In the realm of mental health, depression often manifests in ways beyond just a lack of energy or an inability to perform small tasks. A recent addition to the pop psychology lexicon sheds light on a different facet of this complex condition: "high-functioning depression." With over 70 million views on TikTok, this term describes individuals who grapple with mood disorders while simultaneously excelling in their professional or academic endeavors.
While "high-functioning" lacks a clinical definition, psychotherapist John T. Maier from Cambridge, Massachusetts, notes that the surge in interest surrounding this term reflects a growing acknowledgment that even those with high-paying jobs or exceptional academic achievements can still be silently suffering. "People are more open to admitting they have depression, but they also feel the pressure to meet demanding expectations," Maier observes.
Here are two telltale signs that you may be grappling with high-functioning depression:
1. Negative Self-Talk:
Despite meeting deadlines and fulfilling responsibilities at work, the internal dialogue you maintain about your achievements and abilities can provide crucial insight. Irina Gorelik, a psychologist with Williamsburg Therapy Group, underscores the significance of paying attention to your self-perception. "Negative views of oneself or the world are indicative of a mood disorder," she emphasizes. Recognizing an uptick in pessimism regarding your work could signal an underlying struggle with depression.
2. Loss of Interest in Previously Enjoyable Activities:
Mood plays a pivotal role in gauging one's mental well-being. Gorelik emphasizes that a diminished capacity to derive pleasure from activities once enjoyed can serve as a significant indicator. Tasks that were once considered optional, those activities that used to bring joy and fulfillment, now linger on the back burner. "You find yourself unable to immerse in the simple pleasures of life, whether it's watching a movie or spending time with friends," Gorelik explains. This loss of interest in once-enjoyable pursuits is a common hallmark of depression, even for those who manage to maintain a high level of functionality in other aspects of their lives.
Despite exhibiting these symptoms, individuals grappling with high-functioning depression often succeed in meeting their professional or academic obligations. This ability to function at a high level may lead both others and oneself to overlook the internal struggles one may be facing. However, it's essential to recognize that just because one's bills are paid and tasks are completed doesn't necessarily equate to good mental hygiene.
Navigating high-functioning depression can be a challenging journey, characterized by the juxtaposition of outward success and internal turmoil. It's crucial to prioritize self-care and seek support when needed, acknowledging that mental health is just as important as physical well-being. By fostering a greater understanding of high-functioning depression and its signs, we can work towards creating a more compassionate and supportive environment for all individuals struggling with mental health issues.

