High-Functioning Depression: The Silent Struggle Behind the Smile

By Robyn Minefee, LPC, CPCS, RYT-200
Owner + Clinical Director, Mind and Body Therapy GA
If you’ve ever crossed paths with someone who seems to “have it all together” — always productive, always showing up, always smiling — there’s a chance you’ve met someone living with high-functioning depression.
And if you’re reading this and thinking, “Whew… that might be me,” you’re not alone.
High-functioning depression doesn’t always look like what we traditionally imagine when we hear the word depression. There are no obvious signs like staying in bed all day or withdrawing from everything and everyone. Instead, people push through. They keep going. They perform. They achieve. They show up for everybody but themselves.
As a therapist, I see this all the time — especially among Black women, high achievers, healers, caretakers, and those who have learned to “be strong” even when the weight is unbearable.
Let’s talk about what high-functioning depression really looks like… and why naming it is the first step toward healing.
For more on what high-functioning depression is and how it shows up, you can also read this helpful resource from the Cleveland Clinic:
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https://health.clevelandclinic.org/high-functioning-depression
What High-Functioning Depression Looks Like Day-to-Day
High-functioning depression hides behind routines. It shows up in subtle ways, like:
- You look successful, but you feel exhausted.
You’re checking off the to-do list, holding down your job, caring for your family — but inside, you’re running on fumes. - You’re the “strong friend.”
Everyone comes to you for advice, support, and emotional labor… but no one realizes you’re holding back tears on your lunch break. - Things that used to bring joy don’t hit the same.
Your hobbies. Your passions. Your social life. It’s not that you don’t care — it’s that you can’t fully access joy anymore. - You keep yourself busy to avoid feeling.
Productivity becomes a coping mechanism. If you stop moving, the emotions might catch up. So you keep moving. - You’re emotionally flat — not sad, not happy, just… floating.
- You minimize your own pain.
You tell yourself, “I’m not that bad… other people have it worse… I just need to toughen up.”
But healing doesn’t come from minimizing. It comes from recognizing.
Why High-Functioning Depression Is So Hard to Catch
Because on paper, you “look good.”
Your life looks stable. Your performance looks strong. Your social media is curated. Your friends say, “You’re doing amazing!”
But what they don’t see is the silent part:
- Crying in the shower before work
- Feeling disconnected from your own body
- Emotional numbness
- Overthinking everything
- Feeling overwhelmed by simple tasks
- The heaviness you carry even when you’re smiling
High-functioning depression is tricky because it allows people to hide in plain sight.
And many people have been conditioned to push through, perform, and survive — not to feel, rest, or ask for help.
How This Shows Up in the Mind + Body
Because I practice from a mind-body-spirit lens, I want to highlight something important:
High-functioning depression is not just mental — it’s physical.
You may notice:
- Chronic tension in the shoulders, jaw, or chest
- Fatigue that feels deeper than “just being tired”
- Trouble focusing
- Headaches or digestive issues
- Feeling disconnected from your body
- Difficulty slowing down or resting
The nervous system is working overtime, even if you appear calm on the outside.
You Don’t Have to Fall Apart to Deserve Support
One of the biggest myths about depression is that you have to be non-functional to “qualify” for help.
That is absolutely not true.
You don’t have to wait until:
- You stop showing up to work
- You can’t get out of bed
- You hit a breaking point
- Someone else notices something is wrong
You deserve support simply because you’re struggling — silently or loudly.
What Healing Can Look Like
Healing high-functioning depression is about slowing down, tuning in, and reconnecting with yourself.
In therapy, we work on:
- Giving language to your emotional experience
No more minimizing, dismissing, or pushing through. - Reconnecting with your body
Somatic work, breathwork, yoga therapy, and nervous system regulation help you feel grounded again. - Challenging unrealistic expectations and perfectionism
You do not have to perform your way to worthiness. - Learning to ask for help — and receive it
Support is not weakness. It’s your reminder that you’re human. - Rebuilding joy and pleasure
We rediscover what lights you up — not for productivity, but for your spirit.
If This Sounds Like You… You’re Not Alone.
So many high-achieving, high-performing people come to therapy saying, “I look fine… but I don’t feel fine.”
And that is exactly why Mind and Body Therapy GA exists — to help you reconnect, realign, and release the pressure to be everything for everyone.
You deserve softness.
You deserve support.
You deserve a place to not be “strong.”
You deserve to feel like yourself again.

At Mind and Body Therapy GA, we are committed to cultivating healing, resilience, and empowerment through our specialized psychotherapy services. Our mission is to establish a safe and culturally affirming environment where individuals can begin their transformative journey toward healing.






