health Tools

Addiction and Substance Abuse in Men: Understanding the Struggle and Finding Support

Silhouette of a man in a mountain landscape, head bowed while lighting a cigarette – representing addiction, substance use and emotional struggle in men

Why Men Are at Higher Risk for Addiction and Compulsive Behaviours

Addiction and substance abuse affect millions of people worldwide, but men are disproportionately affected. Research shows that men are more likely than women to engage in risky substance use, develop compulsive behaviours and delay seeking help. Whether it is alcohol, drugs, gambling, pornography or other addictive habits, these behaviours can take a significant toll on mental health, relationships and overall well-being.

According to the UK government’s Adult Substance Misuse Treatment Statistics (2023):

  • 73% of people in alcohol treatment are men
  • 69% of those in drug treatment are men
  • Men are more than twice as likely as women to have a gambling problem (Gambling Commission, 2022)
  • Pornography addiction affects around 5–8% of the population, with men making up the vast majority of those seeking help (Journal of Behavioural Addictions, 2021)

Despite these alarming statistics, many men struggle to acknowledge their addiction or seek support due to stigma, shame or the belief that they must handle problems on their own.

The Link Between Addiction and Mental Health

Many addictions do not arise in isolation. Often, they are a way of coping with deeper emotional pain, stress or unresolved trauma. Men who experience anxiety, depression, PTSD or feelings of inadequacy may turn to substances or compulsive behaviours as a form of escape.

Addiction can develop as a result of:

  • Emotional suppression – men who struggle to express emotions may use alcohol, drugs or compulsive behaviours to numb their feelings
  • Stress and burnout – work pressures, financial strain and family responsibilities can push men toward unhealthy coping mechanisms
  • Trauma and unresolved pain – past abuse, grief or childhood neglect can make addiction a way to self-medicate unresolved distress
  • Social and cultural pressures – in many social circles, heavy drinking, gambling or pornography use is normalised, making it harder to recognise when it becomes a problem

Without intervention, addiction can spiral, leading to worsening mental health, strained relationships, financial instability and even physical health complications.

Recognising the Signs of Addiction

Addiction is not just about how often someone engages in a behaviour—it is about how much it interferes with their life. Some common signs include:

  • Loss of control – feeling unable to stop or cut down, even when trying
  • Increased tolerance – needing more of a substance or behaviour to get the same effect
  • Withdrawal symptoms – experiencing anxiety, irritability or distress when not engaging in the addiction
  • Neglecting responsibilities – work, relationships or personal goals taking a backseat
  • Secrecy and defensiveness – hiding use from loved ones or getting defensive when confronted
  • Continuing despite negative consequences – knowing it is causing harm but struggling to stop

Recognising these signs is the first step toward change. The next step is understanding that help is available and recovery is possible.

Breaking Free from Addiction

Addiction recovery is not about willpower alone—it is about addressing the root causes, building healthier coping mechanisms and creating a support system.

Acknowledge the Problem Without Shame

Many men delay seeking help because they feel ashamed or weak. Addiction is not a moral failing—it is a complex issue influenced by biology, environment and personal experiences. Accepting that there is a problem is the first step toward healing.

Identify Triggers and Emotional Patterns

Understanding what drives addictive behaviours is crucial. Are substances used to cope with stress? Does gambling provide an adrenaline rush that masks deeper emotional pain? Identifying these patterns helps develop healthier ways to respond to triggers.

Develop Alternative Coping Mechanisms

Replacing addiction with healthier habits can make recovery easier. Some effective strategies include:

  • Exercise and physical activity to manage stress
  • Practising mindfulness and meditation for emotional regulation
  • Engaging in new hobbies or skills to redirect focus
  • Building a strong social support network

Seek Support from Others

No one has to go through addiction recovery alone. Talking to a trusted friend, family member or professional can provide much-needed encouragement and accountability.

How Therapy Can Help with Addiction Recovery

Therapy plays a crucial role in helping men overcome addiction, not just by stopping the behaviour but by addressing the underlying issues that fuel it. Many men find that therapy helps them:

  • Understand the root cause of their addiction – whether it is stress, trauma or emotional avoidance, therapy helps uncover the deeper reasons behind compulsive behaviours
  • Develop healthier coping mechanisms – learning new ways to manage stress, anxiety and emotions without relying on substances or compulsions
  • Repair relationships – addiction often damages personal and professional relationships, but therapy can help rebuild trust and communication
  • Create a long-term recovery plan – therapy provides strategies to prevent relapse and maintain progress

Recovery is possible, and seeking help is a sign of strength, not weakness. Men’s Therapy Hub connects men with therapists who understand addiction and can provide the support needed to break free from compulsive behaviours.

If you or someone you know is struggling with addiction, remember that change is possible. No one has to face it alone. The journey to recovery starts with one step.

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How to choose a therapist:

If you’re reading this, there’s a good chance you’re thinking about starting therapy. Maybe for the first time. That’s no small thing. Getting to this point takes guts. Admitting that things might not be quite right and deciding to do something about it is a massive first step. So first off, well done.

