Dearest reader, allow me to introduce you to a sneaky little thing called high-functioning depression. It's like the Loki of mental health conditions: master of disguise and often hidden in plain sight. Also known as dysthymia in the mental health world, high-functioning depression is much harder to recognize than its overtly gloomy sibling, major depressive disorder (MDD). You see, individuals grappling with high-functioning depression, pull off their daily routines and on the surface, seem just fine.
The Paradox of High-functioning Depression
Ever ridden a bicycle with a deflated tire? It's not impossible to ride, but it takes significantly more effort. That’s how it feels living with high-functioning depression. These Bogart individuals, like ninjas of normalcy, masterfully conceal their inner struggles while successfully maneuvering everyday tasks (1). From afar (and often up close, too), everything seems to be in order. They work, socialize, parent, and do not cease to impress with their seemingly top-notch coping abilities. They just make it harder for folks to spot the true depth of their suffering.
Beneath the well-orchestrated surface, numerous internal battles wage on unnoticed, including unshakable sadness, lethargy, and a curious disinterest or lack of pleasure in activities once enjoyed. They may also struggle with changes in appetite or sleep patterns, have difficulties focusing , and are often besieged by feelings of hopelessness (2). Now, you might be wondering...
The Medical Perspective
"Why haven't I heard more about High-functioning depression?" An excellent query, dear reader! It might surprise you to learn that "high-functioning depression" is not an official diagnostic term in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), you know, the psychiatric bible. Instead, it's officially called Persistent Depressive Disorder (PDD) (3).
PDD is an apt title as it emphasizes the chronicity of this form of depression, characterized by at least two years of ongoing depressive mood. Basically, it's like a particularly stubborn houseguest who, despite the not-so-subtle hints, refuses to leave.
Treatment Approaches for High-functioning Depression
Now, despite the above-mentioned Loki-style antics, people with high-functioning depression can (and do!) find help and relief. Kindly note here, this depression does not require you to soldier on grimly. There are treatment options available, and they work! Cognitive-behavioral therapy (CBT) and interpersonal therapy (IPT) are two therapeutic approaches that have shown significant success. CBT works by addressing and transforming faulty thought and behavior patterns, while IPT focuses on improving interpersonal relationships and social functioning (1).
Additionally, healthcare providers may prescribe antidepressant medications, specifically selective serotonin reuptake inhibitors (SSRIs), which help manage those pesky symptoms by increasing the levels of serotonin, a mood-lifting chemical in our brain.
Importance of Seeking Professional Help
Alright, let's reel it in. If you're nodding along to this article, thinking, "Well, that sounds uncomfortably familiar," it's crucial that you reach out to a professional. High-functioning depression doesn't necessarily mean comfortably-functioning depression. It is challenging and exhausting to live with and deserves treatment (1).
With an accurate diagnosis and the right treatment plan, relief is entirely possible. Imagine lifting the weight you've grown so accustomed to carrying, only to realize how heavy it actually was! I urge you, don't minimize your pain or exhaustion just because you're 'functioning.' Sometimes even Queens need help to adjust their crowns. And that's okay.
Thank you, dear reader, for bravely delving into this tricky topic with me, if you're going through this remember, you're not alone. And if you suspect someone you know might be, reach out, because your support may make all the difference.
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