This article is a summary of a heartfelt conversation from the Giving Voice to Depression podcast, hosted by Terry McGuire. Each week on the podcast, Terry shares honest, vulnerable conversations with people who live with depression, as well as experts and professionals who offer insights into mental health challenges and recovery.
In Episode 358: “Rebranding MENtal Health,” Terry and her guest co-host — social worker and educator Carly McCollow — sit down with Ethan Getchell, a mental health counselor whose life took a profound turn after the suicide of his brother. What followed was a journey from grief to purpose, as Ethan dedicated himself to rethinking how we approach men’s mental health.
This episode doesn’t just explore why men struggle to open up; it offers practical, compassionate strategies to meet them where they are. Below, we explore 9+ powerful insights from this conversation that can help us all better support the men in our lives — and remind anyone struggling that they are not alone, and there is always a path forward.
Many of us grew up with stories — from movies, TV, even childhood role models — about the tough, independent man who can handle anything on his own. Ethan explains that in the U.S., the idea of the “lone cowboy” or the rugged individualist is deeply ingrained.
Ethan Getchell says:
We haven’t been taught how to build our tribe and community, or how to be vulnerable and emotional.
But the truth is, no one can or should go through life alone. The image of the man who never needs help leaves many men isolated when they inevitably face hardship.
Compassionate reminders:
The COVID-19 pandemic showed just how fragile many people’s mental health really is — especially for men who were used to distracting themselves with work, hobbies, or sports.
Ethan says:
That’s where covert depression really takes its biggest form … when you’re isolated in your house, you’re forced to sit with your thoughts.
When the distractions fall away, many men realize they’ve been carrying unspoken pain for a long time. But without support systems or emotional tools, they may feel stuck or overwhelmed.
Encouraging takeaways:
Ethan makes an important point: many men avoid therapy because they don’t like how it’s been “sold” to them.
Ethan says:
Why aren’t we getting men into therapy? It’s because the marketing in what men conceptualize and think of when they hear therapy kind of sucks right now.
He points to campaigns like Man Therapy, which use humor and relatable imagery — like “A mustache is no place to hide your emotions” or “Never ignore your mind’s check engine light” — to make mental health care approachable and less intimidating.
We all have a role in this rebranding. Whether you’re a therapist, a friend, or a loved one, the language you use matters.
Ways to help reshape the narrative:
For some men, the idea of sitting face-to-face in a therapy room talking about feelings is daunting. Ethan adapts his therapeutic approach by starting with behavioral change — something concrete and measurable.
He uses tools like the Habit Share app (which he emphasizes he has no affiliation with) to help clients track daily habits and build momentum.
Ethan says:
You start to acknowledge that your thoughts are influencing you, affecting you — and it’s done through a rebranding and communication style that says, ‘Hey, we’re doing therapy right now, and it’s not hurting you.’
By focusing on behaviors — eating well, exercising, maintaining routines — Ethan helps clients strengthen their mental health in a way that feels tangible and nonthreatening.
Practical tip: Focus first on what you do, and let deeper emotional insights follow naturally over time.
In moments of darkness or overwhelm, it’s easy to neglect the basics — but those basics are the foundation of well-being. Ethan uses the metaphor of the four elements to help his clients remember what matters most:
Ethan says:
The first step to making it better is taking care of the things that sustain your life. In Maslow’s hierarchy, take care of your basic needs first. Even when they’re in a heightened state, they can come back to those four.
These simple, grounding checks can make all the difference when someone feels untethered or overwhelmed.
Encouraging reminder: You don’t have to solve everything today. Start with the basics, and build from there.
Ethan explains that therapy often unfolds in two phases:
Ethan says:
Once you’re not putting out fires, you can start to explore … then you start to learn some of your strengths, weaknesses, passions.
This compassionate framing reassures us that needing crisis help is not failure — it’s the first courageous step on a longer, richer journey.
One of Ethan’s most profound observations is that many young men come to therapy because they don’t have anyone else who truly listens.
Ethan says:
It’s amazing how with just enough persistent, patient listening, you can get them to come out of their shell.
If you have a man in your life who’s struggling, remember: you don’t need to fix him. You don’t need to lecture or advise. You just need to show up, stay curious, and hold space.
Loving ways to listen:
It’s common to hear people say things like “Dude, you need therapy,” — but that kind of framing can feel shaming or accusatory. Carly highlights how shifting the invitation can make all the difference.
Instead of confronting, try:
As Carly McCollow says:
Even if we change our tone, the voice inside that person’s head might still hear judgment. But if we frame it as concern and care, it’s easier to accept.
The goal isn’t to push people into therapy — it’s to remind them they deserve care, connection, and support.
Direct, eye-to-eye conversations can feel intimidating — especially when emotions are involved. Ethan and Carly both emphasize the power of shoulder-to-shoulder connection:
Terry McGuire says:
It’s easier to talk when you’re not looking eye to eye … if you’re in the car, or shooting hoops, or walking together.
These parallel spaces lower defenses and make vulnerability feel safer.
Examples:
These aren’t just casual hangouts — they’re quiet invitations to share, support, and remind someone they’re not alone.
Job loss, relationship changes, illness, parenthood — these life transitions can shake even the most grounded people. Therapy and community support aren’t just for “crisis” moments; they’re tools we can all lean on to navigate life’s ups and downs.
Terry says:
You don’t have to be embarrassed. Therapists have heard it before … they hear regularly from people who have really hard times with all kinds of things.
Let’s break the chain: when we get support for ourselves, we ripple that healing outward to the people we love.
This episode of Giving Voice to Depression offers a deeply hopeful and uplifting reminder that meaningful change is not only possible on the individual level, but also across families, communities, and our broader culture. By opening up conversations that challenge outdated ideas about masculinity, strength, and emotional resilience, we begin to create a society where mental health struggles are met with understanding, not judgment.
As Terry so thoughtfully says, these are not merely “difficult” or “uncomfortable” conversations — they are necessary ones. When we rethink how we present therapy, when we invite men into spaces of support with genuine compassion, and when we work intentionally to make vulnerability feel safe rather than shameful, we take important steps toward building a world where no one feels they must suffer silently or carry their burdens alone.
If you or someone you care about is navigating mental health challenges, please remember this: you don’t have to walk this road in isolation. There are caring people ready to listen, to stand beside you, and to remind you — again and again — that healing is not only possible, but that you are deserving of it. You are worth the care, the support, and the hope that recovery can bring.
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