Do psychological issues vary by gender?

Why are the signs of a mental crisis spotted early in some people, while for others they remain hidden for a long time? Mental health issues can express themselves in different ways, and are not always perceived the same. Gender can also be a factor.

Carmen Hunkeler
AuthorCarmen Hunkeler
3 minutes reading time07. October 2026

Sadness, stress, fatigue and irritability are all a part of life. If these kinds of conditions become permanent or interfere with everyday life, they may be indications of mental problems. However, the way that these problems express themselves differs from person to person. 

Women, for example, are statistically more likely to report symptoms such as depression, sleep problems or fatigue. In men, issues are more frequently expressed as irritability, withdrawal or high-risk behaviour. Because these signs don’t always set off alarm bells, mental problems often fly under the radar for longer in men.

Similarly to physical illnesses, mental pressures and conditions can express themselves differently in different people. Gender can also be a factor in this respect. Saying that the differences can be attributed entirely to biological factors would be an oversimplification, however.

birgit-schmid
«The differences are more the result of a combination of biological and social factors.»

Birgit Schmid

Psychotherapeutin und Leiterin Psychologie, Onlinepraxis santé24

Psychological stress is more apparent in women

Conditions within the body, hormones and health risks all play an important role. But mental health is also influenced by social factors. According to the Federal Office of Public Health (FOPH), women are more likely to be affected by sexism and sexual harassment. They also do more unpaid work for their households and families. Together with the influence of societal role models, this can affect how mental problems are experienced, expressed and treated.

In addition, there are societal expectations and prejudices. “There is a prejudice that women are more emotional and less resilient,” says Schmid. Women’s complaints are sometimes perceived and classified differently to those of men. 

At the same time, many women find it easier to put a name to mental problems and seek help. “Women are more frequently socialised to be aware of their feelings, to talk about them, and to avail themselves of support.” This means that mental problems often become apparent earlier.

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Why men tend to delay seeking help

Men are often expected to be strong, rational and independent. “As a result, some men delay seeking help, or express their feelings of stress in a more indirect way,” the psychotherapist explains. Anxiety, helplessness and a need for support are often overlooked in men.

Problems such as loneliness, anxiety, separation crises or problematic consumption of alcohol or other substances can more easily go unnoticed in men. “That’s why changes in behaviour, hopelessness and comments such as ‘There’s just no point to it all’ should always be taken seriously, and addressed directly.”

More than simply a question of gender

Schmid stresses, however, that these differences should be seen as tendencies. “There are big differences within each gender.” Non-binary and trans people can also be exposed to additional pressures. These are often not a result of their gender identity itself, but instead stem from discrimination, social stigmatisation, a lack of acceptance, or barriers when it comes to accessing appropriate healthcare.

Gender is also just one of many factors that influence mental health. Culture, age, education, income, migration, sexual orientation and social security also play an important role. They influence how problems are experienced, perceived and treated.

Mental pressures have many different faces, so it‘s important to look at a person’s individual situation rather than relying on stereotypes.

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Focus on women’s health

From September to October, the Swica newsroom will be addressing the focus topic of “women’s health”. The two female-specific issues of endometriosis and menopause are examined from a political, psychological and health perspective. 

The articles can be found in SWICA's world of health.
 

Possible signs of psychological stress

Some forms of expression are more common in certain groups, but can still occur in people of any gender.

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    Prolonged fatigue

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    Depression

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    Anxiety

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    Problems sleeping

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    Inability to concentrate

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    Social withdrawal

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    Irritability

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    Loneliness

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    Increased consumption of alcohol or other substances

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    Working excessively

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    Avoidant behaviour

Topics in this story:
Women's health

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