Have you ever felt like you’re just going through the motions of life, even though you’re successful on the outside? Do you find it difficult to pinpoint the source of your constant low mood, energy levels and lack of motivation? If you answered yes to these questions, you may be experiencing high functioning depression.
High functioning depression, also known as persistent depressive disorder (PDD), is a type of clinical depression that can be particularly challenging because it often goes unnoticed or is dismissed as simply feeling “down.”
In this blog post, we’ll explore the symptoms, causes, triggers, and misconceptions of this depressive disorder and ways to cope to better your daily life.
How Many People Experience High-Functioning Depression?
It’s difficult to determine the exact prevalence of high functioning depression as it is not yet recognized as a specific mental health condition in the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders). However, some estimates suggest that up to 40% of people with depression may experience symptoms of high functioning depression. Depression, as a whole, is a common mental health condition that affects millions of people in the United States. According to The National Institute of Mental Health (NIMH), an estimated 21.0 million adults in the United States had at least one major depressive episode. This number represented 8.4% of all U.S. adults in 2020.
Signs and Symptoms of Depression
Depression is a complex mental health condition that affects millions of people worldwide. Though it can manifest in different ways, some common signs and symptoms can identify the condition.
Overview of common signs and symptoms of depression
Some of the most common signs and symptoms of depression include:
- Persistent feelings of sadness
- Hopelessness
- Helplessness.
- Loss of interest in activities they once enjoyed
- Difficulty sleeping or oversleeping
- Changes in appetite or weight
- Trouble concentrating or making decisions
- Fatigued or experience a lack of energy
- Feelings of worthlessness or guilt
These symptoms can manifest differently in individuals with this form of depression.
Additional signs and symptoms specific to high functioning depression
High functioning depression, also known as Persistent Depressive Disorder (PDD) or the “smiling depression,” can be challenging to identify because individuals with this condition may appear to function normally on the surface. However, they may still experience symptoms that differ from those of a person with regular depression.
Here are some specific signs of high functioning depression:
- Over-reliance on coping mechanisms: People with this depressive disorder may use various coping mechanisms such as work, exercise, or other distractions to avoid facing difficult emotions.
- Perfectionism: Individuals with this depressive disorder may have high standards for themselves and be overly critical of their performance, leading to feelings of worthlessness or inadequacy.
- Numbness: A common symptom of depressive disorder is feeling emotionally numb or disconnected from oneself and others, even if they appear to be going about daily life in a seemingly normal fashion.
- Masking emotions: People with this depressive disorder may feel like they need to put on a façade of happiness or positivity in social situations, despite feeling sad or anxious inside.
- Difficulty seeking help: Due to the stigma associated with mental health issues, individuals with this depressive disorder may be reluctant to seek help for fear of being seen as weak or less capable.
It’s important to note that these symptoms are not exclusive to any one major depressive disorder. However, they are more likely present in people with high functioning depression.
What Causes High-Functioning Depression?
High functioning depression can be caused by a variety of factors, both genetic and environmental. While some individuals may develop this condition due to genetic predisposition, others may experience it due to environmental factors or a combination of both.
The Role of Genetics and environmental factors
Genetics can play a significant role in the development of high functioning depression. Studies have shown that specific genes may make an individual more susceptible to developing depression, including high functioning depression. However, genetics alone do not determine whether or not someone will develop this condition. Other factors, such as environmental stressors, also play a significant role.
Environmental factors can also contribute to the development of high functioning depression. Traumatic life events, such as divorce, loss of a loved one, or job loss, can trigger depression in some individuals. Chronic stressors such as financial problems, social isolation, or health problems can also contribute to developing this condition.
It’s important to note that how our brains are wired can also influence the development of depressive disorders. Specific brain regions that regulate mood, such as the amygdala and prefrontal cortex, can be overactive or underactive in people with depression, making it more difficult for them to regulate emotions and cope with stress.
How high functioning depression differs from other types of depression
One of the main differences is that individuals with high functioning depression may still be able to go about their daily routine, maintain relationships, and perform well at work or school. They may appear to function normally on the surface while struggling internally.
Another difference is that individuals with high functioning depression may not display the classic symptoms of depression, such as prolonged sadness or lack of interest in activities. Instead, they may experience feelings of emptiness, numbness, or disconnection from themselves and those around them.
Common triggers
Some common triggers that can lead to high functioning depression include:
- Chronic stress: Prolonged exposure to stressful situations, such as work-related stress or financial struggles, can affect mental health and contribute to this form of depression.
- Traumatic life events: Experiencing traumatic events such as losing a loved one, divorce, or physical illness can trigger depressive symptoms in some individuals.
- Genetics: As mentioned earlier, genetics can play a role in developing high functioning depression. Individuals with a family history of depression may be more susceptible to developing this condition.
- Negative thought patterns: Negative self-talk and thought patterns can contribute to feelings of hopelessness and worthlessness, leading to this form of depression.
- Social isolation: Lack of social support and social isolation can contribute to the development of this form of depression, particularly in those who are already predisposed to depression.
Breaking the Stigma
Depression is a mental health condition that affects millions of people worldwide. Unfortunately, there are many misconceptions and stigmas associated with depression that can make it difficult for individuals to seek help or receive the support they need.
