High functioning depression can be difficult to identify as the individual “holds it together”
High-functioning depression is nearly unnoticeable, which can hide a serious and, potentially life-threatening, deterioration in mental health. A person with the condition may continue working and “holding it together” for years.
“Generally, people associate depression with characteristic symptoms such as an overwhelming sense of hopelessness and inability to cope at work and in other areas of their lives,” says Phumzile Mthembu, a clinical psychologist practising at Netcare Akeso Richards Bay. However, individuals with high-functioning depression learn to shoulder the mental health burden.
It is diagnosed where a person experiences mild, yet persistent depressive symptoms for at least two years. Mthembu explains: “People with high-functioning depression often think that they have everything under control because they have developed a higher ability to cope. Their outward appearance suggests that all is well, and others around them may not even notice that the individual is suffering. This mental health burden is therefore very hard to identify.”
The symptoms vary from person, but there are some signs to look for:
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Feeling like you’re ‘wasting your time’ when doing your work, or engaging in personal activities such as hobbies or going to gym.
Feeling misunderstood.
Indulging in unhealthy coping strategies such as substance use or overeating.
Engaging in excessive pastimes to escape reality, which may include excessive gaming, watching TV, or using social media.
Being overly critical of yourself and others.
You always convince yourself that you are “okay”, even when you feel overwhelmed.
You hardly engage in social activities or taking part in hobbies or outings, but only focus on tasks you feel obligated to do.
Experiencing feelings associated with psychological distress when thinking about work, which might appear as burnout.
Excessive guilt and worry about the past and present.
Chronic fatigue, excessive tiredness.
Feeling like you can’t face the world or cannot get of out bed.
Depressed mood for most of the day over a period of at least two years.
The individual might also struggle with a poor appetite, difficulty sleeping, poor self-esteem, poor concentration or difficulty making decisionsorfeelingsofhopelessness.Family, colleagues and friends might describe the person as a workaholic.
“It is important to be aware that a person with high-functioning depression may begin to show subtle signs of suicidal ideation, such as talking of their own death or suicide, or getting their affairs in order. Signs such as these should never be ignored, and they should be encouraged to seek professional help as soon as possible,” Mthembu advises.
In the event of a psychological crisis, the South African Anxiety and Depression Group (SADAG) also provides mental health support and can be reached on 0800 567 567.
