Your mid-life crisis is here for a reason. I recommend you learn from it.
Most of us travel through life making decisions that get us where we think we want to go. Sometimes it’s not until we get there that we realize we ended up in the wrong place. You may start to feel discontent. Short-tempered. Bored. Depressed. Relationships start to suffer. You feel distant. Disconnected.
And then come the fantasies.
The sports car. The affair. The cabin in the woods. Leaving it all behind.
Some people act on these fantasies with varying degrees of success. Maybe they leave their family and steal away with the secretary. Maybe it will last. Maybe it won’t. Maybe you quit your job and move to Costa Rica to take up surfing. Maybe it gives you everything you feel you’re missing. Maybe it doesn’t.
But whether you act to pursue fantasies or not, they are important to pay attention to. A mid-life crisis is here for a reason. The fantasies are your clues. They are your friends. Your teachers. Do not fight with them but ask, rather, “why are you here?” Then and only then, when you feel like you are sure you have your answer, decide what to do.
The discontent rarely arrives all at once. It’s more like a slow leak—you don’t notice it at first, but eventually something feels off. You might find yourself daydreaming during meetings, scrolling through real estate listings in foreign countries, or feeling a tightness in your chest when you pull into your driveway. These aren’t character flaws. They’re signals worth investigating.
I’ve sat with countless clients who describe feeling like they’re going through the motions. The routine doesn’t make sense anymore, but everyone else seems fine with it, so you keep showing up. Until one day, you can’t.
In this special roundtable episode of the Men’s Therapy Podcast, host Marc Azoulay is sitting down with three leading voices in men’s mental health. Dr. Tamra Sattler is a therapist working with couples and men in Boulder. Jack Lambert is a licensed mental health counselor in New York City. And Dr. John King is a trauma expert and speaker.
Together, they are unpacking what it really means to go through a midlife crisis. It is a term often misunderstood and oversimplified.

The discontent of a crisis rarely arrives in an instant. It’s typically the product of a slow build over years and years, perhaps a lifetime. Maybe something happens to speed things along like getting passed over for a promotion, or having a medical scare that adds a sense of urgency to your bucket list. Whatever the case, I don’t think there is a correct answer. While I’ve said that a mid-life crisis arrives for a reason, it’s more accurate to say that it arrives for reasons, and that those reasons are complex, unique and very specific to each person.
Perhaps you got married young before you knew who you really were and find yourself 25 years into a marriage and a life that isn’t well suited for you. Maybe you married a woman and you realize now that you’re attracted to men. Or maybe, and this is one I see a lot of, you recreated your painful family of origin by choosing a partner who’d allow you to play the same unfulfilling role you grew up playing, the only one you’ve ever known? Maybe your parents loom larger than you’ve acknowledged and you fought through all those years in medical school chasing the approval that you still haven’t found? Or maybe you’re a classic people pleaser, having learned to orient around others’ needs and wants and you have an impossible time identifying your own. And I could keep going. The reasons why a mid-life crisis may visit are as numerous as the people on earth.
There’s a particular kind of exhaustion that comes from spending decades performing a version of yourself that isn’t quite accurate. It’s not that you’ve been lying, exactly. It’s more that you’ve been rounding up or down, smoothing out the rough edges, making yourself fit into spaces that were almost the right shape. Almost.
This fatigue accumulates. And somewhere around your forties or fifties, it catches up with you. The body keeps the books, and eventually you get the bill. That bill might look like chronic pain, anxiety that won’t quit, an affair that surprises even you, or a sudden compulsion to buy a motorcycle you don’t know how to ride.
I had a client once who put it perfectly. He said, “I feel like I’ve been holding my breath for thirty years, and I just realized nobody asked me to.” That’s the thing about these patterns—we often don’t even remember why we started them. We just know we’re tired of maintaining them.
In this episode of the Men’s Therapy Podcast, Marc Azoulay welcomes coaching psychologist and author James Davis. He unpacks one of the most under-discussed phases of a man’s life: the midlife crisis. Davis specializes in hormone health and andropause (commonly referred to as “male menopause”). He offers much-needed insight into the challenges that men experience from their 40s onward.
Sometimes a mid-life crisis isn’t about the present at all. It’s about the past reaching forward, tapping you on the shoulder, asking to be addressed. The dream you abandoned at 22. The relationship that ended badly and you never got closure. The parent who died before you could say what you needed to say. The version of yourself you left behind when you made what seemed like the responsible choice.
These things don’t just disappear because we stop thinking about them. They sit there, waiting. And eventually, when you’re least expecting it—usually around the time you think you’ve got everything figured out—they show up demanding attention. Your mid-life crisis might actually be an invitation to complete something you started long ago and never finished. Not to go back—you can’t—but to integrate what you learned, to retrieve what you left behind, to honor what you sacrificed.
