High Functioning Book Summary - High Functioning Book explained in key points
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High Functioning summary

Judith Joseph

How to Overcome Your Hidden Depression and Reclaim Your Joy

16 mins

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High Functioning delves into the lives of individuals managing mental health disorders while maintaining successful careers and relationships. It offers insights and strategies for balancing personal challenges with societal expectations.

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    High Functioning
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    The root of high-functioning depression

    At first, Judith Joseph didn’t even realize she was depressed. If anyone asked, she would say she was fine. Her career was going well. She was taking good care of her daughter. She was keeping busy, getting things done, and yet… something was wrong. She could sense it. Others around her were starting to pick up on it too.

    As a psychiatrist, Joseph knew she needed to find out what was going on. So she did some research, and started reading about “high-functioning depression.” This term is relevantly recent – it didn’t enter the public consciousness until around 2016. And even now, it’s not always recognized.

    For instance, let’s say you go to your doctor. They ask you, “Are you showing up at work? What about family responsibilities?” If you seem to be coping, then what’s the problem?

    That’s the thing about high-functioning depression – people are still able to function. But they’re living life on autopilot.

    Once you start to look, high-functioning depression is all around us. It’s the person who has to be constantly productive, unable to relax in their free time. It’s the person who’s so focused on taking care of their loved ones, they don’t take care of themselves. 

    It’s people like television correspondent Cheslie Kryst. Although she was highly successful in her career, she struggled with imposter syndrome and an inner voice that told her she was “never enough.” In 2022, Kryst committed suicide at the age of 30.

    The consequences of high-functioning depression can be serious. And even if people don’t reach the point of feeling suicidal, it can still have a huge impact on their quality of life. 

    That’s why Joseph has done the research into the causes, symptoms, and solutions for high-functioning depression. She’s also come up with a framework to help people enjoy their lives once more.

    First though, let’s look at the cause of this disorder. According to Joseph, high-functioning depression is rooted in trauma. 

    Trauma takes many different forms. Childhood trauma is often caused by divorce or abuse. Adult trauma might come from a stressful work environment, or a breakdown in a romantic relationship. There’s also intergenerational trauma and collective trauma – what we went through during the Covid-19 pandemic, for example.

    Trauma doesn’t always have to be dramatic and life-shattering. It might be something subtler, like being betrayed by someone close to you. 

    So when you reflect on things that have happened in your life, keep an open mind. It’s possible that some of these incidents are still affecting you today. And without you being aware of it, they may have triggered your depression.

    Now, let’s look at how the condition manifests.

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    What is High Functioning about?

    High Functioning (2025) explores a mental health condition that’s often overlooked – high-functioning depression. It also offers a practical framework for healing from depression, so you can start enjoying life again. 

    Who should read High Functioning?

    • High achievers who suspect they might be depressed
    • People who want to heal from high-functioning depression
    • Anyone who wants to enjoy life more

    About the Author

    Judith Joseph is a psychiatrist, researcher, and public speaker. She’s currently a clinical assistant professor of Child and Adolescent Psychiatry at NYU Langone Medical Center. In 2023, Joseph received a Proclamation Award from the US House of Representatives and Congress for her research and advocacy.

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