Wednesday 12 April 2017

High Functioning Depression

It's no secret that I have had my struggles with anxiety and depression over the past few years. It's something that I am generally quite open about and I have written about it on my blog before. For me it's important to talk about mental health and my own personal issues because not only is it somehow quite therapeutic for me, but I also know it's comforting to others. 

I have more recently struggled with what is often referred to as 'high functioning depression'. This is pretty much exactly what it says on the tin - a depression where you are still able to function.

When I look back at myself, pre mental health problems, I know that my own perception of depression was a stereotypical one. If I heard that someone was depressed or signed off work with depression my mind would automatically conjure up images of someone unable to have a wash or get out of bed. I would imagine the person in a tearful state and unable to leave the house. I now recognise how depression can look very different and more often than not it's the face across the room smiling back at you, the most organised co-worker who seems to have everything under control, or even the person laughing with friends in the pub.

Depression doesn't have to look any particular way and it's important to realise that people do suffer in different ways and in varying degrees.

I remember a few years ago when I was signed off work with anxiety and depression and an ex colleague reported to my manager having seen via social media that I was out in public and enjoying a yoga class. I remember at the time feeling so incredibly annoyed because I didn't fit in with their imagined reality of depression. It was almost as if my illness wasn't going to believed unless I stayed at home and gave up on life and trying to help myself feel better.

On another occasion I recall having a meeting with occupational health and the therapist I was meeting with began to question my illness because I had managed to do my hair and makeup that day. I began to feel like no one was going to take me seriously or believe me unless I looked or behaved in a certain way. Just imagine becoming unwell to the point where your whole life as you know it changes and then having everyone around you doubt whether or not you're telling the truth...      

I've always maintained that it's really difficult for people to understand anything mental health related unless they have suffered themselves. It is unfortunately in most cases an 'invisible illness' which makes it even harder for others to understand what they can't even see. I should know, I used to be the same.

So what does high functioning depression look like? 

It looks like me. It looks like you. It looks like the person sitting next to you. Mental health problems affect an estimated 1 in 4 people in the UK so the likelihood is that if you're not a sufferer yourself you will know someone who is. And when I say 'know someone who is' you may not even know who that person is around you because they may hide their illness due to a fear of being judged or stigmatised.

Depression for me is quite changeable and I tend to go through periods of time that may be better than others and vice versa. Even when i'm feeling really good I am still conscious of its presence and I am more than aware of its ability to fade away and return whenever it feels like it. Contrary to some nonsensical opinions, I have absolutely no control over it.

For the most part I have always found anxiety to be the more debilitating illness, but again this can be different for different people. Depression can feel suffocating at times but it's rarely stopped me from doing what I need to do. Whereas anxiety can stop me in my tracks and completely change my lifestyle when it's at its worst, I have always managed to battle through depression and put on a brave and semi(ish) happy face.

And I guess that's the thing with high functioning depression, you can do a pretty good job of hiding that anything is wrong at all. Sometimes I look back at photos and I vividly remember how awful I felt at the time but from the photo you would really have no idea. In fact in some of them I look better than ever.

You could be on the most beautiful paradise island in the world but depression is still going to be there. It's going to be on the sun lounger next you bringing up all of your flaws and everything you hate about yourself. You'll bump into it again at the buffet where it will remind you that you should be feeling happy and ask why you aren't enjoying yourself like everyone else until it has you convinced that you're the worst company to be around and you don't even know why anyone would want to spend time with you. And again at night when you close your eyes and try to sleep it will perk up and want to run through different scenarios with you like losing everyone around you who you love and ending up old and lonely before eventually dying alone.

I would say that high functioning depression is the bittersweet mental illness. It allows you to carry on with your every day activities, hold down a job and maintain relationships. The burden of it is only really with you which can make life feel like a constant uphill struggle. Nine times out of ten you don't feel like sticking to plans or doing what you need to be doing, but you somehow power on and get on with life in the hope that eventually maybe it won't feel so hard. You get up every day, you do your hair and makeup, you attend your appointments, you engage in social activities. No matter how draining these things are on your ever waning energy levels you carry on because there is no other feasible option.

Perhaps if I had known about high functioning depression sooner in my life I would have got help sooner. Because I didn't fit into my own stereotypical image of what depression looked like I thought I was ok, when really I wasn't. I thought it was normal to not feel pleasure and enjoyment in things. I'd more often than not just feel like I was going through the motions in life and somehow always on the outside of what everyone else was experiencing. The perfectionist in me would constantly push myself to achieve more and I was of course my own worst critic. I had no reason to be depressed because on paper I seemed to have it all.

