Skip to main content

Why Does Modern Dating Feel Broken? | Dr. Mark Agresti

Dr. Mark G. Agresti, M.D. Mental Health

A generation ago, getting married by your mid-twenties was the default. Today the average American man doesn't marry until 30, and the average woman until nearly 29 — roughly seven years later than their grandparents. Marriage among young adults has fallen from 53 percent in 2005 to 38 percent in 2024. Something structural has shifted underneath dating and pair-bonding in this country, and it isn't just one thing. It's an economic squeeze, a cultural rewrite of what adulthood is supposed to look like, a technology that turned partner-selection into an infinite scroll, and a set of biological and pharmacological headwinds that are rarely named in the same conversation as "dating culture." As a psychiatrist who sees young adults every week, I think all four of these forces deserve to be discussed together, because in the exam room they never show up alone.

The Weight of the Math

Start with the plainest explanation, because it's the one patients bring up first: money. Committing to a partner has always meant committing to shared risk — rent, debt, eventually a child's needs. What's changed is the size of that risk relative to what a young adult actually earns. Home prices have outpaced wage growth for two decades, and researchers at the Institute for Family Studies and elsewhere have found that in higher-cost housing markets, both marriage and family formation get pushed later. It isn't that today's twenty-five-year-olds are less capable than their parents were. It's that the on-ramp to the milestones that used to signal "ready for marriage" — a stable job, an apartment or starter home, some savings — now takes longer to reach, and many people don't feel they can add a second person's needs, let alone a child's, on top of their own financial uncertainty.

This shows up clinically as a specific kind of anxiety: not "I don't want a family," but "I can't be responsible for another person yet." Caregiving — of a partner, of a child — requires a surplus of resources and bandwidth. When someone is already running a deficit, adding a dependent feels less like a joy to look forward to and more like a liability they can't underwrite. That's a rational response to real constraints, not a character flaw, and I try to name that explicitly with patients who arrive carrying shame about "falling behind."

Composite Patient Vignette

"Daniel," a 29-year-old software engineer, described wanting a family "eventually" but felt physically tense discussing it. He and his girlfriend had been together four years without moving in together. In session, the block wasn't about her — it was that he didn't feel he could add a mortgage, a wedding, or a child to a financial picture that already felt precarious. His anxiety wasn't relationship avoidance. It was resource math he hadn't said out loud.

A Cultural Script That No Longer Points One Direction

Economics explains the delay, but it doesn't fully explain the decline. Alongside the financial squeeze, the cultural script has genuinely changed. Marriage used to be presented as close to the only respectable adult path. Sociologists now describe a shift from what Brad Wilcox at the Institute for Family Studies calls "cornerstone marriage" — starting out together and building a life — toward "capstone marriage," where a wedding is treated as a reward for having already arrived, financially and personally, before committing. Singlehood, meanwhile, has been reframed by media, therapy-adjacent social content, and marketing as a legitimate, even aspirational, long-term identity rather than a waiting room before partnership.

There's a genuine upside to this: fewer people feel pressured into marriages that aren't right for them, and singlehood by choice is a legitimate way to live. But from a mental health standpoint, I've noticed a cost that doesn't get discussed as often — when there's no longer a clear cultural script pointing toward partnership, a lot of young adults are left without any script at all, partnered or single, and that ambiguity itself becomes a source of low-grade chronic stress. Humans generally do better with a clear "next step" than with an open field of equally valid options and no compass.

The Paradox of Infinite Choice

This is where dating apps and social media come in, and the effect is counterintuitive: more options don't produce more satisfaction, they often produce less commitment. Psychologists have long described a "paradox of choice" — when the number of options in front of us grows large enough, decision-making itself becomes aversive. We second-guess selections we've already made, we experience more regret about paths not taken, and we become more prone to indefinitely postponing a decision rather than risk making the wrong one. Dating apps turn romantic partner selection into exactly this kind of choice-overload environment: an effectively endless catalog of potential partners, each one just a swipe away from being replaced by the next.

Clinically, this often looks like a low-grade suspicion that whoever a person is currently dating might not be the "optimal" choice when a better one could theoretically be one swipe away — even when the current relationship is objectively going well. That mindset makes it hard to invest fully in one person, because full investment requires closing off the alternatives, and the app itself is a constant, visible reminder that the alternatives haven't gone anywhere. The result isn't usually a conscious decision to avoid commitment. It's a nervous system that's been trained by the interface to keep evaluating rather than settle in.

