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8 Things People with High-Functioning Depression Want You to Know

SOURCE:  Meagan Drillinger/healthline.com

Even though it might not be obvious, getting through the day is exhausting.

It can be difficult to spot the signs of someone with high-functioning depression. That’s because, on the outside, they often appear completely fine. They go to work, accomplish their tasks, and keep up relationships. And as they’re going through the motions to maintain their day-to-day life, inside they’re screaming.

“Everyone talks about depression and anxiety, and it means different things to different people,” says Dr. Carol A. Bernstein, professor of psychiatry and neurology at NYU Langone Health.

“High-functioning depression isn’t a diagnostic category from a medical standpoint. People can feel depressed, but the question with depression is for how long, and how much does it interfere with our capacity to go on with [our] life?”

There’s no difference between depression and high-functioning depression. Depression ranges from mild to moderate to severe. In 2016, about 16.2 million Americans had at least one episode of major depression.

“Some people with depression can’t go to work or school, or their performance suffers significantly because of it,” says Ashley C. Smith, a licensed clinical social worker. “That’s not the case for people with high-functioning depression. They can still function in life, for the most part.”

But being able to get through the day doesn’t mean it’s easy. Here are what seven people had to say about what it’s like to live and work with high-functioning depression.

1. You feel like you’re constantly “faking it”

“We hear a lot now about imposter syndrome, where people feel that they are just ‘faking it’ and aren’t as together as people think. There’s a form of this for those who deal with major depression and other forms of mental illness. You become quite adept at ‘playing yourself,’ acting the role of the self that people around you expect to see and experience.”

— Daniel, publicist, Maryland

2. You have to prove that you’re struggling and need help

“Living with high-functioning depression is very hard. Even though you can go through work and life and mostly get things done, you’re not getting them done to your full potential.

“Beyond that, no one really believes you’re struggling because your life isn’t falling apart yet. I was suicidal and close to ending it all in university and no one would believe me because I wasn’t failing out of school or dressing like a complete mess. At work, it’s the same. We need to believe people when they ask for support.

“Lastly, a lot of mental health services have needs-based requirements, where you have to appear a certain amount of depressed to get support. Even if my mood is really low and I am constantly considering suicide, I have to lie about my functioning to be able to access services.”

— Alicia, mental health speaker/writer, Toronto

3. The good days are relatively “normal”

“A good day is me being able to get up before or right at my alarm, shower, and put on my face. I can push through being around people, as my job as a software trainer calls me to. I’m not crabby or anxiety-ridden. I can push through the evening and have conversations with co-workers without feeling total despair. On a good day, I have focus and mental clarity. I feel like a capable, productive person.”

— Christian, software trainer, Dallas

4. But the bad days are unbearable

“Now for a bad day… I fight with myself to wake up and have to truly shame myself into showering and getting myself together. I put on makeup [so I don’t] alert people about my internal issues. I don’t want to talk or be bothered by anyone. I fake being personable, as I have rent to pay and don’t want to complicate my life any more than it is.

“After work, I just want to go to my hotel room and mindlessly scroll on Instagram or YouTube. I’ll eat junk food, and feel like a loser and demean myself.

“I have more bad days than good, but I’ve gotten good at faking it so my clients think I’m a great employee. I’m often sent kudos for my performance. But inside, I know that I didn’t deliver at the level I know I could.”

— Christian

5. Getting through the bad days requires an enormous amount of energy

“It’s extremely exhausting to get through a bad day. I do get work done, but it’s not my best. It takes much longer to accomplish tasks. There’s a lot of staring off into space, trying to regain control of my mind.

“I find myself getting easily frustrated with my co-workers, even though I know there’s no way they know I’m having a hard day. On bad days, I’m extremely self-critical and tend to not want to show my boss any of my work because I fear that he’ll think that I’m incompetent.

“One of the most helpful things I do on bad days is to prioritize my tasks. I know the harder I push myself, the more likely I am to crumble, so I make sure I do the harder things when I have the most energy.”

— Courtney, marketing specialist, North Carolina

6. You can struggle to focus, and feel like you’re not performing to the best of your ability

“Sometimes, nothing gets done. I can be in a long drawn out daze all day, or it takes all day to complete a few things. Since I’m in public relations and I work with individuals and companies that champion a great cause, which often pull at people’s heartstrings, my work can take me into an even deeper depression.

“I can be working on a story, and while I’m typing I have tears streaming down my face. That may actually work to the advantage of my client because I have so much heart and passion around meaningful stories, but it’s pretty scary because the emotions run so deep.

— Tonya, publicist, California

7. Living with high-functioning depression is exhausting

“In my experience, living with high-functioning depression is absolutely exhausting. It’s spending the day smiling and forcing laughter when you are plagued by the feeling that the people you interact with only just tolerate you and your existence in the world.

