Key Points
Struggling in Silence
High-functioning depression can mask itself behind productivity — making it harder to recognize and easier to overlook.
When Success Hides the Symptoms
Even with a full schedule or outward stability, persistent sadness, fatigue, and low self-worth may still be present.
Early Awareness Matters
Identifying the signs of high-functioning depression early can prevent deeper burnout and emotional exhaustion.
More Than Willpower
This condition isn’t a matter of mindset — it’s real, and effective treatments like TMS can offer lasting relief.
Feeling sad or down can happen to anyone. It’s only when those feelings remain for a prolonged period that a doctor will diagnose you with depression. More than 17 million Americans 18 and older suffer from depression every year, which affects men and women. Depression can make it hard for you to get out of bed and do any of the things that you love. In addition to depression, some people suffer from high functioning depression.
What Is High Functioning Depression?
High functioning depression is a type of disorder in which people exhibit symptoms of depression but can still function in their daily lives. You might find that no one in your professional or personal life knows about the struggles that you have. The symptoms of high functioning depression include:
- Concentration issues
- Problems making decisions
- Feelings of hopelessness
- Poor self-esteem
- Insomnia or sleeping too much
In addition to these symptoms, you might experience appetite changes in which you eat more or less than you did before. These symptoms must last for two years.
Use the following high functioning depression test to assess your symptoms and determine if you should talk to a doctor. You simply answer yes or no to each statement.
DISCLAIMER: This test is not intended as a diagnostic tool, but rather an indication that you may need help. If the following quiz prompts any vulnerabilities or concerns, please contact a trained professional.
Take the Test
Causes of Depression
Before looking at transcranial magnetic stimulation and other treatment options, you may want to look at the common causes of depression. While there isn’t one known cause of depression, there are some possible causes, including past abuse and genetic factors. Depression can run through a family, meaning that you’re more likely to suffer if you have one or more parents who did. Many people also experience depression due to major life changes such as a divorce or losing a loved one. Taking a high functioning depression test is an easy and convenient way to diagnose yourself at home before speaking to a doctor.
Once a doctor or psychologist diagnoses you with high functioning depression, you can look at some of the treatment options. Treatments for depression include talk and behavior therapy as well as cognitive-behavioral therapy. Antidepressants and other medications can help you battle your symptoms. You should talk to your doctor about the medication though as some have serious potential side effects. The treatments that you choose will often depend on the symptoms that you experience.
What is Transcranial Magnetic Stimulation?
Another treatment suitable for those struggling with high functioning depression is (TMS). TMS includes an initial consultation with a psychiatrist in which you undergo an assessment. This allows the doctor to determine what symptoms and type of depression you have. If you both decide on TMS, you will attend daily sessions that last for 18 minutes over the next six to eight weeks. TMS offers a comfortable solution that helps you work on your depression and recover under the care of a doctor.
What is High Functioning Depression? – Take the Assessment
FAQs
What is high-functioning depression?
High-functioning depression isn’t a formal clinical diagnosis, but it describes people who appear to manage daily responsibilities while experiencing persistent symptoms of depression — such as low mood, fatigue, or feelings of worthlessness.
How is it different from major depression?
The symptoms may be similar, but high-functioning depression tends to be more subtle. People with it often maintain work, relationships, and routines — which can delay recognition and treatment. It often aligns with conditions like Persistent Depressive Disorder (dysthymia).
What are common signs to look out for?
Signs include chronic tiredness, low self-esteem, difficulty enjoying activities, irritability, sleep or appetite changes, and a persistent feeling of being “numb” or emotionally drained — despite appearing outwardly “okay.”
Why is it so hard to recognize?
Because those affected often appear successful, composed, and engaged, their symptoms can be dismissed by others — or by themselves. They may feel guilt or confusion for feeling unwell despite functioning “normally.”
Can high-functioning depression be treated?
Yes. Like other forms of depression, it’s treatable with therapy, lifestyle changes, medication, or non-invasive options like TMS (Transcranial Magnetic Stimulation).
Is TMS effective for high-functioning depression?
TMS is FDA-approved for major depression and may also benefit those experiencing persistent symptoms associated with high-functioning depression. It’s a drug-free, non-invasive treatment option with minimal side effects.
Let’s Discuss Treatment Options.

