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Depression doesn’t always show through tears or sadness. Some people hide it behind a smile, a busy schedule, or career success. They appear fine, keep up with work, and manage life, but inside, they feel low, tired, or unmotivated. This is called high functioning depression (HFD).
The signs are subtle and often mistaken for stress, tiredness, or simply needing to “try harder.” People with HFD keep going, thinking it’s normal. However, constant emptiness or fatigue is a signal that something is wrong. Recognizing it is important. HFD needs care, understanding, and the right support to manage and improve well-being.
High functioning depression (HFD) is a type of long-lasting, mild depression. It is a type that often goes unnoticed. Unlike major depression, which can be very noticeable and hard to cope with. People with HFD can still go to work, take care of their home, and spend time with friends and family. This hidden nature makes it hard for friends, family, or colleagues to realize the person is suffering. It can take a long time before they seek help.
Although they appear fine from the outside, internally, they are struggling with:
Clinically, HFD is often linked to persistent depressive disorder (PDD), also called dysthymia.
This kind of depression can be hard to notice, even by the person who has it. Some common signs include:
Since the signs are often hidden, many people with this depression keep going. They believe they just need to try harder. This can make their low mood last longer and delay getting the support or help they need.
This type of depression can quietly affect many parts of a person’s life, even if they seem fine to others. Some common ways HFD affects daily life include:
Even though it may not show on the outside, this kind of depression can make daily life feel heavy and exhausting.
Besides seeing a doctor or therapist, people can try some simple strategies to handle symptoms:
You should see a doctor or therapist if your symptoms keep going or get worse. A mental health professional can check your condition and suggest a treatment plan that fits you. Getting help early can make recovery easier and improve your overall well-being.
This kind of depression is a silent battle. It can make daily life feel heavy and tiring, even if a person appears fine to others. Many people with HFD keep up with work, school, or family responsibilities. But inside, they often feel sad, tired, or unmotivated. Learning to recognize the signs, reaching out for help, and using treatments or simple coping strategies can make a big difference.
With the right help from doctors, therapists, friends, or family, people can manage their symptoms. They can feel less stressed and lead a healthier and more balanced life. So, If you are seeking support for high functioning depression including therapy for it, you can contact Bellavista Psychiatry for professional and compassionate care.
At Bella Vista Psychiatry and Wellbeing Clinic, we are a team of Psychiatrists and Psychologists, who have come together to create a platform where you can open up about your problems, your fears and insecurities. We deliver a specialised mental health service from Bella Vista Sydney.
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