What is high-functioning depression?
Sudhir (name changed ) has been managing his large company for years together and didn’t believe it could happen to him when he was told by this psychologist ,” you have been suffering from high functioning depression”. “ But how is this possible ,I have been managing all my affairs well and attending to all my routine .However the family could notice him being bored quite quickly and Sudhir has of late been getting tired often ,showing signs of irritation and impatience .

Often it is believed that a high functioning individual can never be depressed or even tired because he seems to always be active ,agile and his metabolism could be working at its best .But that may not be the case always .
High-functioning people always seem to be on the drive manning not only their work but also of others work too. High functioning depression is a term used to describe people who experience symptoms of depression while largely maintaining their daily responsibilities and outward appearance. Such high functioning individuals often are able to maintain high flying careers, professional relationships, and social lives, making it difficult even for themselves to recognize their own depressed state of mind .It could generally be taken as tiredness and distraction and they shrug it away ,when told that they could have a depression.
Is high -functioning depression a mental illness or an emotional disorder ?
The term high-functioning depression has not been officially recognised anywhere till now neither in ICD 10 or even in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). It is thus obviously not diagnosed by your psychiatrist or a psychologist.

It’s possible for a person to meet the diagnostic criteria for major depressive disorder (MDD) or persistent depressive disorder (PDD) while hiding many of the signs and symptoms by their being busy active and over the situation.When this is the case, they may be informally described as having high-functioning depression.
Persistent Depressive disorder is a recognised mental health condition characterized by long-term, chronic bouts of depression.
High-functioning depression and PDD share similarities, but they’re not the same. The term “high-functioning depression” describes someone who mostly keeps up appearances ,despite depressive symptoms.
If you think you or a loved one may be experiencing any form of depression and feel that because of your high functioning you are not able to decide what it is , it’s important to seek professional help. A professional psychologist or a psychiatrist can provide a proper diagnosis and recommend appropriate treatment options.
Symptoms of high functioning depression
Because it’s not an official diagnosis, high-functioning depression doesn’t have distinct symptoms. Warning signs of high-functioning depression, and of depressive disorders generally, can include:
- Persistent feelings of aloofness ,sadness or emptiness
- Difficulty concentrating or making decisions with clarity
- Periodic low self esteem and self-doubts
- Persistent fatigue or regular low energy
- Erratic or altered sleep patterns (not able to sleep or oversleeping)
- Change in eating habits .Appetite changes (increased or decreased)
- Irritation or restlessness
- Loss of interest in normally previous enjoyed activities
- Feelings of giving up ,hopelessness or pessimism
- Physical symptoms like headaches or digestive issues
- Thoughts of self harm ,death or suicide .
The situation can be different for different people.Depression can look different for everyone, and you don’t need to hit a bout of actual sickness or depression. Now is the good time for you to seek help.
People with high-functioning depression may try to hide their symptoms from others, often out of fear of being judged or a feeling of embarrassment.Seeking help isn’t a sign of weakness. Even if coping with high-functioning depression seems possible on your own, you don’t need to manage without help. Treatment can help alleviate symptoms, improve quality of life, and prevent the condition from worsening over time.A person attempting to hide symptoms of depression may aggravate the problem hence let’s not delay further but talk now .
You can reach out to us
Call 7224896739 or email
mansikpramarsh@gmail.com
http://www.mansikpramarsh.com.















Mrs Sharma sounded worried when she handed over the school bag of her daughter to bus attendant, “Please tell the driver not to drive too fast. He fetches small children, They can fall off their seats “. The bus attendant just nodded her head in affirmation. Not satisfied with just a nod, Mrs Sharma moved to the front of the bus .”Please drive slow and take care of our children” she had told the driver. The driver too nodded his head. Mrs Sharma waited for the bus to move. She kick started her scooter . She paused for a moment and then turned her scooter towards the direction in which the bus had been going. She followed the bus at a safe distance and eventually having seen the bus safely getting into the school gate, she turned back . Such melodrama has been going on with Mrs Sharma for over a month now.
Julie is only six years old .She studies in the neighborhood kindergarten school. She had been fine all this while and used to be very eager to go to school every morning .Last week suddenly out of the blue she complained of stomach ache and refused to go to school. Her mother had taken her to the pediatrician who found nothing wrong with the child . The child had been referred to the school counselor. A few sessions with the parents, the child and the class teacher revealed, the child has been always worried about her mother being alone at home and this worry always prevailed upon her mind.
Mrs Narwhal was so much worried of getting affected by the germs or carrying the germs back home that she would hang an extra set of clothes in her toilet in advance , which she wanted to wear the moment she would get back home from her trip outside. Every time she had come back to her house, she would first get into the bath to wash her clothes, bathe herself in order to cleanse herself of all the germs that she thought she might have brought with her from outside. She would feel completely relieved once having done this ritual .But it is obvious, such a ritual can be a great pain to other members of her family as the rule of changing into the fresh clothes after returning from outside and of washing the clothes that had been worn for going outside immediately on return from outside played havoc with the peace of the family . Any kind of advise to Mrs Narwhal to stop worrying created further problems as she would avoid such person who would advise her to not to worry .

