Dr. Judith Joseph, a board-certified psychiatrist and chair of the Women in Medicine Initiative at Columbia University, experienced an unsettling shift in her mental health during the COVID-19 pandemic. Despite her impressive career and numerous accolades, she recognized that many people, including herself, were affected by what is often termed ‘high-functioning’ depression.
High-functioning depression is characterized by the ability to maintain daily responsibilities while experiencing the symptoms of clinical depression. Individuals with this condition often appear successful and productive, yet internally, they may feel empty, anxious, or restless. Dr. Joseph explains, ‘People with high-functioning depression will have the symptoms of depression, but they’re not low-functioning. In fact, they cope by over-functioning, and they don’t acknowledge having significant distress.’
The phenomenon of high-functioning depression can lead to a cycle where individuals immerse themselves in work to distract from their emotions. This busyness can mask underlying issues, making it challenging to seek help. When these individuals pause, they often confront feelings of restlessness and emptiness. As work becomes a refuge, the distress remains unaddressed, potentially exacerbating their mental health challenges.
Research indicates that many high-functioning individuals may not recognize their mental health struggles due to societal pressures and personal expectations. For example, a 2022 study highlighted that 65% of participants with high-functioning depression reported feeling an obligation to appear successful, which hindered their willingness to seek help. This can lead to chronic stress, burnout, and worsening depression over time.
To combat this, Dr. Joseph advises individuals to be mindful of their emotional states and to allow themselves moments of reflection and vulnerability. Creating a supportive environment, whether at work or home, is essential for those experiencing high-functioning depression. Simple practices such as regular check-ins with oneself, prioritizing sleep, and seeking professional help can significantly improve one’s mental health.
Furthermore, workplaces can play a proactive role in addressing mental health issues. Organizations that foster open discussions about mental health and provide resources like counseling and mental health days can help destigmatize these conversations. By creating a culture that values mental wellbeing, companies can support their employees in addressing issues before they escalate.
High-functioning depression is a silent struggle that affects many successful individuals. Recognizing its signs and seeking help can lead to better mental health outcomes and a more fulfilling life. As awareness grows, it becomes crucial for both individuals and organizations to prioritize mental health and work towards creating supportive environments.
