What is High-Functioning Depression?

High functioning depression is a type of depressive disorder where individuals may appear successful and productive, but are actually struggling to manage symptoms. Here’s how you can spot the signs and seek help.

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What is high functioning depression?

High functioning depression, also known as functional depression, is a term used to describe individuals who experience symptoms of depression but are still able to maintain their daily routines and responsibilities. People with high functioning depression may appear successful and productive on the outside, but they may be struggling with feelings of sadness, hopelessness, and emptiness on the inside.

High functioning depression can be difficult to recognize, both for individuals who are experiencing it and for those around them. This can make it challenging to seek help and support, as individuals with functional depression may feel as though their symptoms are not severe enough to warrant treatment.

High functioning depression symptoms

Common symptoms of high functioning depression include: 

• Constant fatigue
• Lack of motivation 
• Feelings of emptiness or hopelessness

Despite experiencing these symptoms, individuals with high functioning depression may still be able to maintain their work, relationships, and personal goals.

For example, they may continue to perform well at work or maintain social connections, but may struggle with feelings of sadness or loneliness. They may also experience difficulty with concentration or decision making, as well as changes in appetite or sleep patterns.

The symptoms of high functioning depression can vary from person to person, and may change over time. For some individuals, symptoms may be more pronounced during certain times of the day or in response to specific triggers.

How does high functioning depression differ from other types of depression?

High functioning depression differs from other types of depression in that individuals with high functioning depression are able to maintain their day-to-day lives and responsibilities despite experiencing depressive symptoms. They may be successful in their careers or personal lives, but still struggle with feelings of sadness, hopelessness, and emptiness.

Other types of depression, such as major depressive disorder, can be more severe and debilitating, and can significantly interfere with a person's ability to function in their daily life. Symptoms of major depressive disorder can include intense feelings of sadness, loss of interest in activities, changes in appetite and sleep patterns, fatigue, feelings of worthlessness, and thoughts of suicide. 

Bipolar disorder is another type of depression that differs from high functioning depression. Individuals with bipolar disorder experience periods of both depression and mania or hypomania, which can include symptoms such as elevated or irritable mood, racing thoughts, decreased need for sleep, grandiosity, and impulsive behavior.

Persistent depressive disorder (PDP) is yet another type of clinical depression that differs from high functioning depression. Persistent depressive disorder, also known as dysthymia, is a type of mood disorder characterized by a persistent low mood or sadness that lasts for at least two years. The symptoms of persistent depressive disorder are less severe than those of major depression, but they are long-lasting and can significantly impact a person's quality of life.

Causes and risk factors for high functioning depression

The development of high functioning depression may be influenced by a variety of factors, including genetics, life events, and personality traits. Some individuals may be more prone to experiencing depression due to their genetics, while others may develop depression as a result of stressful life events.

Certain personality traits, such as perfectionism or a tendency to overwork, may also increase the risk of developing functional depression. These traits may make it difficult for individuals to recognize or acknowledge their symptoms, as they may feel as though they need to maintain a certain level of productivity or success in order to be valued or accepted by others.

Other risk factors for high functioning depression may include a history of trauma or abuse, chronic stress or anxiety, and a lack of social support or connection.

High functioning depression diagnosis

High functioning depression can be difficult to diagnose as individuals with this condition may appear successful and productive while experiencing symptoms of depression. However, it is important to seek professional help if you are experiencing symptoms of depression, as early diagnosis and depression treatment can lead to better outcomes.

The diagnostic process for high functioning depression typically involves a thorough evaluation by a mental health professional. This may include a physical exam and psychological assessment, as well as a discussion of symptoms and medical history.

The mental health professional may use specific diagnostic criteria to determine whether an individual meets the criteria for a diagnosis of depression. The criteria for depression typically include experiencing symptoms such as depressed mood, loss of interest or pleasure, and changes in appetite or sleep patterns.

In addition to meeting the criteria for depression, individuals with high functioning depression may also exhibit other specific symptoms or characteristics, such as an ability to appear successful and productive despite experiencing symptoms of depression.

Seeking professional help and undergoing a thorough evaluation is crucial for a proper diagnosis of functional depression, and self-diagnosis or self-treatment is not recommended and can potentially lead to negative outcomes. With proper diagnosis and treatment, individuals with high functioning depression can effectively manage their symptoms and improve their overall quality of life.

High functioning depression treatment

High functioning depression treatment typically involves a combination of therapy, medication, and lifestyle changes. The specific treatment plan will depend on the individual's symptoms, severity of depression, and other personal factors.

Therapy

Talk therapy, such as cognitive behavioral therapy (CBT) or interpersonal therapy (IPT), can be an effective treatment for high functioning depression. These types of therapy can help individuals identify negative thought patterns and behaviors that may be contributing to their symptoms of depression, and develop coping strategies to manage these patterns. Therapy can also provide a safe and supportive environment for individuals to discuss their emotions and challenges, and work towards solutions.

Medication

Antidepressant medications may also be prescribed to individuals with high functioning depression. These medications can help regulate mood and improve symptoms of depression. However, it is important to note that medication should be used in conjunction with therapy and lifestyle changes for best results.

Lifestyle changes

Lifestyle changes, such as regular exercise, healthy eating, and engaging in activities that bring joy and fulfillment, can also be helpful in managing symptoms of high functioning depression. Getting enough sleep and practicing stress reduction techniques, such as mindfulness and relaxation techniques, can also be helpful in managing symptoms.

Support system

Building a support system, whether it be through friends, family, or support groups, can also be helpful in managing symptoms of depression. Having a trusted individual to talk to and seek support from can be an important part of the healing process.

It is important to note that each individual's experience with high functioning depression is unique, and treatment plans may need to be tailored to fit their specific needs. It is also important to seek professional help and support when considering treatment options, as a mental health professional can help determine the most effective treatment plan for each individual.

Coping strategies

In addition to seeking professional help and support, there are several coping strategies that can be helpful for individuals with high functioning depression. These strategies may include self-care practices, social support, and stress reduction techniques.

Self-care practices

Self-care practices can include activities such as regular exercise, healthy eating, and engaging in hobbies or activities that bring joy and fulfillment. Practicing mindfulness and relaxation techniques, such as meditation or deep breathing exercises, can also be helpful in managing symptoms of depression.

Social support

Social support is an important aspect of coping with high functioning depression. This can involve reaching out to friends or family members for support, as well as participating in support groups or seeking the help of a therapist.

Stress reduction techniques

Stress reduction techniques, such as time management strategies and prioritizing self-care, can also be helpful in managing symptoms of depression. It may be helpful to set realistic goals and expectations for oneself, and to take breaks or rest when needed.

It is important to remember that coping with high functioning depression is a process, and it may take time to find strategies that work best for each individual. Seeking help and support from trusted individuals and professionals can be an important step in developing effective coping strategies.

Support for high functioning depression with Charlie Health

It is important for individuals to prioritize their mental health and seek help and support when needed. With proper treatment and coping strategies, individuals with high functioning depression can manage their symptoms and improve their overall well-being. Charlie Health’s virtual IOP combines individual therapy, supported groups, and family therapy to comprehensively and effectively treat people struggling with severe mental health issues. If you are struggling with the current level of care you’re receiving or need assistance as you return home from an inpatient setting. Our Admissions Team is available 24/7 to discuss your needs and goals. Reach out today.