So, what should you do?
It’s both incredibly simple and immensely difficult. Any child could do it with decades of practice.
Go to counseling. Join a group. Confide in people who you trust to see you accurately. Turn your focus toward yourself, rather than whatever specific fantasy has caught your attention. Ask yourself lots of questions. Be curious and interested, open and courageous. Research your own mind 100x more than you’d research real estate in the Caribbean. After all, it’s you who’s suffering so make sure you are at the center of the solution.
In this episode of the Men’s Therapy Podcast, host Marc Azoulay sits down with Dr. Scott Conkright. He is a clinical psychologist and the creator of Affect Relational Therapy. Scott is also the host of the Meaningful Happiness Podcast and is known for his pioneering work on chronic shame syndrome and relational therapy. Dr. Conkright is presenting a bold new framework that he calls Late Adolescence. It is a psychological stage that helps men reimagine life after midlife.
I mean it. I can’t give you any good advice without a really deep understanding of you and your situation. Stay away from any guidance that anyone gives you without asking you lots of questions first as hasty advice is almost surely about who’s giving it, and not who’s asking for it.
Mid-life crises typically visit in the form of external fantasies, or an inclination to act on external circumstances; a marriage, a career, a location; yet at their core they are an internal experience, one based inside our sentient minds and bodies. There can be no crisis if there’s nobody there to suffer from it. Be very wary of this classic setup—external solutions to solve internal problems.
Not to say that it never works, but that what I see all too often are people pursuing external solutions to internal problems that aren’t well defined. If it does actually work to leave your wife and steal off with the secretary, it may have more to do with chance than you’d like to think. Or, worse yet, requires some different kind of mental gymnastics in order to preserve this new reality.
If the early signs of a midlife crisis are starting to show up in your life,
you don’t have to wait for the breakdown.
In individual therapy at Men’s Therapy Online,
we’ll help you get clear on what’s missing, reclaim your sense of self,
and create a life that feels alive again—without burning it all down.
I’ve seen people make catastrophic decisions in the grip of a mid-life crisis not because change wasn’t necessary, but because they moved before they understood what they were actually trying to change. They made huge, permanent decisions based on temporary feelings.
The fantasy feels so compelling precisely because it promises relief from discomfort. But if you don’t understand what’s creating the discomfort, you might just be trading one set of problems for another. The new partner might be exciting, but if you haven’t examined why you chose someone emotionally unavailable the first time, you’ll likely do it again. The new city might be beautiful, but if you’re running from yourself, you’ll arrive there too.
This isn’t an argument against change. It’s an argument for informed change. For intentional change. For change that comes from self-knowledge rather than self-escape.

Above all, I believe in the right to self-determination. The fact is that any hole in your understanding of why you feel what you feel is a grave threat to your agency. Do you really think it’s wise to leave it all behind without knowing everything you can about what you’re actually trying to achieve? What do you imagine that you’ll feel when you arrive at that off-grid farm? How well does that set of actions actually set you up to feel like you want to feel? If you don’t really know what it is you’re striving for, it’s hard to answer, and certainly not guaranteed to succeed. Limits to our self-awareness are direct limits to our agency.
But then again, maybe there’s no way to know before you just go through with it? There is something to be said for following your gut, not overthinking. Maybe all you can come up with is just the strong sense of being drawn to make a big change, but you can’t put your finger on exactly what you’re hoping it’ll do. That’s not necessarily a bad thing. In that case, I’d say know as much as you can about what would happen if it fails, and be open to the possibility that it might. Would you be able to move on if it didn’t pan out? How would you feel? Are you genuinely aware of the consequences, internal and external, if this doesn’t work?
You really can’t make a wrong decision if you really did everything in your power to try and make a good decision. There are really no right or wrong decisions, only decisions, and their ensuing effects. You’re a lot more likely to be content with a decision if you can honestly say that you knew what you were getting into and why. Perhaps that’s how we end up discontent in the first place?
The goal isn’t certainty—that’s impossible. The goal is to reduce the likelihood that five years from now, you’ll look back and realize you were running from something rather than toward something. To know that whatever you chose, you chose it with eyes open, with self-knowledge, with an honest accounting of what you were hoping for and what you were risking.
Your mid-life crisis is information. It’s feedback. It’s your psyche’s way of saying “something here needs attention.” Whether that something is your marriage, your career, your unprocessed trauma, your unexpressed self, or all of the above—that’s what the work is about discovering.
A mid-life crisis isn’t solved by running.
It’s solved by understanding what’s actually calling you to change.
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