10/03/2023
One of the reasons Marc started The Middle-Aged Man Podcast - There are many psychiatric subspecialties focused on specific age categories. These include child psychiatry, youth mental health, and geriatric psychiatry. But there is no subspecialty known as “mid-life mental health" or "middle-aged psychiatry."
This is concerning, as statistics indicate that this can be an especially vulnerable period. For example, su***des in Western countries are particularly pronounced in the 40-60 age group, with especially high rates in middle-aged men.
Evidence suggests that the experience of sudden life events that often occur in the middle years of life, including job loss and divorce, can particularly damage men’s mental health.
The postwar and CoVid years have seen massive socio-economic changes across the Western world, mainly in the form of a transition from an industrial economy to a knowledge economy. This shift has led to a major decline in industries such as manufacturing that once gave secure and meaningful employment to blue-collar and less-educated men, who have subsequently experienced high rates of unemployment and job loss.
Such unemployment can have severe financial consequences, and in worst-case scenarios can lead to severe debt and bankruptcy. Several studies show that these factors INCREASE the risk of midlife male depression and middle-aged male su***de. For me, the spiral of my own self-destruction started when I lost control of my business.
Some research indicates that job loss and unemployment tend to have a more negative effect on men than women.
This greater impact on men has been related to several factors. First, men still tend to be the primary family breadwinner, and their income is often essential to support a household. That alone affects a man’s pride and ego. The loss of this income can have a devastating impact on a family's quality of life and add to that the need to be supported by other members of the household adds to embarrassment and discomfort.
Second, men tend to derive more purpose and meaning from their work and are often defined by their careers, meaning that the loss of a job can create a painful vacuum.
Third, unemployed men are often stereotyped and stigmatized by wider society, which can negatively affect social inclusion and self-esteem.
Divorce and separation are common occurrences in the middle years of life. Much research indicates that this can have a negative impact on mental health. For example, a large-scale U.S. study found that unmarried men aged 40-60 were 3.5 times more likely to die by su***de compared to married men of the same age, with markedly higher rates for unmarried men compared to unmarried women.
Of note, several elements of research literature indicate that the psychosocial experience of divorce can be particularly painful for men, acting as an acute stressor with chronic consequences. For example, one study found that men experience a much greater loss of social support after divorce compared to women, mainly because women tend to maintain stronger links with friends and family throughout long-term relationships and marriage than men.
All of this can leave divorced and separated men lonely and isolated precisely when they need social support the most.
For many people, the middle years are a time to enjoy the fruits of their education and labour among family and friends. But for others, it can be a time of severe financial strain, loneliness and existential despair.
Middle-aged men are often seen as the butt of jokes with their stereotyped mid-life crisis. Perhaps the stereotype needs to change so we are used to mid-life mental health crises instead.