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The Top 10 Excuses Men Use to Avoid Therapy – and Why They Don’t Hold Up

A man wearing a hoodie saying 'boys get sad too' - outlining why men also need support for their mental health.

Although more men than ever before are embarking on their first therapeutic journey, there sadly remains something of a stigma attached to seeking out help for many males. Across the UK, attitudes toward men’s mental health are slowly changing, but old habits die hard. Here, psychotherapist Gershon Portnoi examines why that may be, with the help of a handy list of ready-made excuses that men often use to avoid seeking assistance or starting therapy.

I’m strong

For thousands of years, men have been socially conditioned to think of ourselves as macho, so it’s very hard to suddenly switch to being vulnerable. Many of us think we’re the strong, silent, Gary Cooper types which Tony Soprano famously lamented he should’ve been in The Sopranos – but don’t forget that Tony was in therapy for years. True strength often means finding the courage to talk, not to bottle things up.

Don’t have time

If it’s not work, it’s socialising, playing five-a-side, going to the gym, watching football, binge-watching Netflix (other streamers are available) or catching up on the DIY. Whatever it is, it’s definitely not therapy because there’s not enough space in the week to fit it in. While women traditionally tend to be more organised with their schedules, some men find it much harder to manage diary space. Finding time for your mental health is just as important as finding time for physical health.

It’s not for me

For some men, therapy simply isn’t something they see themselves doing. They think it’s for other men, or for women, of course. It’s just not something they would consider, and that’s it. It’s often said that the hardest part of therapy is making the decision to start, and for many men, understandably, pre-conceived ideas about who therapy is, and isn’t, for dominate their thinking. In truth, therapy for men can be life-changing regardless of age or background.

I don’t need help

For many men, the idea of accepting help can be very difficult. They may have been raised with a stiff upper lip mentality, where they don’t complain and just keep going, which is admirable in its own way, but also potentially dangerous, given that warning signs may be missed. Accepting the idea of getting help is a huge barrier to overcome for many of us, yet it’s often the most important step towards genuine wellbeing.

Not interested in that psychobabble

Freudian nonsense, psychobabble, call it what you like – it’s not wanted for certain men. Due to a lack of understanding of the process of therapy, and perhaps some unhelpful popular culture portrayals of therapists, some men won’t even consider the possibility of counselling. In reality, therapy is simply a space to talk openly, guided by someone trained to listen and help you make sense of things.

Cold fear

Few men would ever admit to this one out loud, but embarking on a therapeutic journey can fill us with fear – fear of finding out things about ourselves that perhaps we were happier not knowing. Often, however, therapy helps us realise that we already knew some of these ‘scary’ things but just didn’t have the space or support to articulate them. Facing that fear is part of what makes therapy so powerful.

Don’t want to peel away at that onion

Similar to fear, there’s a perception among men that once you start peeling away that onion and pull back a few layers, you might expose yourself to some uncomfortable stuff. While therapy is not a straightforward process and comes with many ups and downs, its long-term benefits often make shedding a few onion layers worthwhile.

Can’t afford it

Many men are happy to pay for their team’s season ticket, a gym membership, a personal trainer, designer clothes and stag weekends in Ibiza (other destinations are available), but committing to protecting their mental health might be seen as unnecessary expenditure. Of course, there are situations where therapy is unaffordable, but for many men, it can also be a question of priorities and whether we’re prepared to put ourselves and our wellbeing first.

Therapists are weird

A classic. Possibly due to how therapists are portrayed on TV and film, there’s often a misconception among men that therapists are odd. And in the sense that all of us humans are weird in our own little ways, it’s probably fair to say that therapists are too. However, most therapists are just like you – with partners, families and pets. In other words, we’re as weird as you.

I’m fine!

It’s extremely common for men to be unaware that they’re struggling with their mental health due to the strong coping mechanisms built up over the years. Even when some of these methods stop working, it can still be hard to recognise what the problem might be. After a lifetime spent “just getting on with it”, many men automatically respond that they’re fine – and genuinely believe it. Strong support networks, friends and partners can help us notice when we need help, even when we don’t see it ourselves.

If you recognise yourself in any of these excuses, you’re certainly not alone. We’ve all been prone to using one or two of them in our lives. If you feel that you or someone close to you might benefit from therapy, explore Men’s Therapy Hub‘s UK directory or US directory to find a male therapist who understands the unique challenges men face.

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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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