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.