How heterosexual couples deal with male depression

Depression is underreported in men, and little is known about how heterosexual couples respond when the male partner is depressed.

Recentlt, University of British Columbia researchers have identified three major patterns that emerge among couples dealing with male depression. These can be described as “trading places,” “business as usual” and “edgy tensions.”

They found that “trading places” is the most common pattern. In these relationships, the partners took on atypical masculine and feminine roles to cope with challenges caused by the men’s depression. For instance, men assumed the role of homemaker while the women became the family breadwinner.

The second most common pattern is “business as usual,” when couples sought to downplay or mask any problems caused by the men’s depression. Holding firm to idealized heterosexual gender roles, the women continued to support and nurture their partners. Despite their ongoing struggles with depression, the men continued to work hard to maintain their careers in typically masculine arenas, which in the study included engineering, science, law enforcement, forestry and coaching.

The third pattern, “edgy tensions,” describes men and women caught in dysfunctional relationships. Each holding ideas of gender roles that differed from those of their partner, these couples grappled with resentment. The men resisted medical treatment. Instead, they used alcohol and illicit drugs, at least in part, to self-manage their depression. The women expressed ambivalence about conforming to the feminine ideal of being a “selfless nurturer,” especially for men who were volatile and unpredictable. The men in turn espoused a view of themselves as head of the household.