“It’s knowing that you’re useless and a waste of oxygen… and doing everything in your power to prove that wrong by being the best student, best daughter, best employee you can be. It’s going above and beyond all day every day in the hopes that you can actually make someone feel that you’re worth their time, because you don’t feel like you are.”

— Meaghan, law student, New York

8. Asking for help is the strongest thing you can do

“Asking for help does not make you a weak person. In fact, it makes you the exact opposite. My depression manifested itself through a serious uptake in drinking. So serious, in fact, I spent six weeks in rehab in 2017. I’m just shy of 17 months of sobriety.

“Everyone can have their own opinion, but all three sides of the triangle of my mental health — stopping drinking, talk therapy, and medication — have been crucial. Most specifically, the medication helps me maintain a level state on a daily basis and has been an intricate part of my getting better.”

— Kate, travel agent, New York

“If the depression is greatly impacting your quality of life, if you think that you should be feeling better, then seek out help. See your primary care doctor about it — many are trained in dealing with depression — and seek a referral for a therapist.

“While there’s still considerable stigma attached to having mental illness, I would say that we are starting, slowly, to see that stigma abate. There’s nothing wrong with admitting you have an issue and could use some help.”

— Daniel

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5 Ways to Help Someone Struggling With Mental Illness

Research shows that approximately 1 in 5 adults suffers from a mental health disorder, and only 44% of those individuals seek some form of treatment.¹ With this being the case, there is a great chance you know someone who is currently struggling with a mental health disorder of some kind.

Taking the time to acknowledge and talk about the daily battle a friend or family member is having with mental illness is a great way to create a safe space. It allows them to open up about what they are going through and reminds them that they don’t have to fight alone. The more we continue to have these conversations about mental health in our everyday lives, the more we will eradicate the stigma that surrounds mental health and develop a healthier approach to treating and caring for mental health disorders.

Here are 5 ways you can help someone struggling with mental illness.

1.) Recognize that mental illness is unique to each individual.
There are a wide variety of mental health disorders. Some are mild while others are severe, and they affect people in different ways. Treatments that work for one person may not necessarily work for another, so be patient. Take the time to understand your loved one’s individual situation, which is often as simple as having an open, honest conversation. It doesn’t have to be uncomfortable; just let them know you care about them and you’re available to support them.

2.) Remind them that they are not their diagnosis.
Anyone who has lived with a mental health disorder knows that they can feel isolating and all-consuming. There is still a negative stigma of shame surrounding mental illness in our society, and that makes things even more difficult. Take the time to remind them that they are more than their diagnosis without minimizing the seriousness of their condition. Letting them know that you accept them for who they are is a great way to show your support

3.) Show compassion. You don’t have to “understand” what they are going through to be there for them.
You don’t need to have personal experience with a mental health disorder to be a sounding board for someone who does. You also don’t need to feel as though you need to solve all of their problems. Sometimes the best way to show that you are there for them is to listen to them without judgement, and to show compassion for what they are going through.

4.) Let them know that treatment is available. They don’t have to suffer in silence.
So often people don’t seek professional treatment for mental health disorders for a variety of reasons. Sometimes all it takes is the support of someone who cares about them to remind them of the resources and treatment options that are available to them.

5.) Take care of your mental health.
While supporting someone with a mental health disorder is important, you also want to make sure that you are taking the time to care for your own physical, emotional, and mental well-being. It is easy to get caught up in the lives of others, but you need to remember that your own self-care is crucial to how good you can be for others.

  1. Any Mental Illness (AMI) Among Adults, National Institute of Mental Health, https://www.nimh.nih.gov/health/statistics/prevalence/any-mental-illness-ami-among-us-adults.shtml

feinbergconsulting.com · May 30, 2017

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Goals and Rewards

This post is copied from Reddit in a forum about fighting porn addiction.  Because Reddit is not considered a safe place for some in recovery, the link has not been included.

Day 29. Something that’s been really useful for me is setting goals and giving myself a reward for completing those goals. I have often thought something along the lines of ” I’m just two days away from my goal. I’m not going to let myself relapse.”

For me, each reward has been some kind of favorite food, because that’s what motivates me. But you might find other things that motivate you better and fit your situation better: -A favorite movie -A favorite song -A favorite game -A hike -An escape room Whatever motivates you

What goals could you set? What rewards could you give yourself?

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How do you get over feeling unclean and ashamed about having this addiction?

This post is copied from Reddit in a forum about fighting porn addiction.  Because Reddit is not considered a safe place for some in recovery, the link has not been included.

I’m a 23yo female and have been watching porn since I was in pre-school and was exposed to it as part of my childhood sexual assault. My porn addiction is the one thing I’ve never been able to open up about, it’s one of those secrets I have truly kept from everyone. I really feel like I will never have a normal sex life and my porn habit is part of that, absolutely, but I am not ready to give it up yet. I feel so dirty and disgusting that every time I walk into my therapist’s office planning to tell her, I simply can’t get the words out of my mouth. The shame is so strong. Can anyone else relate?

