Mental Health

High functioning depression

I have high functioning depression and I have suffered with mental health issues most of my life. But when I finally gained the confidence to begin talking about it and telling others I had it, I was more often than not met with comments such as

“Wow I would never have known!”

This is part of the difficulty for people living with high functioning depression and often why they are not believed or misunderstood.

High functioning depression

I have chosen to talk about a few points that I think are important for people to understand about me and my life with high functioning depression:

Just because I’m smiling and laughing doesn’t mean I’m not struggling – This is a big one that I struggle with most days of my life. I smile, laugh and even joke so that I don’t worry or burden others. This gives the impression of being ‘better’ but majority of the time I am far from it. My mask has always been my safety blanket. It’s something that I have used my entire life. But I do find if someone truly takes the time to talk to me and ask me how I am feeling I will open up. This is such an amazing feeling. It’s just a shame most don’t or won’t do this.

I am always exhausted – I spoke about this with a friend not long ago about how exhausting it is to live with any mental illness full stop. If I tell people I am tired or even exhausted I am nearly always met with “Oh me too!” I shrug that off but what I really want to say is “You have absolutely no idea what it’s like to feel this exhausted. Every single second of every day!” I don’t mean it in a horrible way it’s just one of those things I wish people understood a little more. I keep myself so busy so that I don’t slip. I am so scared that that the dark thoughts will come back that I exhaust myself, mentally, emotionally and physically. It’s why I am usually in bed every night by 9pm!

It’s isolating – One thing I hate about depression, well most mental illnesses actually, is they force you to isolate yourself. Part of this comes from the depression telling me not to go out. Not to talk to anyone. Why would I? They all hate me anyway!? Which in itself is completely debilitating. It annoys people but It’s not something I enjoy doing. I literally sometimes have no choice! It feeds into the stigma that surrounds mental health and makes me feel very anxious at times.

It makes me seem like I am being deliberately difficult – I have unfortunately come across this feeling from others close to me a few times. When you can’t make a decision or cancel something last minute or can’t cope when plans change. So many times I have had “Just deal with it!” “It’s not the end of the world.” “Why are you over reacting?” What might seem like such a small thing to others is huge to me. I often have everything planned out in my head before hand so it’s like a bomb going off in my head if something changes at the last moment. I panic! I wish I didn’t feel like this but I just can’t help it.

High functioning depression

I often have no idea why my depression takes a turn for the worse – Oh the times I’ve been asked “What’s the matter?” “Why are you feeling like this?” “What’s brought this on this time?” and the times I’ve replied “I have no bloody idea!” And it’s true. Sometimes I can just wake up in the morning and feel different. Sad. Anxious. Stressed and moody. It doesn’t matter if I am doing everything I can to keep my mental health issues in control it can all be undone by one – usually unknown – trigger and it all comes crashes down.

Getting support from loved ones is often the most important thing –  I have the most amazing, loyal, kind and loving husband. I am so grateful and blessed to have him but high functioning depression is difficult to understand. I can’t fault how he has been there for me the last few years when many partners would have walked away. He doesn’t often understand a lot of what I am going through but he asks and he listens which is so important. Unfortunately though, there are others around who often don’t understand so just ignore it or make assumptions. This is so painful for the person suffering. A text is sometimes all it takes. Just to know that you are wanted. You are loved. I completely understand that it is difficult. I suffer with it and I barely understand it at times. But ask us. Let us know you are there. That will mean the absolute world I promise you!

As I have said many times before that everyone’s experience with mental health issues are different. Even if they have the same diagnosis. So I have chosen to focus on my experiences and my issues.

High functioning depression is so difficult to live with. It’s a struggle most days to keep on fighting but I will. Please don’t give up on people suffering depression or any other mental health issue for that matter. Show them support and love the way you would any physical illness.

Remember most people are fighting battles we never know about. Be kind always.

Lots of love

Amy xx


In addition please see this great infographic from the organisation Betterhelp. 


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  • Reply Barbara Scott

    So absolutely and utterly what I experience. Thank you for putting this so succinctly, and for putting it ‘out there’. Take care of yourself. Barbara.

    August 9, 2017 at 11:41 pm
    • Reply amysboarderlineworld

      Thank you so much for reading and getting in touch Barbara. Take care xxx

      August 10, 2017 at 9:24 am
  • Reply Rich Tee

    You have described so succinctly the polarised nature of this horrible condition. I feel so drained carrying on with the ‘cloak’of hiding this disease. I had not heard of high functioning depression, but your description fits my experience. Thank you for sharing.

    November 21, 2017 at 10:16 pm
    • Reply amysboarderlineworld

      Thank you for commenting. Sorry to hear that you have also experienced these feelings. Take care of yourself x

      November 22, 2017 at 10:57 am
  • Reply Linda Mcdonald

    I have just come across your article and firstly thank you for opening up the challenges of this condition in such a clear and honest manner
    Your article describes so accurately, the isolating and bewildering nature of this long term condition that I also live with
    Thank you

    December 7, 2017 at 3:20 am
    • Reply amysboarderlineworld

      HI Linda Thank you so much for taking the time to write to me. I am so glad that you found this helpful. Take care of yourself. Amy x

      December 7, 2017 at 11:13 am
  • Reply Kas Shelly

    Thank you so much for writing your article Amy.I identify with all of it.Hardest thing has been estrangement from oldest and dearest friends simply because I can’t deal with the social side of things.a simple text or phone call seems like a mountain to climb because of the maelstrom of dark clutter going round in my head.

    January 12, 2018 at 8:58 am
    • Reply amysboarderlineworld

      Ah thank you so much for reading and getting in touch. It certainly is tough when you lose friends – I’ve lost many but I have gained a few very special ones as I’m sure you will too. Take time out to look after yourself. Lots of love Amy x

      January 12, 2018 at 9:55 am

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