Why Men Literally Start Dying When They Lose Purpose

Article | Self-acceptance

Have you ever noticed that most men who “keep it together” aren’t actually held together by friendship, hobbies, or even family in the first place — but by a quiet, constant feeling that tomorrow they’ll be at least one millimetre closer to something that matters?

The moment that feeling disappears — career stalls, business collapses, kids grow up and leave, sport stops exciting — a man doesn’t just feel sad. He starts physically falling apart. Apathy, insomnia, a drink in the evening “just to unwind,” and then a morning emptiness so heavy you want to crawl back into bed and never get up.

This isn’t whims or weakness. It’s biology + culture working together with the precision of a serial killer.

Dopamine Doesn’t Ask — It Demands

Picture a conveyor belt in your head. On it are little candies called “dopamine.” For women, that belt can often start moving from good conversation, hugging a child, a great series, or social bonding. For most men, there’s basically one big red button that starts the belt: “I’m moving toward a goal and I can see progress.”

[Image of dopamine reward pathway diagram]

Research in behavioral psychology and neurobiology has increasingly shown that the link between dopamine levels and the sense of “progress in life” is distinct in the male brain. When progress is there — dopamine flows steadily, mood is stable, sleep is solid, immunity holds. When progress disappears for longer than 4–6 weeks — the system literally starts starving. It is a chemical hunger in the brain.

That’s why a man who loses his job often can’t “just take a month or two off and recover.” His brain doesn’t know how to rest without purpose, just as lungs don’t know how to store oxygen for later use.

Self-Worth Stitched to Achievement

When psychological surveys ask men and women, “What does your sense of self-worth depend on most?”, the divide is often stark.

Top answers often cited by women:

  • Quality of relationships
  • How good a mother/wife/friend I am
  • Health and appearance

Top answers often cited by men:

  • Being able to provide for myself and those close to me
  • My professional/financial growth
  • Respect from other men
[Image of Maslow hierarchy of needs diagram]

In other words, many men have their self-esteem sewn to external markers of success much more tightly than to the inner feeling of “I’m a decent guy.” When those markers vanish, self-worth falls into an abyss, and the man often can’t even explain why he feels so bad: “Money’s fine, kids are healthy, wife isn’t nagging — but I feel like I’m in a hole.”

Why “Just Go to Therapy” Often Doesn’t Work

Most men who walk into therapy for the first time say the exact same sentence: “I don’t know what’s wrong with me. Everything seems fine, but I feel dead inside.”

Therapists have long noticed a critical error: if you only teach such a man to “accept emotions” and “cry when you feel like it,” the effect is often zero or even negative. The problem isn’t that he can’t cry. The problem is that he has nothing to hold on to.

That’s why modern approaches to male burnout (such as Behavioral Activation protocols) don’t start with emotions. They start with rebuilding structure:

  1. Find at least one area where you can see weekly progress (doesn’t have to be career — it can be fitness, fixing the garage, learning a language, volunteering).
  2. Make that progress measurable and visible (charts, before/after photos, numbers).
  3. Add minimal social accountability (coach, training partner, Telegram group — someone you won’t want to lie to).

Only then, once the dopamine belt is running again, do we start working on emotions, vulnerability, and closeness. The paradox: once a man has a purpose again, he suddenly starts talking about feelings on his own. Without purpose, those topics feel “unmanly” and pointless.

What to Do Right Now If You Feel the Void

Don’t wait until it gets unbearable. Here’s a simple but brutally effective protocol that has been proven by hundreds of men. It focuses on action, not introspection.

[Image of Ikigai concept diagram]

1. The Audit
Take a sheet of paper and make three columns:

  • What am I better at than 90% of people around me?
  • What do I at least not hate doing?
  • What are people willing to pay me for or thank me for?

The overlap of these three circles is your goal for the next 6–12 months.

2. The Sprint
Break it into a 12-week sprint with a measurable result. Example: “Increase freelance income by 40%,” “Run 10 km non-stop,” “Launch my own podcast.”

3. The Accountability
Find at least one person you’ll report to once a week. Shame works better than any willpower.

4. The Micro-Win
Celebrate small progress every 7 days. Not “when I reach the big goal,” but right now. The brain learns from every step, not just the finish line.

The Uncomfortable Bottom Line

Money, status, a nice car — all good. But if there’s no feeling of “I’m moving and growing” behind them, they won’t save you from depression.

The real scarce resource for the modern man isn’t time or money. It’s a purpose that is bigger than him and at the same time belongs only to him.

Find it — and you’ll live.
Don’t find it — and you’ll slowly die with your eyes open, even if everything “looks fine” from the outside.

So don’t put it off. Paper and pen — right now.
Your psyche isn’t waiting for hugs. It’s waiting for the command “forward.” Give it.

Real sources worth reading:

  • Andrew Reiner, Better Boys, Better Men (2020)
  • Research on "Purpose in Life as a System That Creates and Sustains Health and Well-Being" — Psychology & Health (Recent findings)
  • Academic literature on Behavioral Activation for depression (The clinical basis for the "Action First" protocol)

You can check everything yourself if you want.
But better yet, don’t waste time on that.
Waste it on the first step instead.