Biology in the Background: Testosterone and Antidepressants

There's also a biological layer to this conversation that rarely gets connected to the social and economic pieces, and it deserves to be discussed carefully rather than sensationally. Population-level studies, most notably the Massachusetts Male Aging Study, have documented a genuine generational decline in average testosterone among American men — roughly a 17 percent difference between men of the same age measured in 1987 and in 2004, a trend other cohorts internationally have echoed. That's a meaningful shift, though it's smaller than some circulating claims of a 40–50 percent drop, and researchers still debate how much of it traces to rising obesity and sedentary lifestyles versus other factors like endocrine-disrupting chemical exposure, sleep loss, and chronic stress. Lower testosterone is associated with reduced libido, lower energy, and in some men, reduced motivation — all of which can quietly dampen the drive to pursue and sustain a relationship, even when someone consciously wants one.

Research Note

Meta-analyses of SSRI antidepressants find treatment-emergent sexual dysfunction in roughly 50–70 percent of users, with some direct-questioning studies reporting rates above 80 percent, most commonly delayed orgasm, reduced desire, and blunted arousal. Given how widely SSRIs are now prescribed to young adults for depression and anxiety, this is a substantial and under-discussed contributor to reduced sexual drive at a population level — separate from, and additive to, the testosterone trend.

Neither of these facts is a reason to avoid necessary treatment — untreated depression and anxiety are themselves corrosive to relationships, often more so than a medication's side effects. But it does mean sexual side effects deserve to be raised proactively, not discovered by the patient in silence, and treated as a legitimate clinical target: dose adjustment, timing changes, an antidepressant with a more favorable sexual side-effect profile such as bupropion, or an adjunct medication, are all real options. Physicians have historically underestimated how often this side effect occurs and how much it matters to patients, and that gap in communication has real downstream effects on relationships, not just on a single symptom checklist.

Why These Forces Compound Rather Than Add

None of these four forces — financial precarity, a cultural script that no longer converges on marriage, choice overload from dating apps, and reduced sexual drive from both hormonal trends and medication side effects — would necessarily be disqualifying on its own. People have partnered under financial strain before. People have used medications with side effects before. What's different now is that all four are operating on the same generation simultaneously, and they reinforce each other. Financial strain delays the "readiness" that the capstone-marriage script demands. The absence of a clear cultural script leaves more room for choice-overload to dominate decision-making instead of being counterbalanced by social expectation. And reduced libido, whatever its source, lowers the motivation to push through the effort that dating under those first three conditions requires. Each factor removes some of the friction that used to compensate for the others.

Understanding this as a systems problem — rather than as a referendum on any one generation's character, work ethic, or commitment to love — matters clinically. Patients who internalize "something is wrong with me" for being single, ambivalent, or slow to commit are carrying a burden that belongs, in large part, to housing markets, app design, and prescribing patterns. That reframe doesn't solve the problem, but it changes what kind of problem it is: less a personal failing to fix through willpower, more a set of conditions worth naming, discussing openly with a partner or a clinician, and where possible, actively working around.

What This Means in the Consultation Room

In practice, I try to separate the threads with patients rather than let them collapse into a single vague feeling of "dating is broken." If someone is on an SSRI and describes low desire, that's a specific, adjustable clinical variable — we can change something. If someone's hesitation is really about not feeling financially ready to take on another person's needs, that's worth naming honestly rather than pathologizing, and it may call for a very different conversation than a medication one. If the paralysis is choice-overload from constantly having new options presented, that's a behavioral pattern that can be addressed — often by deliberately narrowing the field rather than widening it. Lumping all of this together as "modern dating is hopeless" makes each piece harder to address. Separated out, most of these threads have real, specific levers.

Struggling with low drive, motivation, or relationship anxiety?

Dr. Mark Agresti provides integrative psychiatric care for young adults in Palm Beach and throughout Florida via telemedicine, addressing the medication, hormonal, and mental health factors that affect relationships and quality of life.

44 Cocoanut Row, Suite M202, Palm Beach, FL 33480  |  (561) 760-4107  |  [email protected]  |  DrMarkAgresti.com

Keywords: modern dating crisis, why marriage rates are declining, testosterone decline young men, SSRI sexual side effects, financial stress and relationships, paradox of choice dating apps, young adult psychiatry Palm Beach, integrative psychiatry Florida

Hashtags: #DatingCrisis #MarriageRates #MentalHealthMatters #YoungAdultPsychiatry #SSRISideEffects #TestosteroneHealth #PalmBeachPsychiatry #IntegrativePsychiatry