Not all cases of depression are the same. Some individuals smile, perform their work and social duties, and even achieve a measure of success, all while seemingly battling a tempest within: This is known as high functioning depression. It is a condition that poses substantial risk and goes unacknowledged because it does not resemble the more “typical” forms of depression. This type of mental health condition can sometimes be regarded as “high functioning” simply because an individual may not be entirely incapacitated or bedridden.

In this blog, we will piece together the signs of high functioning depression in terms of functional depression symptom identification, and assist you in distinguishing between merely existing and genuinely living.  

What is High Functioning Depression?

High functioning depression (HFD), sometimes referred to as dysthymia or persistent depressive disorder, is a form of depression that is chronic in nature. The symptoms are not as severe as in case of major depression, but they are longer lasting and can disrupt your daily functioning.  

In simple biology, HFD sufferers appear to have everything that the average individual envisions as a successful life. They attend school or work, handle other day-to-day activities including washing and cleaning, as well as socialize, all of which suggests that they are leading an active and productive lifestyle. But beneath the surface, they could be despairing and grappling with feelings of self hatred and exhaustion day in and day out.

Signs of High Functioning Depression You Shouldn’t Ignore

Identifying someone with this condition is not easy. Let us work you through some very subtle yet powerful signs of functional depression.

1. Constant Tiredness – Tiredness accompanies you even when you’ve had a full night sleep.
2. Low Self-Worth – You believe that you don’t deserve the recognition you’re given and that you’re not noteworthy.
3. Lack of Joy – Things that once filled you with happiness will no longer elicit joy.
4. Overthinking & Guilt – You repeatedly analyze events and conversations and tend to put an unhealthy amount of blame on yourself.
5. Forced Socializing – You show up to social functions due to being required to, not because you enjoy them.
6. Perfectionism – Your expectations of yourself fall under the category of being excessively high and nothing feels rewarding.
7. Irritability or Frustration – Minor matters appear to be majorly intrusive and can feel exhausting both mentally and physically. 

If these symptoms sound relatable to you, know that you are not alone.

High Functioning Anxiety and Depression – A Hidden Combo

The bulk of people do not notice how it is possible to simultaneously have anxiety and depression. This combination often results in emotional exhaustion. 

• Anxiety The need to get work done, meet deadlines, and strive for flawless work is what you would call compelling anxiety.
• Depression On the contrary, depression makes them feel empty, exhausted and listless.

This constant war within can be so resource consuming. It’s like saying you’re running a marathon, no really, but your every day feels repetitive.

Self-Diagnosis: Examining High Functioning Depression Symptoms

While receiving a formal diagnosis is important, consider this quick self-check to aid in your reflection: 

• Do you experience emotional numbness most of the days? 
• Are you perpetually exhausted but are still getting things done? 
• Do you keep your feelings hidden from family or coworkers? 
• Do you feel a sense of emptiness even when things are comparatively better? 
• Do you unfavorably assess your worth or purpose in life often? 

If the answer is ‘’yes’’ to three or more of these questions, it could be beneficial for you to seek the assistance of a mental health care professional. 

Why High Functioning Depression Goes Undiagnosed

Due to the “well-functioning” persona that people with HFD tend to project, their problems are often overlooked, sometimes even by themselves. 

• Family and friends might simply brush it off as, “You’re just tired,” or, “Everyone feels this way.” 
• You may find yourself thinking, “I’m just stressed,” or “It’s not that serious.” 

However, putting aside one’s symptoms could result in long-lasting damage emotionally, relationally, even physically. 

How to Get Help and Start Healing

If you suspect that you may be suffering from high functioning depression, here are some steps for you:

1. Talk To Trustworthy People: Diagnosis and step-by-step guidance shouldn’t come from non-trained friends. Make an appointment with a trained therapist or psychiatrist.
2. Explore Therapy Options: Counseling, talk therapy, or even cognitive behavioral therapy (CBT) can be highly effective.
3. Practice Self-Compassion: Accepting struggle as part of life is perfectly fine. Your suffering is real.
4. Create a Support System: Even having a single supportive friend can greatly improve your mental state.
5. Focus on Rest and Routine: Sleep, nutrition, and exercise are crucial so aim for optimal rest. Minor adjustments = major results.

You Are Not Alone And Your Pain Is Valid 

Your ability to function does not mean you are okay. It is important to acknowledge that high functioning depression tends to rob one of their happiness, silently, daily. But, with adequate awareness, support, and care, healing absolutely is possible. 

If you, or a loved one, resonate with this, consider seeking a mental health professional. You deserve more than just “getting through the day”. Instead, you deserve to really live each and every day.