Word count: 5726 (including references)This paper has not been published elsewhere and it not under consideration for publication elsewhere.The authors report that there is no conflict of interest in respect of this publication.What do counsellors need to know about male depression? 2 Suggested title: What do counsellors need to know about male depression? AbstractThe lower reported prevalence of depression in men has been related to depression not being as well-recognised in men as it is in women. We sought to understand the clinical under-recognition of depression in men by reviewing some of the key evidence on male depression, concentrating on practices in the UK. Additionally, we aimed to draw conclusions that would contribute to the improvement of health promotion and of the diagnosis for male depression. Our perusal of the available evidence has revealed that some depressed men experience significant difficulties not only in disclosing but also in identifying their depression and that men often exhibit atypical symptoms such as anger. Furthermore, depressed men are often involved in attempts to self-manage their depressive symptoms. This stoic approach compromises the wellbeing of depressed men and it discourages them from accessing appropriate support resources. We conclude with suggestions for practice and research.

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