10 subtle signs of high-functioning depression that shouldn’t be ignored

Symptoms of high-functioning depression: Some people experience a decreased appetite and subsequent weight loss, while others might turn to food for comfort, leading to weight gain

High-functioning depression is an insidious condition that often goes unnoticed due to the affected individual's ability to maintain a facade of normalcy. Unlike major depressive disorder, where symptoms are more overt, high-functioning depression, also known as dysthymia, manifests in subtler ways. This can make it particularly challenging to identify, both for the individual experiencing it and for those around them.

Understanding these nuanced signs is crucial in recognising and addressing the condition.

Persistent low mood

One of the primary indicators of high-functioning depression is a persistent low mood. This does not necessarily translate to intense sadness or despair but rather a consistent feeling of emptiness, hopelessness, or numbness. Individuals may describe it as a lingering sense of melancholy that colours their daily life. They may still participate in activities and maintain relationships, but the underlying gloom never fully dissipates.

Overachievement and perfectionism

Paradoxically, those with high-functioning depression often exhibit overachievement and perfectionism. This drive can stem from a deep-seated need to counterbalance their internal struggles by excelling externally. These individuals may overwork themselves, constantly pushing beyond their limits, and setting unrealistically high standards. While this can lead to professional success, it often comes at the cost of their mental and emotional well-being.

Chronic fatigue

Chronic fatigue is another hallmark of high-functioning depression. Despite getting adequate sleep, individuals may feel perpetually tired and drained. This fatigue is not simply physical but also mental and emotional. Tasks that were once easy may become overwhelming, and the individual might find it increasingly difficult to muster the energy to engage in daily activities.

Social withdrawal

Although those with high-functioning depression may still engage in social activities, they often do so out of obligation rather than genuine interest. They may start to withdraw from social interactions, preferring solitude over company. When they do participate, they might appear disengaged or distant, struggling to find joy or fulfillment in activities they once enjoyed.

Irritability and anger

High-functioning depression can also manifest as irritability and anger. This can be particularly confusing for others, as it may seem out of character for the individual. The irritability can be a result of the constant inner turmoil and frustration they feel, which might not always be directed at any specific person or situation but rather an outward expression of their internal struggles.

Difficulty concentrating

Difficulty concentrating is another subtle sign of high-functioning depression. Individuals may find it hard to focus on tasks or maintain their attention for extended periods. This can affect their productivity and performance, despite their best efforts to maintain their high standards. They might also struggle with decision-making, feeling overwhelmed by choices that once seemed straightforward.

Changes in appetite and weight

Changes in appetite and weight are common in high-functioning depression. Some individuals may experience a decreased appetite and subsequent weight loss, while others might turn to food for comfort, leading to weight gain. These changes are often gradual and can be overlooked, but they are significant indicators of underlying emotional distress.

Sleep disturbances

Sleep disturbances are prevalent among those with high-functioning depression. This can include insomnia, where individuals struggle to fall or stay asleep, or hypersomnia, where they sleep excessively yet still feel exhausted. Both types of sleep disturbances can exacerbate feelings of fatigue and contribute to the overall sense of despair.

Self-criticism and negative self-talk

A pervasive sense of self-criticism and negative self-talk is another sign of high-functioning depression. Individuals may constantly belittle themselves, focusing on perceived failures and shortcomings. This negative self-perception can erode their self-esteem and reinforce feelings of worthlessness and inadequacy.

Substance abuse

In some cases, individuals with high-functioning depression may turn to substance abuse as a coping mechanism. This can include alcohol, drugs, or prescription medications. While this might provide temporary relief, it ultimately exacerbates the underlying issues and can lead to additional health and social problems.

Recognising the subtle signs of high-functioning depression is the first step towards seeking help and support. It is important to understand that high-functioning depression is a serious condition that deserves attention and treatment. Therapy, medication, and lifestyle changes can all play a role in managing and overcoming this type of depression.