Ask Kati Anything

Are You 'High-Functioning' but Secretly Depressed? (Psychiatrist Explains)


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High-functioning depression is a silent struggle for many. Are you walking through life, feeling overwhelmed, but still managing to keep it all together?

Dr. Joseph shares insights from her groundbreaking, peer-reviewed study, the first of its kind on high-functioning depression. She explains why many people with depression symptoms continue to function, showing up to work and managing their responsibilities, often while wearing a mask to hide their pain. They may not experience joy or pleasure, a symptom known as anhedonia, which can be a key indicator of this condition.


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My new book is available for pre-order:

Why Do I Keep Doing This? → https://geni.us/XoyLSQ
If you’ve ever felt stuck, this book is for you. I’d be so grateful for your support.
Our conversation challenges the traditional medical approach to mental health, which often requires a person to reach a point of crisis before they can receive a diagnosis or treatment. We explore why this "wait until you're at stage four" mentality is so flawed and how we can instead adopt a preventative mindset, similar to what we see in cardiology.
We also dive into the fascinating link between past trauma and the need to be constantly busy. Dr. Joseph’s research shows that high-functioning individuals often avoid dealing with their pain by taking on more work and distracting themselves.
In this episode:
00:46 - What is High-Functioning Depression?
02:47 - The connection between trauma, being busy, and high-functioning depression
04:21 - The medical field's narrow definition of trauma
07:12 - The idea of "white knuckling" life
08:32 - The difference between happiness and joy
11:23 - The importance of small moments of joy
14:16 - Using the Bio-Psychosocial Model to find joy
25:50 - The significance of body and emotional awareness
27:50 - The impact of social media and technology
31:53 - The importance of in-person connection
37:48 - The future of AI in therapy
40:39 - The connection between people-pleasing, perfectionism, and trauma
45:54 - Why people return to abusive relationships
48:38 - A 5-step model for finding joy
53:40 - The joy of writing and creative work
Order Dr. Judith Joseph's book, High-Functioning: https://amzn.to/3Iotjvx
Kati's Main Youtube channel: https://www.youtube.com/@Katimorton#podcast #psychology #drjudithjoseph
KATI'S BOOKS
Traumatized https://geni.us/Bfak0j
Are u ok? https://geni.us/sva4iUY
ONLINE THERAPY (enjoy 10% off your first month)
While I do not currently offer online therapy, BetterHelp can connect you with a licensed, online therapist: https://www.betterhelp.com/kati
PARTNERSHIPS
Nick Freeman | [email protected]

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Ask Kati AnythingBy Kati Morton, LMFT

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