We know choosing a therapist can feel overwhelming. There are a lot of options and it’s easy to get stuck not knowing where to start. That’s why we created our Get Matched service. It’s designed to take some of the stress out of finding the right person for you.

Still not sure who’s right? That’s okay. Here are a few things to keep in mind.

Work Out What You Need

Before anything else, try to get clear on what’s going on for you. Are you struggling with anxiety, depression, or something that feels harder to describe? Maybe it’s your relationships or how you see yourself. Whatever it is, having a rough idea of what you want to work on can help guide your search.

Some therapists specialise in certain areas. Others work more generally. If you’re not sure what you need, ask. A good therapist will be honest about what they can help with.

Think About What Makes You Comfortable

Therapy only works if you feel safe enough to talk. So the relationship matters. Here are a few questions to help you figure out what feels right.

  • Would you rather speak to someone from your own home, or in-person somewhere else?

  • Do you feel more at ease with someone who listens quietly, or someone who’s more direct?

  • Would you benefit from seeing someone who understands your background or lived experience?

There are no right answers here. Just what works for you.

Look Beyond the Letters

Every therapist listed on Men’s Therapy Hub is registered with a professional body. That means they’ve trained properly, they follow a code of ethics and they’re committed to regular supervision and ongoing development. So you don’t have to worry about whether someone’s legit. They are.

Instead, focus on what else matters. What kind of therapy do they offer? What do they sound like in their profile? Do they come across as someone you could talk to without feeling judged?

Try to get a sense of how they see the work. Some will be more reflective and insight-based. Others might focus on behaviour and practical strategies. Neither is right or wrong. It’s about what speaks to you.

Test the Waters

Many therapists offer a free or low-cost first session. Use it to get a feel for how they work. You can ask about their experience, how they structure sessions and what therapy might look like with them. A few good questions are:

  • Have you worked with men facing similar issues?

  • What does your approach involve?

  • How do your sessions usually run?

Pay attention to how you feel during the conversation. Do you feel heard? Do you feel safe? That gut feeling counts.

It’s Okay to Change Your Mind

You might not get it right the first time. That’s normal. If something feels off, or you don’t feel like you’re making progress, it’s fine to try someone else. You’re allowed to find someone who fits. Therapy is about you, not about sticking it out with the first person you meet.

Starting therapy is a big decision. It means you’re ready to stop carrying everything on your own. Finding the right therapist can take time, but it’s worth it. The right person can help you make sense of things, see patterns more clearly and move forward with strength and clarity.

You don’t have to have all the answers. You just have to start.

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About our therapists

At Men’s Therapy Hub, we understand that finding the right therapist is an important step in the journey towards better mental health. That’s why we ensure that all our therapists are fully qualified and registered with, or licenced by,  a recognised professional body – guaranteeing that they meet the highest standards of training and ethics in their private practice. This registration or licence is your assurance that our therapists are not only appropriately trained,  but also bound by a code of conduct that prioritises your well-being and confidentiality. It also ensures they are engaging in continual professional development.

We know that therapy starts with finding the right therapist so MTH offers clients a wide range of choices to ensure they find the therapist that best suits their individual needs. Flexible options for therapy sessions include both online and in-person appointments catering to different preferences and lifestyles. In addition, therapists offering a variety of approaches are available – enabling clients to choose a style that resonates most with them. Whether seeking a therapist nearby or one with specific expertise, Men’s Therapy Hub ensures that clients have access to diverse and personalised options for their mental health journey.

All the therapists signed up to MTH are not just experienced practitioners but professionals who recognise the unique challenges that men face in today’s world. Our therapists offer a wide range of experiences and expertise meaning clients can find someone with the insight and experience to offer them relevant and effective support.

Furthermore, MTH will aid our therapists to engage in Continuing Professional Development (CPD) specifically focused on men’s mental health. This will include staying up-to-date with the latest research, therapeutic approaches and strategies for addressing the issues that affect men. We’ll also feature men out there, doing the work, so we can all learn from each other. By continually developing their knowledge and skills, our therapists are better equipped to support clients in a way that’s informed by the most current evidence-based practices.

If you’re ready to take the next step towards positive change we’re here to help. At Men’s Therapy Hub, we’ll connect you with an accredited experienced male therapist who understands your experiences and is dedicated to helping you become the man you want to be

Our mission statement

Men were once at the forefront of psychotherapy, yet today remain vastly underrepresented in the field. Currently, men make up around a quarter of therapists and less than a third of therapy clients globally. We hope that Men’s Therapy Hub will help to normalise men being involved in therapy on both sides of the sofa.
More men are seeking therapy than ever before, but we also know that dropout rates for men are exceedingly high. Feeling misunderstood by their therapist is one of the key factors affecting ongoing attendance for men. That’s why our primary function is helping more men find good quality male therapists they can relate to.
We know that men face unique challenges including higher rates of suicide, addiction and violence. Research shows that male-led mental health charities and male-only support groups are showing positive results worldwide, so we’re committed to building on that momentum.
Our mission is twofold: to encourage more men to engage in therapy whether as clients or therapists and to create a space where men feel confident accessing meaningful life-changing conversations with other men.

We hope you’ll join us.

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