What High Functioning Depression Looks Like
High functioning depression, often referred to as dysthymia or Persistent Depressive Disorder (PDD), is a form of depression where individuals maintain an outward appearance of competence and productivity while struggling internally with persistent low mood and other depressive symptoms. Unlike major depressive disorder, high functioning depression may not always be visibly apparent to others, making it challenging to recognize and address. Here’s what high functioning depression looks like and how to identify it.
1. Maintaining Appearances
Individuals with high functioning depression often excel in their professional and personal lives. They may continue to meet their responsibilities, perform well at work, and appear engaged in social activities. However, beneath this veneer of normalcy, they may be experiencing persistent feelings of sadness, emptiness, or hopelessness.
2. Chronic Low Mood
Unlike major depressive episodes that can be episodic, high functioning depression involves a chronic low mood that persists for years. Individuals may describe their mood as “drained” or “flat,” and they often struggle with a pervasive sense of dissatisfaction, even in the absence of significant external stressors.
3. Fatigue and Low Energy
Even while performing daily tasks and meeting responsibilities, those with high functioning depression frequently experience significant fatigue and low energy. They might feel physically and emotionally exhausted, finding it difficult to muster enthusiasm for activities that once brought them joy.
4. Difficulty with Self-Care
Maintaining personal care and self-care routines can become increasingly challenging. Individuals may neglect their physical health, such as diet and exercise, or find themselves struggling to keep up with regular self-care practices, despite appearing outwardly organized and capable.
5. Internal Struggles with Self-Worth
A key characteristic of high functioning depression is a persistent internal struggle with self-worth and self-esteem. Individuals may have a harsh inner critic and experience feelings of inadequacy, self-doubt, and an overwhelming sense of being unable to measure up, despite external achievements.
6. Avoidance of Emotional Depth
To cope with their internal struggles, individuals with high functioning depression might avoid discussing their feelings or seeking help. They may put on a brave face and deflect conversations about their emotional state, masking their true feelings to maintain their facade of functionality.
7. Strained Relationships
Maintaining relationships can be challenging due to the emotional distance and detachment experienced by those with high functioning depression. While they may appear engaged and present, they might struggle with deeper emotional connections and intimacy.
Recognizing and understanding high functioning depression is crucial for seeking appropriate help and support. If you or someone you know is struggling with these symptoms, scheduling an appointment for depression therapy can provide a path to healing and improve overall well-being. Therapy can offer valuable strategies and support for managing high functioning depression and finding a more balanced, fulfilling life.
