When we think of depression, it’s common to imagine a condition that visibly affects a person’s life, keeping them in bed or away from social activities. However, there’s a type of depression that’s less noticeable but equally impactful—high-functioning depression.
High-functioning depression, clinically known as dysthymia or persistent depressive disorder, is a form of depression that doesn’t necessarily stop you from working or living your life but can still cast a long shadow over your life. People with high-functioning depression often maintain a stable job, relationships, and social life. On the surface, they seem to have everything together, which makes it hard for others to notice they’re struggling.
Those experiencing high-functioning depression might feel low and tired and have difficulty finding joy in things they used to love. There might be feelings of hopelessness, self-criticism, or a general sense of being unfulfilled, yet these individuals often continue to meet their daily responsibilities.
Since high-functioning depression can go unnoticed by others, it’s important for individuals to recognize the signs within themselves. If you’re consistently feeling down, have lost interest in activities, feel a lack of energy, or are struggling with low self-esteem, even while managing daily life well, it could be time to seek help.
Getting support for high-functioning depression is extremely important. Oftentimes, therapy, lifestyle changes, and sometimes medication can make a world of difference. Remember, just because someone is high-functioning doesn’t mean they don’t need support. Acknowledging that the struggle is real is the first step towards getting the necessary help to improve one’s life. If you or someone you know is dealing with high-functioning depression, reach out to a mental health clinician or a doctor—they can support you or your loved one on a journey to health.
Iris Mejia, RN, is a registered nurse with a bachelor’s degree in nursing from the University of Hawaii Maui College. With 21 years of experience as a Labor and Delivery nurse, she developed a keen interest in mental health nursing. Her firsthand experience with ketamine infusion therapy led her to pursue her passion in this field.
Iris is dedicated to helping patients achieve their optimal well-being through compassionate care and evidence-based practices.
Outside of work, Iris enjoys practicing yoga, traveling, and spending quality time with her family.
Susan DeRobertis, BSN, BSN, PMHRN-BC, is a board-certified Psychiatric Mental Health Registered Nurse and holds a Bachelor of Science in Nursing from Cal State Fullerton.
Susan’s commitment to mental health and wellness is driven by a deep understanding of the challenges faced by those struggling with mood disorders. Having witnessed firsthand the limitations of traditional therapies for depression, anxiety, PTSD, and other mood and chronic pain disorders, she is an advocate of ketamine infusion therapy as a transformative treatment option. Susan is passionate about supporting individuals and their families through their mental health journeys and continues to be excited when she sees firsthand the positive changes that ketamine therapy can bring.
Over the past decade, Susan has dedicated herself to providing care at the Mental Health and Wellness Institute at Mission Hospital Laguna Beach. She is also a nursing instructor at the University of California, Irvine.
Beyond her professional accomplishments, Susan is a devoted mother, a talented musician, and an avid live music fan. She finds joy in spending quality time with her daughters, traveling, and attending concerts.