What is High Functioning Depression?
In a world that often celebrates productivity and achievement, it's easy to overlook the silent struggles of those experiencing high-functioning depression. While outwardly appearing successful and functional, individuals battling this condition often face a daily internal battle with persistent sadness, anxiety, and despair. In this blog, we'll explore what high-functioning depression is, its signs and symptoms, and how counseling can provide support and healing for those affected.
What is High Functioning Depression
High functioning depression is a form of depression characterized by individuals appearing functional and successful on the surface while silently battling with persistent feelings of sadness, anxiety, or emptiness. Unlike traditional depression, where symptoms may be more visible, those with high functioning depression often mask their inner struggles, making it challenging for others to recognize their emotional turmoil. Individuals tend to manage high-functioning depression by maintaining a facade of normalcy, often appearing cheerful and accomplished to the outside world all while grappling with feelings of emptiness, hopelessness, and fatigue.
Many individuals experiencing high-functioning depression receive a diagnosis of persistent depressive disorder (PDD), also known as dysthymic disorder. This type of depression is chronic in nature and typically presents with mild to moderate symptoms. While managing PDD, individuals may also experience major depressive episodes characterized by more severe symptoms.
Signs and Symptoms of High Functioning Depression
Even if people with high-functioning depression hide their feelings well, they still deal with emotional and physical symptoms that affect their daily life a lot. Even if others don't notice, these symptoms can really hurt their overall well-being. It's important to understand and notice these symptoms so we can help those going through them.
Persistent sadness: Feeling down or sad more often than you experience joy and happiness can be a sign of ongoing depression. This, coupled with the ability to continue living life as usual, can be a sign of high-functioning depression.
Fatigue: Feeling tired almost all the time, even when you've had enough sleep, can be a sign of an underlying issue, like depression.
Self-criticism: Being very hard on yourself, even when things are going well can be tied to high functioning depression.
Perfectionism: Individuals with high functioning depression can struggle with perfectionism to overcompensate from feelings of unworthiness.
Problems with Social Activities: It can feel difficult to engage with friends and family when you aren’t feeling your best. People with high functioning depression may attend social activities, but feel as though they are forcing themselves to go.
Irritability: Getting annoyed or upset easily can be a sign, as people struggling with depression can often have difficulty rationally processing emotions in the moment.
Completing tasks takes more energy: People with high functioning depression may be able to complete tasks however, it takes an enormous amount of effort to do so.
Sleep problems: Having trouble falling asleep, staying asleep, or sleeping too much.
Low self-esteem: Depression can hack away at our self-worth. Feeling like you're not good enough or comparing yourself negatively to others is a symptom to look out for.
Indecisiveness: Finding it tough to make decisions, even small ones, comes from the fear of making the wrong choice and staying “stuck”.
Major Depressive Disorder Vs High Functioning Depression
Major Depressive Disorder (MDD) and High-Functioning Depression are both forms of depression, but they differ in severity and presentation. MDD typically involves more pronounced and persistent symptoms, such as overwhelming sadness, loss of interest in activities, changes in appetite or sleep patterns, and thoughts of self-harm or suicide. On the other hand, high functioning depression often involves milder symptoms that are easier to conceal, allowing individuals to maintain their daily responsibilities while still experiencing internal turmoil.
The chart shows some different presentations of major depressive disorder versus high-functioning depression.
Who Can be at risk of high-functioning depression?
High-functioning depression, much like other types of depression, can impact people from various backgrounds, without a specific profile that fits everyone. Nonetheless, certain personality traits may correlate with a higher likelihood of experiencing high-functioning depression. These characteristics include:
Type A personalities – people who strive for success and achievement may be particularly at risk of high-functioning depression. This could be because they have high standards and put pressure on themselves to constantly appear like they have it all together.
People-pleasers – people-pleasers might be more likely to conceal symptoms of depression for fear of upsetting or disappointing people. They put others’ needs ahead of their own, sometimes neglecting the self-care that is vital to good mental health.
BIPOC communities – communities that have historically had limited access to mental health services may also be at increased risk of high-functioning depression.
Treatment Approaches for High Functioning Depression
Seek Professional Help: Reach out to a therapist or counselor who specializes in depression. Therapy can provide valuable support, guidance, and coping skills to manage symptoms effectively. Learn more about therapy for depression here.
Practice Self-Care: Prioritize self-care activities that promote relaxation and well-being. This may include getting enough sleep, eating a balanced diet, exercising regularly, and engaging in activities you enjoy.
Set Realistic Expectations: Challenge perfectionistic tendencies and set realistic goals for yourself. Break tasks into smaller, manageable steps and celebrate your achievements, no matter how small.
Develop Coping Skills: Learn and practice coping skills such as deep breathing, mindfulness, progressive muscle relaxation, or guided imagery to manage stress and reduce anxiety.
Stay Connected: Maintain social connections with friends and loved ones, even if it feels challenging. Sharing your feelings with trusted individuals can provide comfort and support.
Limit Stress: Identify and minimize sources of stress in your life where possible. Delegate tasks, set boundaries, and prioritize self-care to protect your well-being.
Challenge Negative Thoughts: Practice cognitive restructuring techniques to challenge negative thought patterns and replace them with more balanced and realistic perspectives.
Engage in Meaningful Activities: Participate in activities that bring you joy, fulfillment, and a sense of purpose. Whether it's hobbies, volunteering, or creative outlets, finding meaning in daily life can help combat feelings of emptiness.
Create a Supportive Environment: Surround yourself with supportive people who understand and validate your experiences. Joining a support group or online community can also provide a sense of connection and belonging.
Be Patient with Yourself: Remember that healing takes time, and it's okay to have setbacks along the way. Be kind and compassionate towards yourself as you navigate your journey towards recovery.
Find Relief From Depression In houston, texas
If you're facing the silent struggle of high functioning depression, know that you're not alone. Seeking support is a courageous step towards healing and reclaiming your well-being. Our therapy services offer a safe space to explore your feelings, develop coping strategies, and embark on a path towards greater emotional resilience. Reach out today to begin your journey towards healing.
