A consistent theme for the majority of men in the United States remains the code of manhood. Men are expected by society to be stoic in the face of danger and to play out, in all aspects of life, the idea of the rugged individual going it alone, even in the face of a quickly changing world. Whereas social-work theorists and practitioners talk about male aggression, sexuality, intimacy, depression, anxiety, addiction, ageing, and work-related concerns, most men are less likely to view these as problems. If they do enter into counseling or treatment, they are less likely to remain for any length of time. Faced with these issues, practitioners are challenged to find ways of engaging men and forming successful collaboration and meaningful outcomes.