One forgets that people who seem to have it all together seem to go through difficulties too. High-functioning depression is a mental illness that hides in plain sight and often goes unnoticed, even by the sufferer. Unlike major depressive disorder, people suffering from high-functioning depression continue their daily tasks, excel in their work, and seem to be fine. But under the façade lies a feeling of hollowness, tiredness, and doubt in oneself.

High-functioning depression—or, as it is known in clinical terms, dysthymia—is more than the occasional sadness or stress. It is a long-term condition of low mood that lasts for years. Those with this condition often describe being in a fog, acting without pleasure or fulfilment, and downplaying their struggle, as they don't think their problems are "serious enough" to seek help because they are functioning by societal measures. Internally, this internalisation of suffering leads to a sense of isolation and shame.

This stigma usually exacerbates the issue. Society praises productivity and resilience but frowns upon vulnerability to emotions. Patients with high-functioning depression usually keep their experiences undercover for fear of being labelled as weak or incompetent. Such a veil not only delays professional care but keeps people under an illusion that mental health issues have to always be clothed in a certain manner to be taken seriously.

High-functioning depression is often hard to detect in oneself or anyone else. There may be persistent fatigue despite adequate rest, an inability to concentrate, irritability, and a lack of interest in activities that used to bring pleasure. Additionally, there may be an internalised critical voice that seems to be constantly undermining a person's achievements and self-esteem.

The individual must seek help. Cognitive behavioural therapy (CBT) can be helpful for most in recognising and challenging their negative thought patterns. In addition, medication may be necessary for more severe symptoms. Building a support system of friends and family that allows for vulnerability in safety is also very important.

If you, or someone you know, may be suffering from high-functioning depression, remember that you are not alone. Mental health is just as important as physical health, and talking about it is not a sign of weakness. Talking about these hidden battles allows us to create a world where everybody feels seen, heard, and supported no matter how "functional" they may be on the surface.

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