Clinical Case Studies

 

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First published on June 19, 2008
Clinical Case Studies 2008, doi:10.1177/1534650108319917


Article

Men and Therapy: A Case of Masked Male Depression

Fredric E. Rabinowitz1* and Sam V. Cochran2

1 University of Redlands, California
2 University of Iowa, Iowa City

* To whom correspondence should be addressed. E-mail: fredric_rabinowitz{at}redlands.edu.


   Abstract
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.


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