Recovery challenges traditional ideas of masculinity by showing that strength isn’t just about stoicism or self-reliance. Men are often socialized to suppress emotions, avoid vulnerability, and “handle problems on their own.”
For men who struggle with addiction, these concepts of masculinity can make it harder to seek help, engage in therapy, or maintain long-term sobriety. Men’s rehab programs recognize this and encourage a broader, healthier understanding of masculinity, one that embraces emotional awareness, self-care, and connection as essential tools for recovery.
Healthy masculinity emphasizes accountability, emotional regulation, and supportive relationships. Rather than framing vulnerability as weakness, it positions the ability to express feelings, ask for help, and maintain close social bonds as markers of true strength [1].
Programs like Holdfast Recovery that teach these skills in practical, action-oriented ways through peer support, coping strategies, and structured exercises have been shown to improve engagement and reduce relapse rates among men.
Healthy Masculinity vs Toxic Masculinity
| Trait/Behavior | Healthy Masculinity | Toxic Masculinity |
| Emotional Expression | Open, regulated, constructive | Suppressed, aggressive, avoided |
| Strength | Measured through accountability and perseverance | Defined by dominance and control |
| Seeking Help | Normalized, encouraged | Seen as a weakness |
| Relationships | Nurturing, supportive | Detached or competitive |
| Self-Image | Growth-oriented, self-respecting, and willing to change | Overly self-reliant, stoic |
How Does Gender Influence Recovery?
Sex and gender can influence the recovery journey from addiction due to social and biological differences, as well as barriers in access to treatment. Some gender differences in substance abuse disorders include [2][3][4]:
- Hormones: Hormonal differences can heighten sensitivities to certain drugs and alcohol and affect responses to treatment.
- Metabolism: Men and women may detox at different speeds due to body composition and metabolism.
- Social Stigmas: Men and women face different pressures in society that often influence their patterns of substance use and recovery. While men are more likely to struggle with a substance use disorder (SUD), they are less likely to seek treatment.
- Co-occurring Disorders: Men typically struggle with higher rates of co-occurring bipolar disorder and ADHD, while women have higher rates of co-occurring trauma and PTSD.
- Work Culture: Male-dominated fields such as the military, police force, and sales and finance have some of the highest rates of substance use.
- Genetic Vulnerabilities: Certain variants of the 5-HTTLPR gene have been linked to increased male risk of developing a substance use disorder.
- Other Risk Factors: Men are more likely to use drugs at a younger age and more likely to cope with emotional challenges through substance use.
The Importance of Men’s-Only Rehabs
Gender-specific rehabs and rehab for men address these unique differences as part of a personalized treatment plan. Men’s-only rehabs focus on action-oriented recovery solutions and reframe healing not as “talking about your emotions all day in a therapy session” but as learning practical strategies to regulate your emotions and nervous system.
Men are more likely to relapse than women, often influenced by factors such as lack of connection, living alone, or the stress of being a sole provider. Men’s rehabs acknowledge this and emphasize alumni programs to encourage brotherhood and community, as well as ongoing case management support to keep them connected with supportive social or financial services [5].
By creating environments where men feel understood and supported by peers with similar experiences, gender‑specific rehabs can improve engagement, increase retention, and completion rates.
Common Challenges Men Face In Addiction
Men face several challenges that can shape their recovery journey and should be considered in gender-specific treatment. Some of these include [6]:
- Isolation: Men tend to have weaker support networks than women, and friendships are often centered around activities or just “hanging out” rather than deeply connecting or sharing emotional challenges with each other, as historically, masculinity framed this as weakness.
- Provider Pressure: Men, especially those from traditional homes, often have high expectations to be the primary source of income for their families.
- Difficulty Expressing Emotions: Holding in emotions, especially if struggling with underlying mental health problems or trauma, only reinforces patterns of drug and alcohol use by using substances to numb out any distress.
Therapies for Men at Holdfast Recovery
Cognitive Behavioral Therapy (CBT): Restructure negative thinking patterns that drive addiction and build a toolbox of coping strategies to prevent relapse and set goals.
Dialectical Behavior Therapy (DBT): Increase your tolerance for negative emotions, learn grounding techniques to stay present in the moment, and develop skills to repair broken relationships.
Group Therapy: Build brotherhood in a safe space to connect and be vulnerable while practicing healthy masculinity and leadership skills, such as empathy, open communication, and accountability.
Family Therapy: Repair relationships with loved ones through boundary setting, active listening, and empathetic communication, and address deep trauma wounds in the family system that drive dysfunction in the home.
Equine-Assisted Therapy: Increase trust and practice emotional expression, working alongside horses, offering a hands-on approach to processing distress and rebuilding a sense of purpose.
Seeking Support Is A Sign of Strength At Holdfast Recovery
Seeking help is about restoring your power, rebuilding your spirit, and reclaiming your life with proven therapies designed for men who want real, lasting change. At Holdfast Recovery, we help men break cycles of addiction, trauma, and depression and find support through Christ-centered care and personalized programs.
We combine strength training, outdoor recreation, horseback riding, and emotional skill-building to help you develop positive coping strategies and find strength in recovery.
Contact our admissions team to coordinate the insurance process and take the first step toward self-transformation today.
Sources
[1] River, J. et al. (2018). Masculinity, Social Connectedness, and Mental Health: Men’s Diverse Patterns of Practice. American journal of men’s health, 12(5), 1247–1261.
[2] Vanderplasschen, W. et al. (2022). Differences in addiction and recovery gains according to gender – gender barriers and specific differences in overall strengths growth. Substance abuse treatment, prevention, and policy, 17(1), 21.
[3] Contreras, A. et al. (2020). Male-Dominated Occupations and Substance Use Disorders in Young Adulthood. American journal of men’s health, 14(2),
[4] National Institute on Drug Abuse. 2024. New NIH study reveals shared genetic markers underlying substance use disorders.
[5] Green C. A. (2006). Gender and use of substance abuse treatment services. Alcohol research & health: the journal of the National Institute on Alcohol Abuse and Alcoholism, 29(1), 55–62.
[6] National Institute on Mental Health. Men and Mental Health.