Content

This article explores the widespread, generational decline in testosterone levels among men and the significant mental health consequences that can result. Synthesizing current scientific literature, it presents low testosterone as a biopsychosocial issue that can lead to depression, anxiety, cognitive impairments, and emotional dysregulation across all life stages—from adolescence to older age. The article emphasizes how these symptoms are often misattributed or overlooked in psychotherapy, and it calls for greater clinical awareness, interdisciplinary collaboration, and nuanced therapeutic strategies. Case vignettes illustrate the subtle but profound impact of hormonal imbalance on male clients’ emotional and psychological well-being.

  • Understand the multifactorial causes behind the generational decline in testosterone among men globally.

  • Identify the psychological and cognitive symptoms commonly associated with low testosterone levels.

  • Recognize how low testosterone manifests differently across the male lifespan, including in adolescents, adults, and older men.

  • Learn to distinguish between symptoms of primary psychological disorders and those driven or exacerbated by hormonal imbalance.

  • Gain insight into assessment strategies and when to refer clients for hormonal evaluation.

  • Apply evidence-informed therapeutic approaches for supporting men struggling with the mental health effects of low testosterone.

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