The Hidden Struggle – How Cultural Norms Impact Men's Mental Health in West Virginia

Written by Dustin Doner, edited by Sydney Rudy

Traditional notions of masculinity have long been tied to traits like emotional restraint, dominance, and self-reliance.

While these characteristics can be empowering in certain contexts, they often discourage men from acknowledging or addressing their mental health struggles. In West Virginia, these cultural norms are particularly ingrained, creating a societal pressure for men to "push through" challenges without showing vulnerability. This dynamic leads to a hidden struggle, one that takes a profound toll on men’s well-being.

One of the most concerning aspects of this issue is how these cultural norms shape the way men experience and express mental health challenges.

Research has shown that men tend to externalize their emotions through actions rather than words. For example, depression may manifest as aggression or risky behaviors instead of sadness, while anxiety might appear as irritability or overworking. These behavioral cues often lead to underdiagnosis or misdiagnosis, leaving many men to suffer in silence.

West Virginia’s unique cultural and economic landscape further complicates this struggle. In rural areas, where community connections are strong but resources are scarce, the stigma surrounding mental health care can be even more pronounced. Economic difficulties, unemployment, and the ongoing opioid crisis heighten mental health challenges for many men in the state. Yet, cultural norms that emphasize self-reliance and emotional control make it all the more difficult for them to reach out for support.

The consequences of this hidden struggle are devastating.

Nationally, men die by suicide at nearly four times the rate of women, and West Virginia's suicide rates are among the highest in the country. Despite these alarming statistics, the stigma surrounding mental health care remains stubbornly entrenched.

To address these challenges, mental health professionals must embrace culturally sensitive approaches that resonate with men in West Virginia. Building trust is key. Techniques like mindfulness, ego-state therapy, and establishing rapport can help men feel more comfortable exploring their emotions. Public health campaigns also play an essential role. By sharing stories of local men who have successfully navigated their mental health challenges, we can encourage others to take the first step toward healing.

It's time to redefine masculinity to include vulnerability, emotional expression, and the courage to seek help.

By challenging cultural and societal barriers, we can create a West Virginia where every man feels empowered to prioritize his mental health.