Men and Substance Use: Understanding the Struggle and Finding a Path to Recovery
Substance use disorders (SUDs) can affect anyone, but men often face unique challenges when it comes to recognizing, addressing, and seeking help for their struggles with alcohol or drug use. Societal expectations around masculinity, emotional expression, and self-reliance can make it harder for men to acknowledge when they need support.
If you or someone you care about is struggling with substance use, know that help is available—and recovery is possible. In this post, we’ll explore why men are at higher risk for substance use disorders, common barriers to seeking help, and what the recovery process can look like.
Why Are Men More Likely to Struggle with Substance Use?
Research consistently shows that men are more likely than women to develop substance use disorders. Some contributing factors include:
Cultural Norms Around Drinking and Drug Use – Many social settings normalize excessive drinking or recreational drug use, making it harder to recognize when casual use becomes problematic.
Emotional Suppression – Men are often discouraged from expressing vulnerability, leading some to turn to substances as a way to cope with stress, anxiety, or unresolved trauma.
Risk-Taking Behavior – Studies suggest that men, on average, are more likely to engage in risk-taking behaviors, including higher rates of substance use.
Co-Occurring Mental Health Issues – Many men with substance use disorders also struggle with anxiety, depression, or trauma but may not seek mental health support, leading to self-medication through alcohol or drugs.
Signs That Substance Use Has Become a Problem
It’s not always easy to recognize when substance use crosses the line into a problem. Some red flags include:
Using substances to cope with stress, anxiety, or emotions rather than for enjoyment.
Increasing tolerance, meaning you need more of the substance to feel the same effects.
Difficulty controlling use, including unsuccessful attempts to cut back.
Neglecting responsibilities at work, home, or in relationships due to substance use.
Experiencing withdrawal symptoms when not using the substance.
Impact on relationships, family, friends, or your significant other may start expressing concern related to your use, which may lead to conflict. You may also become more withdrawn or isolated and begin using alcohol or drugs while alone.
If any of these signs resonate with you, it may be time to take a closer look at your relationship with substances.
Barriers to Seeking Help
Even when men recognize they have a problem, many hesitate to seek help due to:
Fear of Judgment – The stigma surrounding addiction can make men feel ashamed or weak for needing help.
Belief That They Should "Handle It Alone" – Many men are conditioned to believe they should be self-sufficient, making it hard to ask for support.
Concerns About Impact on Work or Reputation – Professional concerns may lead men to downplay their struggles or delay treatment.
Uncertainty About Treatment Options – Many don’t know where to start or worry that treatment will be too disruptive to their lives.
What Does Recovery Look Like?
Recovery isn’t a one-size-fits-all process. It can take different forms, including:
Therapy and Counseling – Working with a therapist can help address underlying emotional struggles and develop healthier coping mechanisms.
Support Groups – Groups like AA, SMART Recovery, or men’s support circles can provide connection and accountability.
Medical and Psychiatric Support – In some cases, medication-assisted treatment (MAT) or mental health treatment can be beneficial. Be sure to consult with a doctor if you recognize any warning signs for detox (i.e. tremors, sweating, nausea or vomiting, shortness of breath, increased heart rate). Detoxing from alcohol may be life-threatening and it is important to seek the proper medical care immediately.
Lifestyle Changes – Exercise, mindfulness, ending relationships that may encourage substance use, and healthier routines can play a major role in long-term recovery.
The most important thing to remember is that recovery is not about willpower—it’s about having the right support and tools to create lasting change.
Final Thoughts
If you’re struggling with substance use, you don’t have to go through it alone. Seeking help is not a sign of failure—it’s a step toward reclaiming control over your life.
I specialize in working with men navigating substance use challenges, helping them break free from shame, develop healthier coping strategies, and build a more fulfilling life. Learn more about my specializations here. If you’re ready to take the next step, schedule a consultation today—I’d love to support you on this journey.