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"Mad or Fine”: Why Men Deserve More Emotional Options

June 05, 20253 min read

Comedian Bill Burr once joked, Men aren’t allowed to be mad. We’re allowed to be one of two things—mad or fine. Like much of Burr’s comedy, it’s funny because it’s painfully true. This simple line captures something I’ve witnessed again and again as a therapist: many men have been conditioned to live within a brutally narrow emotional range, and it’s hurting them.

The Mask of “Mad or Fine”

For many men, anger becomes the only socially acceptable outlet for deeper, more complex emotions. Sadness gets channeled into frustration. Loneliness morphs into irritability. Fear hides behind a blank “I’m fine.”

But what happens when a human being, regardless of gender, is only allowed to feel anger or nothing at all? Emotional suppression doesn’t just go away. It leaks. It manifests as stress-related illnesses, strained relationships, panic attacks, or even substance use.

Therapy gives us a chance to unpack the anger and ask: What’s really underneath this?

Men Have Feelings, Too (They’ve Just Been Told Not to)

From an early age, many boys are taught that emotions like sadness, vulnerability, and fear are signs of weakness. They're told to “man up,” “be strong,” or “don’t cry.” Over time, these messages create an internal rulebook that says:

  • “I can’t ask for help.”

  • “I need to have it all together.”

  • “If I admit I’m struggling, I’ll be seen as weak.”

These silent rules leave many men emotionally isolated—not because they lack feelings, but because they've never been given the tools or permission to explore them safely.


Therapy: Not Just for “Crisis Mode”

Let’s be clear: therapy isn't about “fixing” anyone. It’s about making space for the full range of human experience—grief, joy, anger, anxiety, confusion, hope, shame, and yes, even numbness.

In therapy, I work with men who are:

  • High-functioning but deeply lonely

  • Angry but don’t know why

  • Struggling in their relationships despite trying their best

  • Feeling numb, burnt out, or like something’s missing

When given the space to talk freely, many discover that beneath the anger is grief. Beneath the withdrawal is shame. And beneath the “I’m fine” is a desperate need to feel seen and understood.

Dispelling the Myths

Let’s debunk a few things:

  • Therapy is not weakness.
    ✅ It’s self-awareness and emotional courage.

  • Men don’t need to talk about their feelings.
    ✅ Men are human. Emotions aren’t optional—they’re just often hidden.

  • Anger is just anger.
    ✅ Anger is often a
    cover for fear, shame, hurt, or helplessness.

A New Narrative for Men

It’s time we move past the “mad or fine” binary. Men deserve more emotional options. They deserve relationships where they feel connected, lives that feel meaningful, and minds that feel calm. Therapy can be a starting point for that kind of healing.


Whether you’re dealing with anxiety, work stress, relationship strain, or just feeling “off,” you don’t need to wait until things fall apart. You don’t have to carry it all alone. You don’t have to be just “mad” or “fine.”

You can be real. You can be heard. You can feel.

And that’s not just okay—it’s powerful.


Sari Neave, LMSW is a licensed psychotherapist and executive coach dedicated to helping individuals break free from self-doubt, worry, eating disorders, and life challenges. She believes in a collaborative therapeutic alliance, tailoring a combination of approaches to meet each client’s unique needs because there is no one-size-fits-all solution. Contact her at sarineave@gmail.com to learn more about how you can work together to achieve your goals.

Sari Neave

Sari Neave, LMSW is a licensed psychotherapist and executive coach dedicated to helping individuals break free from self-doubt, worry, eating disorders, and life challenges. She believes in a collaborative therapeutic alliance, tailoring a combination of approaches to meet each client’s unique needs because there is no one-size-fits-all solution. Contact her at [email protected] to learn more about how you can work together to achieve your goals.

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