The fork in the road: Why Work Stress Traps Men Between Loyalty and Self-Preservation
Many men do not go to therapy because something dramatic happened at work. They go because they feel stuck.
They feel torn between two competing realities:
Stay loyal to the team, the company, or the mission.
Protect their own mental health, stability, and future.
This internal conflict is one of the most common—and most exhausting forms of work stress in men.
Bound by loyalty
Men often feel bound to the meaning they give to past efforts, locked into their current commitments, and tied to future goals they have signaled they will contribute to. This leaves them pressed from two sides:
On one side:
Commitment to colleagues
Responsibility for outcomes
Pride in being dependable
Fear of letting people down
On the other:
Chronic stress
Loss of sleep
Irritability or emotional numbness
A growing sense that something isn’t sustainable
Neither path is clean. Staying feels costly. Leaving feels disloyal, and many men loathe disloyalty.
It’s not indecisive to weigh decisions. It’s responsible to feel stuck at times and eventually get unstuck.
When loyalty becomes a mantrap
Loyalty is often treated as a moral virtue in professional culture, especially for men in leadership or senior roles. But loyalty without limits quietly turns into self-sacrifice.
Men stay because they believe:
“If I don’t hold this together, it falls apart.”
“I can’t walk away from people who depend on me.”
“I should be able to handle this.”
“Leaving now would destroy everything I’ve built.”
Thinking like this can become a trap: the more you give, the harder it becomes to stop. The cost of this approach can become high, and sunk costs in this situation feel too big to step away from.
The mental health impact of being stuck
Living in this split for too long affects more than mood. Men under chronic decision stress often experience:
Constant mental replaying of scenarios
Anxiety about making the “wrong” move
Physical tension and fatigue
Difficulty being present at home
A shrinking sense of self outside of work
Many men feel ashamed and annoyed for struggling. But the problem isn’t a weakness; it’s carrying incompatible demands without support.
Why clarity, not action, is usually what’s missing
Most men don’t need someone telling them to quit or stay. They need help thinking clearly without pressure about the decision at the fork in the road.
When stress is high, the nervous system narrows its perspective. Everything feels urgent. Every option feels risky. Therapy creates space for reflection instead of reaction.
This is especially true when working with a male therapist who understands responsibility, leadership, and the pressure to “hold it together.”
Therapy for men caught between loyalty and self-preservation
Therapy focused on work stress can help you:
Separate guilt from responsibility
Understand why the decision feels so heavy
Reduce anxiety and improve sleep
Clarify values without rushing outcomes
Make choices from steadiness rather than exhaustion
Therapy isn’t about pushing you toward a specific decision. It’s about helping you own your reality and taking action to
You can decide in a team framework
No one has to decide on their own; sometimes the best therapy is practical, focused, and aimed at a decision that relieves tension and improves clarity. Working with an experienced therapist who is familiar with decision-making processes, keeps things focused, and delivers the goods can make good therapy because it’s outcome-led.
Dr. John Coumbe-Lilley, Ph.D, LPC, ALMFT
Schedule your intake today
