What is High-Functioning Depression?

Although the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) does not technically recognize high-functioning depression as a mental disorder, most mental health professionals acknowledge that there are people who maintain an appearance of regulated mood in several areas of their lives while suffering from depression.

It is this hidden and often overlooked aspect of high-functioning depression that can make it hard to diagnose.

Symptoms of High-Functioning Depression

The symptoms of high-functioning depression can go unnoticed as the person seems to be in control and manages their daily life and responsibilities. They still go to work or school daily, care for their family, and socialize. Yet, people with high-functioning depression push through to the point that their physical bodies may manifest external signs that something is amiss.

The following are common symptoms of high-functioning depression.

Loss of Interest in Enjoyable Tasks

Depression brings with it a loss of interest in the enjoyable activities one held in high regard in the past. Whether they feel too tired or simply disinterested, people with high-functioning depression may show up but not fully engage as they once did. They no longer wake up looking forward to something in their day. They lose sight of their goals.

Feelings of Heavy Sadness or Emptiness

Persistent sadness and a heavy and deep emptiness are trademark symptoms of depression, but for those with high-functioning depression, they mask their feelings with a smile. Sadness that continues without treatment can lead to suicidal ideations.

Unfortunately, masking depression makes it difficult for family and friends to decipher if something is wrong. Often, the person themselves may believe they need to push through and not worry others, so they avoid seeking treatment.

Changes in Appetite

People with depression may experience changes in appetite, possibly losing or gaining weight. With high-functioning depression, the individual may lose all motivation to prepare and eat food, conserving their energy for the daily responsibilities of others.

Brain chemistry and hormones may also play a role. If the person struggles with binge eating disorder or emotional eating, they may eat regardless of their appetite.

Changes in Sleep Quality and Patterns

Depression can interfere with sleep patterns and the quality of sleep, and in a vicious cycle, poor quality sleep can exacerbate depression symptoms. You may struggle with insomnia or waking up throughout the night. You may find yourself nodding off during the day. Poor sleep quality can also lead to mood dysregulation, making you more irritable or emotional.

Feelings of Worthlessness

Depression robs you of self-esteem and confidence. It can leave you feeling worthless and unloved, all lies from the enemy. There are people who love and care about you. Jesus loves you so much that He was willing to die a painful death and ultimately defeat death for you.

Negative Thoughts

The mind is a powerful tool that influences behavior and emotions. During depressive episodes, you may notice more negative thoughts. These thoughts focus on the self, such as pointing out a flaw or perceiving what others may think about you.

Learning to identify and reframe these negative thoughts can help you change your emotions and any harmful behaviors. A counselor can help you learn how with Cognitive Behavioral Therapy.

Pushing Through to Maintain a Semblance of Normalcy

Managing adult responsibilities is critical to someone struggling with high-functioning depression. They may attend church and go to work. They may join friends on outings if they feel they must.

They continue doing at least the bare minimum around the house to keep it looking nice for the family. Although they carry a smile on their face, they struggle with the sadness and emptiness of depression.

Unexplained Physical Ailments

You may be able to maintain a mask of normalcy in appearance, but eventually, high-functioning depression will manifest in physical ailments. Due to dysregulation of neurotransmitters, you may experience digestive problems, headaches, and unexplained body aches. The combination of depression and stress may lead to chronic inflammation, which can trigger a host of medical conditions.

Christian Counseling in Grapevine, Texas

Does the above sound familiar? Do you struggle with high-functioning depression and feel bone-weary from trying to hide the sadness? It is time to seek treatment.

Contact our office today at Texas Christian Counseling, Grapevine to connect with a Christian counselor in Grapevine, Texas who can help with evidence-based psychological methods and faith-based principles so you can continue supporting the important areas of your life that matter.