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Hidden Struggles: Understanding High-Functioning Depression

Introduction

Depression is widespread, but a particular form often goes unnoticed – high-functioning depression. This condition affects individuals who experience constant low moods and mild depressive symptoms while still managing to maintain their daily lives. It’s a silent struggle, often masked by a facade of normalcy. In this article, we’ll delve into what high-functioning depression is, its impact on daily life, and the practical treatment approaches, such as Internal Family Systems (IFS) therapy, to help those silently suffering.

What is High-Functioning Depression?

High-functioning depression, also known as Persistent Depressive Disorder (PDD), occurs when individuals experience persistent low mood and mild depressive symptoms typical of depression. However, they continue to meet their daily responsibilities, such as work, relationships, and personal obligations. On the surface, they may appear healthy, but internally, they grapple with emptiness, sadness, and exhaustion.

The Hidden Struggle

Despite their apparent normalcy, those with high-functioning depression face an internal battle that often goes unnoticed. They can excel in their careers, maintain relationships, and fulfil daily commitments while concealing their emotional turmoil. The pressure to uphold this facade can exacerbate their emotional struggles.

Defining High-Functioning Depression

High-functioning individuals are those who maintain their daily routines despite grappling with depression. Externally, they may seem ”fine,” but internally, they often feel numb, sad, or tired, constantly wrestling with their emotional state.

Signs you might have high-functioning depression

The signs of high-functioning depression can be subtle. In your day-to-day life, you might:

  • I feel ”down” most of the time. Whenever you do feel happy, this is often short-lived.
  • Have a generally pessimistic view of the world.
  • Feel tired, even if you think you’re getting enough sleep.
  • Cry or become emotional for no apparent reason.
  • Fulfil all your responsibilities, such as childcare, work and household chores, but these feel like a massive effort.
  • Feel unworthy or like you’re an ”imposter” going through life. You might also believe that you don’t deserve to be happy.
  • Be very self-critical and find it hard to receive a compliment.
  • Attend social activities but feel like you’re forcing yourself to go.
  • Drink alcohol or use drugs to try and make yourself feel better.
  • Understanding Depression

Depression is a complex mental health issue encompassing many experiences, from temporary low moods to chronic conditions. High-functioning depression falls under Persistent Depressive Disorder (PDD), characterized by milder yet persistent symptoms. These can include a constant low mood, loss of interest in activities, sleep and appetite fluctuations, and more.

The Challenge of Persistent Depressive Disorder (PDD)

PDD, or high-functioning depression, is a chronic condition lasting for years. While it’s generally less severe than major depression, it still leads to daily struggles and a reduced quality of life. Effective psychological support is crucial to help individuals manage this condition and find relief.

Identifying High-Functioning Depression

Recognizing high-functioning depression can be challenging, as individuals often conceal their inner turmoil. To confirm a diagnosis, a professional evaluation by a psychiatrist is necessary. Counsellors and therapists like Dr Gabe at Act Right Now Counselling Services can address your symptoms and help with your healing and recovery, whether you have an official diagnosis. 

High-functioning depression symptoms

High-functioning depression symptoms tend to be the same as the core symptoms of depression. However, the main difference is that these tend to be less severe and don’t significantly impair your ability to function. The symptoms of high-functioning depression include:

  • Having a low mood all day most days
  • Feelings of hopelessness and emptiness
  • Feeling guilty
  • Low self-esteem
  • Anger, frustration and irritability
  • Having difficulty making decisions
  • Finding it hard to concentrate
  • Becoming less interested in hobbies and social activities that you may have previously enjoyed
  • Sleep disturbances (sleeping too much or not enough)
  • Changes in appetite (overeating or decreased appetite) leading to weight fluctuations
  • Lack of energy

Effective Treatment for High-Functioning Depression: Internal Family Systems (IFS) Therapy

The encouraging news is that high-functioning depression is treatable. Therapy is a powerful tool, particularly Internal Family Systems (IFS) therapy. Combined with medication, individuals can regain their zest for life when necessary. IFS therapy focuses on identifying and addressing the various ”parts” within a person’s psyche that contribute to depression, promoting self-discovery and healing.

Living with High-Functioning Depression

For those with high-functioning depression, there’s hope for a better quality of life. Continued therapy, open communication with healthcare providers, recognizing triggers, and practising self-care are essential. This holistic approach empowers individuals to lead a more fulfilling life.

Supporting a Loved One with High-Functioning Depression

If you suspect someone you care about is struggling with high-functioning depression, offering support is crucial. Be a non-judgmental listener, encourage them to seek professional help, and offer unwavering support. Early intervention can make a significant difference.

Take Action Today

High-functioning depression may be invisible, but it is not insurmountable. If you or someone you know is experiencing persistent depression symptoms, seeking support is a proactive step. Professional help can open the door to a happier and more fulfilling life.

Conclusion

High-functioning depression is a silent struggle that affects many individuals in Australia. While it may be hidden behind a veneer of normalcy, it is genuine and can be debilitating. Seeking help for yourself or a loved one is the first step towards a brighter future. Don’t hesitate to reach out and make a change for the better. Act Right Now Counselling Services, with its expert therapist, Dr Gabe, is here to help you embark on a journey towards healing and well-being.

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