Sibu

As a healthcare professional, I’ve had the opportunity to encounter a wide range of experiences that have enriched my understanding of mental health. Among the many facets of mental health, one stands out: functional depression. You may be wondering, “Is functional depression really a thing?” Based on my personal experience and professional insights, I believe it is, and I’d like to explain why.

Keep in mind that in psychology and the DSM (Diagnostic and Statistical Manual of Mental Disorders), there’s no official term called “functional depression.” Instead, it discusses conditions like major depressive disorder and persistent depressive disorder. “Functional depression” is a term people sometimes use in everyday conversation to describe when someone can carry on with their daily life despite feeling depressed. It’s similar to what’s called high-functioning depression. This is when someone can still manage their work and personal life even though they’re dealing with ongoing depression. But to clarify, “functional depression” isn’t an official diagnosis in the DSM-5. 

Understanding functional depression

Functional depression is a type of depression where people can still do their everyday tasks and seem okay on the outside, even though they feel sad, tired, and hopeless inside. It’s different from the kind of depression that makes it really hard to do things, but it still makes it tough for people to get by.

From the outside, a person with functional depression may seem perfectly fine. They go to work, maintain relationships, and even engage in social activities. However, beneath this façade, they struggle with a constant, underlying sense of despair and exhaustion. This type of depression can be particularly insidious because it often goes unnoticed and untreated for long periods.

My personal experience with functional depression

As a full-time employee whose job entails helping people, my job demands a high level of competence, compassion, and resilience. I remember a particular phase in my life when I was juggling my job, studying part-time, running my property business, being a single mother to a teenager, and trying to maintain a semblance of a social life. On the surface, everything seemed under control. I was efficient at work, received compliments from patients and colleagues, and appeared to have it all together.

Although I appeared fine on the outside, internally, I was struggling. I experienced overwhelming emptiness and fatigue that seemed insurmountable. Every day felt like a tremendous effort just to get out of bed and face the day. Despite feeling weighed down by responsibilities, I continued to function. I went to work, interacted with patients, and carried out my duties diligently.

The disparity between my outward appearance and inner turmoil was perplexing and isolating. I often questioned my own feelings, thinking, “If I can still function, how can I be depressed?” Many individuals with functional depression share this sentiment. The ability to maintain a facade of normality makes it challenging to recognise the severity of the internal struggle.

Recognising the signs

Recognizing functional depression in oneself or others requires a keen awareness of subtle signs. 

Some of the key indicators include:

• Persistent Low Mood: Even when things are going well, there’s an underlying sense of sadness or emptiness.
• Chronic Fatigue: A constant state of tiredness that doesn’t improve with rest.
• Impaired Concentration: Difficulty focusing or making decisions, even on simple tasks.
• Loss of Interest: Activities that once brought joy now feel mundane or burdensome.
• Guilt and Worthlessness: Frequent feelings of guilt or worthlessness, despite achievements or positive feedback.

From my personal experience, I noticed a decline in my enthusiasm for my career, motherhood, business, and relationships. I found myself going through the motions, feeling disconnected from everything. This raised concerns that something was not right.

Seeking help and finding balance

Admitting that I needed help was one of the hardest yet most crucial steps I took. As a healthcare professional, I was accustomed to being the caregiver, not the one needing care. However, I realised that seeking help wasn’t a sign of weakness but a necessary step towards healing.

I started by opening up during an online discussion in my psychology class where the lecturer was a qualified psychologist. Group therapy became a somewhat safe space where I could explore my feelings without judgment. My classmates echoed a lot of what I was sharing, which helped me understand that functional depression is indeed real and that my ability to function didn’t negate my suffering.

I also began to prioritise self-care, something I had neglected for too long. Simple practices like talking to my family and asking for help, practising mindfulness, and ensuring I got adequate rest made a significant difference. Gradually, I started to regain a sense of balance and well-being.

Supporting others with functional depression

Having walked this path, I feel a deep sense of responsibility to raise awareness about functional depression. Without reference to any published research, it appears that most people who commit suicide are often battling functional depression. I say this because their loved ones or those who are close to them are often taken by surprise when they learn of the suicide. Please click on the link to read about 

If you suspect that someone you know might be struggling with functional depression, here are a few ways to offer support:

• Open Conversations: Create a safe and non-judgmental space for them to share their feelings.
• Encourage Professional Help: Gently suggest seeking help from a mental health professional.
• Offer Practical Support: Small acts of kindness, like running an errand or providing a listening ear, can make a big difference.
• Promote Self-Care: Encourage them to engage in activities that promote relaxation and well-being.

Functional depression is a common struggle that many people, including healthcare professionals, deal with every day. It’s a hidden battle that may not be obvious from the outside. By sharing our experiences and being open about mental health, we can help break the stigma and make sure that no one has to suffer alone. Remember, it’s okay to ask for help if you or someone you know is dealing with functional depression. Healing is possible, and taking care of yourself allows you to better care for others.

Let’s continue this conversation and support each other in our journey towards mental wellness.

Reach out to www.sadag.org for free mental health care assistance.Stay blessed