I have to add something from my own perspective:

Some of us (men) try REALLY hard. We aren't perfect. Especially when we have mental health 'issues' we are dealing with. Society, family, friends aren't very "understanding" when we admit to having "emotional issues". Many of us grew up with mom's and dad's of the generation who believed it was WEAK to ask for help, especially psychological help.

So we push on and try to hide it and we hide it so well sometimes we convince ourselves that our actions and thoughts are sane and rational.

A lot of times, we 'sense' our wife is unhappy, but most of the time we don't know WHY -- we can be very THICK HEADED like that !!!

We usually never ask, but we always silently look for guidance, support, even a slight kick in the *** so we know you care and also to bring us back on course.