Top psychologist shares 5 crucial signs of high-functioning depression

Mental health is just as important as physical health. Although there are growing conversations about emotional well-being today, there’s still much that goes unrecognized. For instance, one can be depressed and still go on with the daily chores. Depression does not always look like not being able to get out of bed. Which is why Dr. Julie Smith, a clinical psychologist and New York Times bestselling author, is now emphasizing the importance of identifying the crucial signs of high-functioning depression. Recognising these signs is crucial. Let’s take a closer look.

What is high-functioning depression

Though it is not a clinical diagnosis yet, high-functioning depression (HFD) is a warning sign. It is not a term used in the ‘Diagnostic and Statistical Manual of Mental Disorders’ (DSM-5-TR), the tool that clinicians use to diagnose mental health conditions. However, this stage is crucial, and should not be dismissed.




HFD is a form of depression where one may experience depressive symptoms but can still will be able to function and meet daily tasks. They may appear to be managing their lives well to outsiders; however, they internally struggle with persistent feelings of sadness, low motivation, and fatigue.

“There is an important reason I made this video when high functioning depression is not a clinical diagnosis. The term is being used across the Internet as people search for the language to describe their daily struggles with mental health. I think what this term has enabled many people to do, is acknowledge that depression does not begin on the day that you can’t get out of bed. You can be suffering intensely while going about your normal daily routine. If we wait until we cannot function before seeking help or working on recovery, we have a much bigger battle on our hands. So even if everyone in your life has no idea, the best time to work on your mental health is as soon as you notice these changes,” Dr. Smith said.

What are the signs of HFD

Dr. Smith has shared 5 crucial signs of HFD, and she cautions against ignoring the fifth. Take a look.

• High-functioning ends when no one’s around: The high-functioning ends when no one is looking. “That's when the self-neglect begins,” the doctor notes.
• Social events = Hard work: Though social events are supposed to be fun, you feel it more like hard work. “It takes so much effort to keep up the appearance of being happy,” the doctor adds.
• Doomscrolling and binge watching to avoid emotions: You find yourself scrolling on social, watching hours of TV, and eating junk food to numb those feelings.
• No energy: You work hard but never really feel energized or enthusiastic. Where you used to find pleasure, now you're just going through the motions.
• Emptiness: You do everything the world asks of you. So no one would ever know, but most days you feel empty inside.

Some other signs of HFD include:

• Changes in appetite
• Oversleeping or insomnia
• Extreme fatigue
• Feelings of hopelessness, worthlessness, or guilt
• Low self-esteem
• Difficulty concentrating and making decisions(Disclaimer: This article is for informational purposes only and should not be considered a substitute for professional medical advice, diagnosis, or treatment. If you or someone you know is experiencing symptoms of depression or any mental health condition, please consult a qualified mental health professional. In case of emergency, seek immediate help from a healthcare provider or contact a mental health helpline.)