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What it means to have "high-functioning" depression - and how to recognize symptoms.

  • Writer: Jessica Morgan, MD, LMHC, HWC
    Jessica Morgan, MD, LMHC, HWC
  • Mar 18, 2024
  • 1 min read

High-functioning depression is not a diagnosis or a recognized clinical disorder. Rather, it's a term used to expand on pre-conceived notions of what depression looks like. The term allows people who are succeeding publicly but suffering privately to reflect on whether they a clinical disorder, even if they are getting out of bed every day and functioning at their job and concentrating on their work (all criteria that contradict current DSM 5tr criteria for depression. It's a way to be more inclusive of what depression can look like.


There is no one-size-fits-all depression. In children and adolescents, it looks much more like irritability. Same with men; it looks a lot more like anger and substance abuse


What are 7 signs of ‘high-functioning’ depression?

— The Washington Post


The seven signs of high-functioning depression highlighted in Meltzer’s video include:


1.Isolating from friends and family.

2. No longer finding joy in the activities you loved.

3.Persistently criticizing yourself.

4.Frustration with small irritations or setbacks.

5.Turning to mindless habits for hours on end.

6.Always feeling low on energy.

7.Managing day-to-day tasks but feeling empty inside.


…the Family Institute at Northwestern University, doesn’t want people to self-diagnose based on a list of signs or symptoms they find online. “It’s really important for them to come and talk to a mental health professional,..Crucially...

there are two criteria that are “considered the crux of depression.” Either you’re feeling low — or “blue” — or you’re not finding joy from activities you once considered fun.



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