What I know now is that these are common traits for many of its sufferers and usually what prevents self acknowledgement of the problem. Sadly it's usually the perfectionists, the go getters and high achievers who least want to accept the reality of anything being wrong. But take my word for it, the consequences of not accepting that there is a problem are far worse and life changing.            


  1. Hi - interesting read. It's so hard to know whether to be open and honest about mental health, especially at work. Unfortunately many of my colleagues don't understand (or want to) and I've heard all manner of catty comments about people 'being off with stress/depression' as if they/we are making it up. I sometimes wish I could give up my job, as it feels that I have little energy for anything else, but I also know I need routine and structure in my life (and the pay!). I've started acknowledging that I can't 'power on' through everything, I can't work and do something every night, so I don't, but it's hard (fomo!). Especially when I don't have the energy for the things I do enjoy doing! How do you manage now? I know that I'll kind of need help on and off for the rest of my life most likely, but it is hard to ask for it (and sometimes harder to find it!). Thanks for sharing. Kirsty

    1. I can totally relate and it's definitely not easy to talk openly about it at work without a fear of being judged and treated differently. I used to heart the same comments at work all the time so when it happened to me it just made me feel ten times worse because I felt like everyone was thinking i'd made it up to get off work. When in reality I loved my job and life and just wanted to carry on as normal! I think a really good balance is if you can go part time. I did that for a while and felt that I finally had a proper work / life balance without only having the energy for work. I work from home now and as much as its hard to stick to a routine it works well for me. I do miss the office banter and socialising I used to get from work but at the same time not having that dreaded Sunday night feeling anymore is a god send. I had to completely end my career and couldn't cope with stress and putting myself under pressure. xx

  2. People who have never suffered with depression don't understand that we manage it - I have days when I can't leave the house and cry all day, or can't get out of bed! I think I'll be on meds for the rest of my life to keep the chemicals on my brain level! I go to pieces without my meds - I really can't function then! It's no walk in the park being inflicted with this unwelcome condition!

    1. No it's really horrible and sadly I don't think people really realise or understand until it happens to them. I really feel for you and I can relate to what you say. I hope to come off my meds at some point but i'm also aware that I might not be able to and this is now part of who I am. It can also come back again after recovery which I have unfortunately had experience of. x

  3. I love this! I can relate so much to feeling like its normal to not feel pleasure in things, it's so easy to think you're fine because you're still getting on with your day to day life and depression 'should be' different, hence why it's so important to talk about it.

  4. I can relate so much to this post. At my worst I used to get up and get dressed, put my makeup on and get my morning coffee, no one around me had a clue because I looked like I had my shit together. At my first counselling session I felt the woman scan me up and down, maybe I should have skipped the makeup, let her see how pale my skin was underneath its glowing contour. I felt judged, by her and by my family who were also having to come to terms with me admitting that I needed help. They too used to think that if I had a smile on my face then everything must be ok right? Heaven forbid that I didn't because then I was just ungrateful, surly or rude. My boyfriend too can't get a handle on it, if I'm outwardly low then he sees it as his fault, if I hide it then I get no support, and it all comes out eventually in a mass of tears. Never judge a book by its cover, never assume that you know what someone is going through, never take a smile to mean happiness and a laugh to mean that they're ok. Just offer support, at all times and an ear to listen.

    Again thank you for posting this. I have shared it as I felt it encapsulates what it feels like so perfectly. xx

    Sophia x

    1. It's so horrible to have people doubt your illness and how you're feeling purely by how you look. People suffer in different ways and no matter how unwell i've been i've always tried to take care of my appearance but I know for a lot of people that isnt even an option. Thanks for commenting and sharing Sophia xx

  5. This is so relateable. I've suffered from anxiety and depression on and off for 5 years now. When I was in high school, no one could tell that something was wrong with me, because I was doing all my work, I would go out with my friends, and just seem like everything was fine and dandy. At the time I wasn't diagnosed with anything professionally, but I knew that something was up with my mind. Eventually I went to a doctor and it was so relieving to have them confirm everything I suspected. I thought because I didn't fit the norm of what someone with those mental illnesses should behave, I was fine, when that was further away from the truth. You are not alone in this feeling xxx

    Melina |


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