Veena a company general manager swerved her car swiftly from hitting the road divider on the highway on her way back home from the office, as the driver of another car overtook her without any warning or flashing the indicator. In a reflex action Veena lowered her side window glass and threw expletives on the driver of the other car. She could see a lady driver in the other car too appearing to be in a hurry to reach home after the office . “It could have been the end of my life today”, thought Veena,who was in a hurry to reach home much before her husband made it home.
“Possibly the lady driving other car too has an enraged husband waiting at her home . That’s why the lady appeared to be in a hurry or it is likely that she has a sick child waiting at home”, justified Veena to herself . She found other car drivers behind honking at her , who had been equally disturbed by her abrupt change of direction to the right of the road . She breathed a few more swearing as she eased her car on the road again. Such a scene has become quite common in almost all towns where people appear to be in a mad rush with the surge of anger seething under their breaths. Veena could cool her anger by feeling empathy for lady driver of the other car. But how many of us can actually feel such an empathy for the one who has been the cause of our anger .
Lets us analyse one more situation. Maharishi family has come out for a dinner with another family friend of theirs to a high class restaurant known for its elegant ambiance. As soon as the waiter had placed soup dishes on the table , Mrs Maharishi’s younger child insisted on serving the soup into her dish herself. The young baby could hardly handle the hot dish and found herself spilling the soup all over on the table.
Many a times it would so happen that the anger comes to us in a sequence of various events and by the time we realize what has happened we end up losing control of the situation completely .This anger as we saw in the restaurant begins with one small event later on building up on the subsequent emotional reactions of angry outbursts.We just saw that anger had been building up on the earlier anger and the entire atmosphere had been converted into the inflamed oven of angry moods in the restaurant. The anger that had been just started with a small event got so intense after it found its subsequent hijacking devoid of any reason or logic .When we are engrossed into the angry atmosphere we just lose our sense of being and get carried away. This kind of anger had been built up not by the threat to the physical self but to the perceptive respectability, and disciplined family image of the Maharishi family . Mrs Maharishi felt insulted by the behavior of her child in the presence of her guests hence she had hit the child rather than at that time taking control of the situation and calming down her child.
Manoj and his wife had been having argument for over a week now over some trivial matter. His wife noticed that every time the argument had begun Manoj would simply slip out of the house and return much later after her temper had died down. She followed him in their next bout of angry expletives .Manoj had gone to the temple nearby . He sat amongst the bed of flowers in the green lawns of the temple. She sat next to him as he moved aside to offer her more space. All that was causing trouble in them had been forgotten and they both decided to come to the same place next time an argument would start among them.Manoj told her that he would always allow himself a cooling down period every time he lost his temper , by coming to the calm and serene garden. Such distraction really works wonders on the mind and makes it one with the atmosphere .
Lesson learnt : Move out to the place of your liking when you get angry. The place can be the garden nearby, a place of worship, a coffee shop, a favourite restaurant, a small drive around the corner and reflect calmly on the atmosphere rather than pursuing the train of anger from which you have just execused yourself .
Family Always Comes First

Do you think your spouse is depressed and want to know how to help
Posted in daily writings and musings of the psychologist, tagged anger, angry, anxiety, clinical psychologist in indore, clinicalpsychologist, counselling psychologist, depression, family counselling, family counsellor, family counsellor in indore, family dispute counselling, family fights, family systems, family therapist in indore, family therapists, family therapy, familytherapist, familytherapistin indore, lifestyle, marital counseling, marital counselling, marital counsellor, marital disputes, marital disputes counseling, maritaltherapy, marraige counselling, marriage, marriage counseling, marriage counseling in Indore, meditation, mental health, mindset, premarital counselling, premarital counsellor, premarriage counselling, premarriage fears, psy, psychiatrist, psychological abuse, psychologist, psychologist in indore, psychologistinindore, psychologistsinindore, psychology, psychotherapyLeave a comment, reflections, relationship, relationships, sad, society, Tagged anxiety, women on December 14, 2018| Leave a Comment »
A few sessions with the couple revealed that they both in spite of their long dating history had failed to emotionally connect with each other so far. Seema had wanted to make the emotional connection but had not understood how to proceed with it. She had always wanted to make Jatin part of her inner life. Each time she tried she sounded more pathetic and distressed and felt completely remorseful when she did not get the desired attention and response from Jatin.
It has been observed by us that one partner in a marriage is depressed , the cause would always be a marital situation between the two spouses. The solution to such a situation has to be found within the marriage situation only.There can be no solution by putting the onus to only one of the members to the marriage, as the reason is not individual but a common factor is responsible for whatever is happening to the spouses.
-Ramneek Kapoor – Family Therapist, Psychologist Counselor and Science of Living Expert.
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