Addressing common misconceptions
Here are some common misconceptions about depressive disorders:
- Depression is just sadness: While sadness can be a symptom of depression, depression is much more than just feeling sad. Depression can affect every aspect of a person’s life, including physical health, relationships, and work performance.
- Depression is a weakness: Depression is not a sign of weakness, and it is not something individuals can “snap out of.” This medical condition requires proper treatment and support.
- Depression only affects certain types of people: Depression can affect anyone, regardless of their age, gender, race, or socioeconomic status. It’s essential to recognize that this is a common and treatable condition that affects people from all walks of life.
- Depression is not a serious condition: Depression is a serious medical condition that can have significant consequences if left untreated. Lack of treatment can lead to physical health problems, substance abuse, social isolation, and severe suicidal thoughts or actions.
- Antidepressants are a cure-all: While antidepressant medications can be a valuable tool in managing depression, they are not a cure-all. Treatment for depression often involves a combination of therapy, medication, self-care, and support from loved ones.
It’s essential to address these misconceptions about depression to break the stigma and encourage individuals to seek the help they need. Depression is a common and treatable condition; no one should feel ashamed or embarrassed to ask for help.
By recognizing the validity and seriousness of depression, we can work towards creating a more supportive and understanding society for those who struggle with this condition.
Living with High Functioning Depression
Those who struggle with this condition may face unique challenges often overlooked or misunderstood by others.
Struggles and challenges
One of the main struggles associated with high-functioning depression is feeling alone, even when surrounded by others. People with a diagnosis of high functioning depression may feel like they cannot express their true emotions or fears, leading to isolation and disconnection from those around them.
Another challenge is the difficulty in seeking help. Because individuals with high functioning depression may appear to be functioning well on the surface, they may feel like they cannot ask for help or that their struggles are not significant enough to warrant professional attention. Appearing content or happy while still suffering from this disorder can lead to delaying seeking help until the symptoms become more severe.
People with high functioning depression can also struggle with feeling like they are living a double life. On the outside, they may seem happy, successful, and confident, but internally, they may feel lost, numb, or empty. These feelings can result in guilt or shame for not being able to live up to their own expectations or the expectations of others.
Ways to cope
If you are struggling with high functioning depression, it’s essential to know that there are things you can do to cope and manage the symptoms of this condition. While seeking professional help is often the most effective way to manage high-functioning depression, some self-care strategies can help.
- Practice self-care: Taking care of yourself is crucial in managing depressive disorders. Self-care can include getting enough sleep, eating a healthy diet, exercising regularly, and engaging in activities that bring you joy.
- Reach out to loved ones: Talking to someone you trust about your experiences can provide much-needed support and validation. Consider contacting a close friend or family member to share your feelings and experiences.
- Develop healthy coping mechanisms: Instead of relying on unhealthy coping mechanisms such as substance abuse or overworking, try developing healthy coping tools such as meditation, journaling, or spending time in nature.
- Challenge negative thought patterns: Negative self-talk and thought patterns can contribute to feelings of hopelessness and worthlessness. Work on challenging and replacing these negative beliefs with more positive and realistic thoughts.
- Seek professional help: Consider reaching out to a qualified healthcare provider, such as a therapist or psychologist, who can provide guidance, support, and tools to manage this type of depressive disorder.
It’s important to remember that managing any depressive disorder is a process that may require trial and error to find what works best for you. Be patient with yourself. With the proper support and tools, you can learn to manage your depression and lead a fulfilling life.
Seeking Help and Support
It’s important to recognize that high functioning depression is a valid medical condition that can have significant consequences if left untreated. While it may be challenging to ask for help or admit that you’re struggling, reaching out for support is a sign of strength, not weakness.
There are many resources available for those who are struggling with high functioning depression. These include therapy, medication, support groups, and self-care strategies such as exercise, healthy eating, and mindfulness techniques.
It’s important to remember that seeking help does not mean you are broken or flawed – it simply means taking proactive steps to care for your mental health.
Encouragement to talk openly about mental health
Talking openly about mental- health conditions is critical in breaking the stigma and creating a more supportive and understanding society. Unfortunately, many people still feel ashamed or embarrassed to discuss their mental health struggles, leading to isolation and disconnection.
It’s important to remember that mental health is just as important as physical health, and there is no shame in seeking help or support for mental health concerns. By talking openly about mental health, we can create a safe and supportive environment for individuals to share their struggles and receive the help they need.
Sharing your own experiences with mental health can also be a powerful way to inspire others to seek help and support. By being open and honest about your struggles, you can show others they are not alone and encourage them to take proactive steps towards healing and recovery.
Conclusion
High functioning depression can be a challenging condition to manage. Still, with proper treatment and support, individuals can learn to manage their symptoms and improve their overall well-being. It’s essential to seek help from a qualified mental health professional if you suspect you may struggle with this condition.
If you’re ready to seek help and start your healing journey, give us a call or make an appointment today. Our team of mental health professionals is dedicated to providing compassionate and evidence-based care tailored to your unique needs.
Remember, seeking help is a sign of strength, not weakness. By taking proactive steps towards caring for your mental health, you can improve your quality of life and find relief from the challenges associated with high-functioning depression.
