Subtle Signs of High-Functioning Depression – We Often Don’t Notice Them
Conversations about mental health are becoming more frequent, and that's a positive development.
But there's one form of depression that still isn't talked about much: high-functioning depression.
"It's a mild depression," said psychologist Alison Saton to the portal "Mamamia".
She explains that people with it still carry out their daily duties – they get out of bed, go to work, maintain relationships and social contacts. But at the same time, they carry an internal burden similar to the symptoms of major depression, reports Index.hr.
Such individuals develop different coping mechanisms over time.
"They learn how to 'get through' the day by hiding how they really feel, often through overworking, people-pleasing, or humor," she adds.
One of the biggest challenges in identifying this type of depression is that many people don't even realize they have it and often don’t seek help, making it difficult to assess how common it actually is, Saton points out.
If left untreated, more serious issues can develop, such as sleep disorders, chronic fatigue, addiction, or severe depression.
"Over time, a person may also have difficulty with emotional connection because they are constantly suppressing their true feelings," she warns.
The first step toward recovery is to "open up." This can be a conversation with a professional or with a trusted loved one.
"Depression without any support becomes unbearable over time. Symptoms can worsen and lead to burnout, often a result of mental and emotional exhaustion caused by constantly 'pushing through the day'," Saton adds.
Subtle signs of high-functioning depression that often go unnoticed include:
Constant Fatigue or Lack of Energy
The most common sign is a feeling of exhaustion and low energy. If you notice your loved one is always tired and avoiding socializing, try starting a gentle conversation.
"Sometimes it’s hard to talk about deeper emotions right away, but you can begin with a question like: 'Tell me, why have you been so tired lately?'" advises Saton.
Change in Appearance
"Sometimes people just don’t look the same. Something feels different, even if you can’t pinpoint what. They might wear the same clothes repeatedly or neglect their grooming. It doesn’t have to be anything drastic," says the psychologist.
It’s important to be careful when talking about changes in appearance. "Of course, don’t tell them they look tired – that might come off as offensive."
Instead, suggest going for a walk or having a coffee together. "Create a safe space. That small step might be enough for the person to begin opening up about their feelings," she says.
Negative Attitude
"Another important sign is constant pessimism and a negative view of the world. You might hear phrases like: 'What’s the point?' or 'Nothing will change, so I won’t even try'," she explains.
This can manifest through self-deprecating jokes or constantly downplaying their own value.
"It’s hard to recognize, especially if it’s been present for a long time – then it’s often seen as part of their personality."
Saton advises against reacting with "toxic positivity."
"Don’t challenge their feelings, but show curiosity and say something like: 'What’s been happening that’s made you feel this way lately?'" she suggests.
Irritability or Tension
"Irritability, tension, or minor mood swings are also common. A person might get angry easily or become overly sensitive. Many people misinterpret this as a bad mood, but it can be a sign of emotional exhaustion," the psychologist explains.
It’s hard not to take such behavior personally.
"Try responding with compassion. Say something like: 'Are you having a bad day?' instead of reacting defensively. This can reduce tension and create space for a calmer conversation," Saton says.
