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Is High-Functioning Depression Treatable?

Written by Dr. Anjali Talcherkar

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Many individuals experience high-functioning depression or persistent depressive disorder (PDD), a mental health condition where individuals can fulfill their daily duties despite feeling consistently sad and lacking in energy. Those with high-functioning depression may seem to be coping well externally by handling work and social interactions smoothly while grappling with ongoing symptoms internally. Identifying and diagnosing this type of depression can be difficult since its indications are subtle and milder compared to other depression symptoms. IIt’simportant to grasp the concept of high-functioning depression and identify its signs. In this blog post, we delve into whether high-functioning depression can be managed effectively and recognized early on, emphasizing the significance of treatment to enhance mental wellness and overall quality of life.

What Is High-Functioning Depression?

High-functioning depression, commonly referred to as persistent depressive disorder (PDD) or “mailing depression,” is a type of mental health issue where individuals experience ongoing feelings of sadness and low energy that last for a minimum of two years without an interruption in their daily activities or responsibilities. Unlike depressive disorder, where symptoms are more severe and noticeable externally, individuals with high-functioning depression may seem fine outwardly but face internal challenges such as constant fatigue, feelings of hopelessness, and trouble focusing on tasks at hand. High-functioning depression may not be formally recognized in the DSM-5, however the challenges that individuals with these symptoms face are significant and should not be overlooked or dismissed.

What Are Depressive Disorders?

Depressive disorders cover conditions marked by enduring feelings of sadness and disinterest in activities. The common depression types include:

Major Depressive Disorder (MDD): Major Depressive Disorder (MDD) is characterized by symptoms that disrupt everyday activities and must exhibit a minimum of five symptoms for a duration of at least two weeks.

Seasonal Affective Disorder (SAD): Seasonal Affective Disorder (SAD) is a form of depression that tends to strike during specific times of the year—often in the winter months—when there is less sunlight available.

Persistent Depressive Disorder: Dysthymia is another term for Persistent Depressive Disorder (PDD), a type of lasting depression that persists for a minimum of two years, with milder symptoms compared to major depression.

Atypical Depression: Characterized by mood reactivity and distinctive signs such as heightened appetite and changes in sleep patterns.

Post-Partum Depression: Postnatal depression is a condition that impacts women following childbirth and can result in emotional fluctuations and challenges in looking after the infant.

What Causes Depression?

Depression is a mental health issue that can arise from a blend of biological influences like genetics and brain chemistry imbalances along with psychological and environmental factors. Stressful life events or chronic illnesses can increase one’s susceptibility to depressive symptoms. Additionally, negative thinking patterns and a lack of self-confidence can worsen depression. It is crucial to grasp these reasons to ensure successful treatment and control of the condition.

What Are the Signs and Symptoms of High-Functioning Depression?

Understanding the signs and symptoms of high-functioning depression is crucial for recognizing this often-overlooked condition. Individuals with high-functioning depression may appear to manage their daily responsibilities while silently struggling with persistent feelings of sadness and low energy.

Here are some common high-functioning depression symptoms:

  • Persistent Sadness: Feeling down more often than happy, even while maintaining daily routines.
  • Fatigue: Chronic tiredness that persists despite adequate sleep.
  • Self-Criticism: Being overly critical of oneself, regardless of accomplishments.
  • Social Withdrawal: Pulling away from friends and activities once enjoyed.
  • Irritability: Increased frustration or annoyance over minor issues.
  • Low Motivation: Difficulty finding enthusiasm for tasks or activities.
  • Sleep Problems: Experiencing insomnia or excessive sleeping.
  • Low Self-Esteem: Feeling unworthy or inadequate compared to others.
  • Indecisiveness: Struggling to make decisions, even small ones.
  • Feeling Hopeless: A pervasive sense that things will not improve.

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Is High-Functioning Depression Treatable?

Managing functioning depression is possible with the right treatment. Seeking support can significantly enhance ones overall mental health and wellbeing. Therapy sessions like cognitive behavioral therapy (CBT) are beneficial in recognizing thinking patterns and creating tools to handle symptoms better.  Medications like serotonin reuptake inhibitors (SSRI’s) could be recommended to help ease symptoms by maintaining a balance in brain chemistry.  To treat high-functioning depression beyond therapy, engaging in physical activity and maintaining a nutritious diet along sufficient rest can greatly boost the healing process.

Psychotherapies for Depressive Disorders

There are several therapeutic approaches used for treating depression including:

Cognitive Behavioral Therapy (CBT): Focuses on identifying and changing negative thought patterns and behaviors that contribute to depression.

Interpersonal Therapy (IPT): Addresses relationship issues and improves communication skills to alleviate depressive symptoms.

Mindfulness-Based Therapies: Incorporates mindfulness practices to help individuals manage their thoughts and emotions more effectively.

Dialectical Behavior Therapy (DBT): Combines CBT with mindfulness techniques, teaching emotional regulation and distress tolerance.

Psychodynamic Therapy: Explores unconscious processes and unresolved conflicts that may contribute to depressive symptoms.

Holistic Therapies for Depressive Disorders

Holistic approaches are becoming more popular in treating mental illness. Here are common types of holistic therapies useful for treating depression:

Yoga and Meditation: Promotes relaxation and mindfulness, reducing stress and enhancing emotional well-being.

Acupuncture: Aims to balance energy flow in the body, potentially alleviating symptoms of depression.

Nutritional Therapy: Focuses on dietary changes that support mental health, such as omega-3 fatty acids and vitamins.

Herbal Supplements: Utilizes natural remedies like St. John’s Wort or omega-3 supplements, although consultation with a healthcare provider is essential.

Medications for Depressive Disorders

Mental health professionals may advise the use of medications in some cases of depression. The common types include:

Selective Serotonin Reuptake Inhibitors (SSRIs): Commonly prescribed antidepressants that increase serotonin levels in the brain.

Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs): Target both serotonin and norepinephrine to help alleviate depressive symptoms.

Tricyclic Antidepressants: Older class of medications that can be effective but may have more side effects.

Monoamine Oxidase Inhibitors (MAOIs): Effective for some types of depression but require dietary restrictions due to potential interactions.

Atypical Antidepressants: A diverse group of medications that don’t fit into other categories, offering various mechanisms of action.

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Self-Care Tips for Depressive Disorders

Regular Exercise: Engaging in physical activity can boost mood and reduce anxiety through the release of endorphins.

Healthy Eating: A balanced diet rich in nutrients can positively impact mood and overall mental health.

Adequate Sleep: Establishing a consistent sleep routine helps regulate mood and energy levels.

Mindfulness Practices: Techniques such as meditation or deep breathing can reduce stress and enhance emotional resilience.

Social Support: Maintaining connections with friends and family can provide emotional support and reduce feelings of isolation.

Creative Activities: Engaging in art, drawing, music, or writing can be a valuable outlet to deal with your emotions.

When Should Someone Seek Help for Depression?

If you or someone you’re close to is feeling consistently sad or hopeless and losing interest in things they once enjoyed, it’s important to get help for depression. Talk to a mental health expert if these symptoms persist for more than two weeks, disrupt your daily routine, or make you think about hurting yourself. Getting help early can make a big difference in getting well and finding the support you need to recover. Remember that asking for help shows strength and is a crucial step in taking back control of your life.

If you need further support and guidance for depression, Footprints to Recovery Mental Health has a comprehensive and holistic approach to mental health. Contact us today to learn more and begin your journey to recovery.

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