Conflict in Mens Experiences With Antidepressants

While men’s experiences of depression and help-seeking are known to be shaped by gender there
is little research which examines their experience of using antidepressants to treat this. This
study is based on in-depth, narrative style interviews with 20 New Zealand men who had used
antidepressants. The analysis identified a number of areas of conflict in the men’s accounts of
using this medication. Conflict centered on the way taking antidepressants was seen as
undermining personal control while also allowing users to take charge of their problems;
facilitating general functioning while undermining sexual functioning; relieving emotional
distress while undermining emotional vitality; and the tension participants felt between making
autonomous judgements about the value of antidepressants or relying the ‘expertise’ of others.
Participants negotiated these conflicts in a variety of ways. In some cases antidepressants were
positioned as being able to affirm aspects of traditional masculinity while a smaller number of
participants managed these conflicts by redefining aspects of their own masculinity in ways that
contrasted with dominant constructions. This research is limited by the sample of older, more
privileged men in the context of New Zealand culture which favors macho forms of masculinity.
In similar contexts mental health practitioners should be mindful of the conflicts that men might
experience in relation to their antidepressant use. Facilitating men’s exploration of these issues
may enable them to make better decisions about treatment options or to provide more effective
support to those who have opted for antidepressant treatment.