What Is High-Functioning Depression? Signs You Might Miss
August 13, 2025When people think of depression, they often imagine someone unable to get out of bed, overwhelmed by sadness, or unable to function in daily life. But there’s another form of depression that often flies under the radar: high-functioning depression.
This type of depression doesn’t always look like what you’d expect. In fact, many people with high-functioning depression appear to be doing just fine—holding down jobs, raising families, and keeping up appearances. But beneath the surface, they may be struggling more than anyone realizes.
What Is High-Functioning Depression?
High-functioning depression isn’t a formal diagnosis in the DSM-5, but it often refers to Persistent Depressive Disorder (PDD), also known as dysthymia. People with this condition live with a low mood that lasts for two years or more, but they often mask their symptoms through productivity and routine.
They get things done—but they feel emotionally flat, chronically tired, or disconnected from joy.
Key Signs of High-Functioning Depression
Because high-functioning depression can be subtle, it’s easy to miss. Here are some common signs:
- You’re always exhausted—even after rest.
This isn’t just physical fatigue. It’s a deep emotional exhaustion that makes even small tasks feel draining. - You’re constantly self-critical.
High-functioning individuals often set high standards for themselves—and then silently beat themselves up when they don’t meet them. - You feel numb more than sad.
Instead of intense sadness, you might feel emotionally muted, detached, or empty most of the time. - You keep up appearances—but feel like you’re faking it.
You show up for work, meet deadlines, socialize—but inside, it feels like you’re going through the motions. - Joy feels distant, even in good moments.
Things that used to make you happy no longer spark the same excitement or meaning. - You downplay your pain—especially to others.
You might tell yourself “It’s not that bad” or “Other people have it worse,” even though you’re silently struggling.
Why High-Functioning Depression Often Goes Untreated
Many people with high-functioning depression don’t seek help because they assume they’re just tired, burned out, or being dramatic. They may feel guilty for struggling when their life “looks fine” on paper.
But untreated depression—even in a high-functioning form—can take a long-term toll on your mental, emotional, and physical health.
How Therapy Can Help
Working with a therapist for depression can help you recognize patterns, process difficult emotions, and reconnect with joy and meaning. Therapy offers space to speak honestly—without having to keep it all together.
You don’t have to wait until everything falls apart to get support.
Get Support Today
At Guidepoint Clinic, we offer virtual therapy across Ontario and Newfoundland, including support for depression, burnout, anxiety and more..