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Her Cheating Heart: Understanding Why She Cheated on You | Psychology Today

First things first: If you’re female and reading this wondering why I’m only writing about women who cheat, know that a post I published a few months ago — “13 Reasons Why Men Cheat” — has become one of my most widely read, with over 1 million views.

But now it’s time to look at female infidelity.

There is a common misperception that it’s only men who step out on their partners, and that women are always faithful. To that, I say: Who are all these men cheating with exactly? Do heterosexual men only cheat with single women and each other?

The simple truth is that approximately as many married, heterosexual women cheat as married, heterosexual men. Research suggests that 10 to 20 percent of men and women in marriages or other committed (monogamous) relationships will actively engage in sexual activity outside of their primary relationship. And these numbers are likely under-reported, possibly by a wide margin, thanks to denial and confusion about what constitutes infidelity in the digital era. For example: Are you cheating if you look at porn? If you flirt on social media? If you have a profile on Ashley Madison that you check regularly, even though you never hook up in person?

To help couples answer these questions, I offer you my fully functional, digital-era definition of what it means to cheat:

Infidelity (cheating) is the breaking of trust that occurs when you keep profound, meaningful secrets from a committed primary partner.

I like this definition for four primary reasons:

1. The definition speaks to the most basic element of what happens when we cheat on our partners. We betray their trust. In such cases, even more than our sextracurricular activity, it is the lying and the secrecy of betrayal that wounds a beloved and unknowing partner (male or female).

2. The definition encompasses both online and real-world sexual activity, as well as sexual and romantic activities that stop short of intercourse: everything from looking at porn to kissing another man/woman to something as simple as flirting (now commonly referred to as micro-cheating).

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3. The definition is flexible depending on the couple. It lets couples define their own version of sexual fidelity based on honest discussions and mutual decision-making. This means that it might be just fine to look at porn or to engage in some other form of extramarital sexual activity, as long as your mate knows about this behavior and is okay with it.

4. The definition helps the cheater understand that the problem he or she created occurred the moment he or she started lying to accommodate or cover up his or her infidelity. The harm is not a spouse finding out the bad news — the harm is that it was covered up.

None of that, of course, explains why women cheat. Nor does it address the fact that women and men often cheat for very different reasons.

So Why Do Women Cheat?

Typically, females step out on a committed partner for one or more of the following reasons:

  • They feel underappreciated, neglected, or ignored. They feel more like a housekeeper, nanny, or financial provider than a wife or girlfriend. So they seek an external situation that validates them for who they are, rather than the services they perform.
  • They crave intimacy. Women tend to feel valued and connected to a significant other more through non-sexual, emotional interplay (talking, having fun together, being thoughtful, building a home and social life together, etc.) than sexual activity. When they’re not feeling that type of connection from their primary partner, they may seek it elsewhere.
  • They are overwhelmed by the needs of others. Recent research about women who cheat indicates that many women, despite stating that they deeply love their spouse, their home, their work, and their lives, cheat anyway. These women often describe feeling so under-supported and overwhelmed by having to be all things to all people at all times that they seek extramarital sex as a form of life-fulfillment.
  • They are lonely. Women can experience loneliness in a relationship for any number of reasons. Maybe their spouse works long hours or travels for business on a regular basis, or maybe their spouse is emotionally unavailable. Whatever the cause, they feel lonely, and they seek connection through infidelity to fill the void.
  • They expect too much from a primary relationship. Some women have unreasonable expectations about what their primary partner and relationship should provide. They expect their significant other to meet their every need 24/7, 365 days a year, and when that doesn’t happen, they seek attention elsewhere.
  • They are responding to or re-enacting early-life trauma and abuse.Sometimes women who experienced profound early-life (or adult) trauma, especially sexual trauma, will re-enact that trauma as a way of trying to master or control it.
  • They’re not having enough satisfying sex at home. There is a societal misconception that only men enjoy sex. But plenty of women also enjoy sex, and if they’re not getting it at home, or it’s not enjoyable to them, for whatever reason, they may well seek it elsewhere.

As with male cheaters, women who cheat typically do not realize (in the moment) how profoundly infidelity affects their partner and their relationship. Cheating hurts betrayed men just as much as it hurts betrayed women. The keeping of secrets, especially sexual and romantic secrets, damages relationship trust and is incredibly painful regardless of gender.

If a couple chooses to address the situation together, couple’s counseling can turn a relationship crisis into a growth opportunity. Unfortunately, even when experienced therapists are extensively involved with people committed to healing, some couples are unable to ever regain the necessary sense of trust and emotional safety required to make it together. For these couples, solid, neutral relationship therapy can help the people involved to process a long overdue goodbye. But cheating doesn’t have to be seen as the end of a relationship; instead, it can be viewed as a test of its maturity and ability to weather the storm.