How to Manage High-Functioning Depression

Man sitting on the ledge of a building looking depressed with his head down

When we think of depression, we often imagine someone who is unable to get out of bed, who struggles with daily tasks, and whose sadness is visible to the outside world. But depression doesn’t always look that way. There’s a form of depression that allows people to maintain their jobs, social lives, and outward appearances, all while silently battling inner turmoil. This is what we call high-functioning depression.

High-functioning depression refers to a form of depression where individuals manage their daily activities—such as working, meeting social commitments, and handling responsibilities—but internally experience a continuous low mood, fatigue, and emptiness. Although they may appear 'fine' outwardly, they often feel deeply exhausted, overwhelmed, and detached from joy beneath the surface.

Here are some key signs to watch out for:

  • Chronic Low Mood: You might feel 'down' or 'off' most days, functioning normally but with a constant sense of dissatisfaction or emptiness.

  • Fatigue or Low Energy: You often feel tired, mentally and physically, yet continue with your responsibilities, hiding your fatigue from others.

  • Difficulty Experiencing Joy: Activities that used to make you happy may no longer feel fulfilling, leaving you feeling detached even during enjoyable moments.

  • Overworking or Perfectionism: You may become a perfectionist or workaholic, feeling the need to overcompensate to maintain appearances and avoid confronting sadness.

  • Irritability or Restlessness: You might be easily irritated or frustrated by small issues, which can indicate internal stress or emotional fatigue.

  • Poor Sleep or Appetite Changes: High-functioning depression can disrupt your sleep, causing either insomnia or oversleeping, along with changes in appetite, either eating more or less than usual.

  • Feelings of Hopelessness or Guilt: Though you may not be overwhelmed by sadness, a lingering sense of hopelessness or guilt can make it difficult to enjoy life or look forward to the future.

  • Social Withdrawal: Even while managing daily tasks, you might pull away from social activities and avoid deeper connections, feeling disconnected despite appearing engaged.

Just because someone seems to have it all together on the outside doesn’t mean they’re not struggling on the inside. If this sounds like you, know you don’t have to face it alone. Listen to the full episode of Mindful WIth Minaa on ways to heal from high-functioning depression.

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