5 Signs You Could Have High-Functioning Depression

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Just because you’re not too sad and listless to get out of bed doesn’t mean you may not be depressed. Here’s what you need to know about high-functioning depression.

You decline social invitations

High-functioning depression can impact your quality of life, dampening your enthusiasm for work, school, family, and even social activities. A change in social activities can be one of the earliest warning signs.

“People with high-functioning depression still go to work and interact with people, but outside of work, they may stop hanging out with friends, and make excuses like ‘work’s been really stressful,’” says Jason Stamper, a doctor of osteopathic medicine and psychiatrist at Mountain Comprehensive Care Center in Pikeville, KY. “They will be somewhat isolative, and this often translates into distance in relationships.” The way you speak may also be telling.

You have other health issues

This is a two-way street. On one hand, underlying medical conditions may prompt depression. “Co-occurring medical conditions, like diabetes or cancer, cause stress and strain that can lead to depression,” says Michelle Riba, MD, a clinical professor and associate director at the University of Michigan’s Comprehensive Depression Center.

On the other hand, she explains, depression can lower immunity, making you more vulnerable to getting sick.

You’re sleeping differently

Whether you can’t nod off as easily, you’re snoozing more than usual, or you’re tossing and turning, sleep problems can warn of possible depression—and it can make your symptoms dramatically worse. “Good sleep is key to good mental health,” says Carol Landau, PhD, a clinical professor of psychiatry and medicine at Brown University in Rhode Island.

You’re worried or anxious

You may be so quick to equate depression with sadness that you overlook another strongly linked emotion: anxiety. Contrary to what many people think, it’s not just about fearful feelings. In fact, Dr. Stamper says it can manifest itself in multiple ways. Therefore, you might experience mental restlessness, confusion, and that feeling of having a “pit in your stomach.”

You’re a successful, type A personality

High-functioning depression can affect affluent, educated people. Wealth and education are not necessarily synonymous with a stress-free, joy-filled life. “The paradox of high-functioning depression is that these are very often people who are educated and have important jobs,” Stamper says.

“They have the benefit of education and status, yet often their careers can be huge stressors.”

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