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.
Ashu (name changed) could not do anything in life ever since he had been diagnosed of schizophrenia by the psychiatrist. He had been prescribed psychotic medicines by different psychiatrist doctors wherever his family had taken him to them .Yet nothing helped. His fears and phobias had worsened with time. The voices in his head continued disturbing him. His logical cognitive ability had been completely distorted and for him all the delusions had become the real images and characters.
Similarly Sheena (name changed) continued with the fear and phobia of persecution at the hands of a person who had long moved out of her life five years ago. Sheena had been diagnosed of delusional disorder (a psychotic disorder).Her life had become completely miserable as she would often get lost into her phobia and would not be able to conduct her normal day to day routine life.
Soon a very significant improvement could be noticed in certain negative symptoms, (e.g., negativity about self and family, sense of doom, lack of interest in surroundings and /lack of drive) started yielding to positive thoughts on all these issues .The clients did respond well as we noticed Ashu and Sheena both had begun looking at the positive aspects of their life. Their sense of appreciation for some aspects of their lives could be felt in their daily interaction with us. We could see their interest reviving in their day to day life too exhibiting positive symptoms.
Family will survive all storms with a little patience and perseverance.
Poonam and her husband Sangit had a wonderful marriage going for the first year of their marriage.Everything seemed to have been set specially to bring the joy and comfortable living for them in their life, but things took an adverse turn when Poonam had conceived her first baby. Her pregnancy ( an unplanned one ) had happened and Sangit didn’t know how to handle this. Poonam’s early morning sickness was too much for him to take .He felt that he had been dealt a wrong hand in the 
Dolly had echoed similar words of dissatisfaction in her marriage to this therapist as she expressed her annoyance on her husband for spending most of his days for office travel unnecessary . She told the therapist, ” even on the days he is in town he would hardly give time to me and children. Every evening my husband spends his time with his friends partying in the club or a bar”.
Harish a businessman speaks same thoughts when he says, ” my wife throws one kitty party every week compulsorily and the days she does not throw a party herself, it would be any of her friends inviting her over. We hardly see each other at home. We have become strangers staying under the same roof”.
Family is Everything .
Tanisha (name changed) has been married for seven years into her second marriage. Her earlier marriage had not last long enough and before she could realize that she has been married, she was out of the 
It is obvious Tanisha has to bear the brunt of her husband being unemployed . She is mistreated by her mother in law too. Tanisha has been moving forth between her parents house and her in laws like a bouncing ball very frequently. The last time she had been away for over six months ( this being longest period of her leaving her husband ). Yet she comes back every time .Every month it happens either she is told to leave her in laws’ place by her mother in law or her husband or she would leave in a huff after the fight vowing never to come back . Her life goes on in spite of the mental, physical , emotional , economic and social abuse.Neither her parents want her to leave her husband nor is she confident enough to lead her life independently.
Relationship abuse is the most common form of psychological, abuse people indulge into to hold a sway over others or allow others to hold a sway over them. It is a kind of psychological exploitation by the perpetrator . At the same time it is also an unnecessary comfort area the victim gets into refusing to come out of it.
The low self-esteem in women can be the result of having undergone childhood abuse — which can instill fear of the unknown change .Doubts of self empowerment can raise their tolerance for abuse, and neglect . Such women have reported at least one incident of abuse in their early life , whether physical or psychological.Psychological abuse included things like, “touching inappropriately by a friend or a relative”, “ being bullied in their childhood”, ” being called fat or ugly”, ” having been ignored by parents, guardians, or“ being hurled insults by teachers , tutors, classmates or companions “.Most of the abuse the study indicates are psychological.
“It is possible that women with childhood abuse histories are more satisfied in their relationships than women without childhood abuse histories because they have more tolerance for mistreatment based on early life experiences and resulting interpersonal experiences ”, the researcher points out ,“…the more psychological abuse women are exposed to, the more energy and effort they put forth to resolve the conflict, thus leading to increases in perceived investment.”
Alka Mansik Pramarsh Foundation Clinical Psychologists-Family therapists Indore 0731-4263087,9179383554 
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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