#1 Researcher: 7 Signs You May Have High Functioning Depression

Added: May 3, 2024

In this podcast episode, Dr. Judith Joseph discusses high functioning depression, a condition where individuals are able to maintain their daily responsibilities but still experience feelings of emptiness and lack of joy. She leads a team of women researchers in her lab, focusing on studying depression and other mental health conditions. Dr. Joseph emphasizes the importance of representation in clinical research to build trust and understanding among different populations.

Key takeaways

🔍

High functioning depression is a condition where individuals appear to function normally in their daily lives but internally struggle with symptoms of depression, such as low energy and anhedonia.

👥

The presentation of depression can vary significantly between individuals, influenced by biological factors like neurotransmitter levels, genetics, and external factors such as societal pressures and trauma.

🌐

Dr. Judith Joseph emphasizes the importance of representation in clinical research to ensure findings are applicable and trustworthy across diverse populations, highlighting the role of societal factors in mental health.

🤹‍♀️

Individuals with high-functioning depression often maintain high levels of productivity and responsibility, such as excelling at work or caregiving, which can mask their internal struggle with depression.

🚫

The diagnosis of high-functioning depression presents challenges due to the stigma surrounding mental health and the subtlety of its symptoms, making it difficult for those affected to seek help or even recognize their own condition.

Characteristics of High Functioning Depression

High functioning depression is characterized by individuals who can function well in their daily lives, such as meeting work deadlines and taking care of their families, despite experiencing symptoms of depression. These individuals may not fit the traditional criteria for depression, as they do not exhibit the stereotypical signs of being unable to get out of bed or constantly crying. Symptoms of high functioning depression can include low energy, poor concentration, poor appetite, and a lack of pleasure in activities that used to bring joy. Anhedonia, a lack of feeling pleasure, is a common symptom of depression and can be a subtle indicator of the condition.

Factors influencing depression presentation

Dr. Joseph explains that depression can manifest differently in men and women and may be influenced by factors such as dopamine, serotonin, and norepinephrine levels, inflammation, genetics, trauma, and unresolved emotional issues. She also highlights the impact of societal factors like the internet, social media, and recent global events on the presentation of depression in individuals today.

Seeking Help for Diminished Joy

Individuals experiencing diminished joy and a sense of emptiness in their lives are encouraged to seek help from a healthcare provider. Dr. Joseph suggests filling out scales for anhedonia or high functioning depression to assess where they are on the pleasure and symptom scales. It is important to acknowledge and address these feelings to work towards a healthier and more fulfilling life.

High-functioning depression behaviors

A day in the life of someone with high-functioning depression may involve behaviors such as over-delivering at work, feeling a lack of joy in activities, struggling with sleep, concentration, and low energy. Dr. Joseph notes that individuals with high-functioning depression may have their identities tied to their work or caregiving roles, leading to a sense of control and perfectionism.

Challenges in Diagnosing High-Functioning Depression

Diagnosing high-functioning depression can be challenging as individuals may not meet traditional criteria for depression and may not recognize their own distress. Dr. Joseph also discusses the stigma surrounding mental health in the workplace, highlighting the difficulties healthcare professionals may face in diagnosing high-functioning depression in themselves or others.

Overcoming Scarcity Trauma Through Release

Dr. Joseph introduces the concept of scarcity trauma, which involves a history of a lack of resources leading to behaviors rooted in fear of loss. She explains how scarcity trauma can manifest in hoarding, emotional scarcity, and irrational behaviors around food and possessions. She encourages individuals to challenge these beliefs and behaviors by gradually letting go of items and thoughts associated with scarcity.

Importance of Affect Labeling

The term "affect labeling" is introduced by Dr. Joseph, which involves naming and acknowledging feelings to reduce anxiety and fear. She stresses the importance of naming and addressing emotions for both children and adults to better understand and control them.

Videos

Full episode

Episode summary