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Depression is often associated with overwhelming sadness and an inability to function in daily life. However, a less-known form called high-functioning depression, also known as smiling depression, is characterized by subtler symptoms that can go unnoticed. 

Smiling depression is difficult to recognize because individuals appear happy on the outside so that they can mask their internal struggles. They often maintain an appearance of normalcy to conceal their emotional pain. This makes it challenging for others to see their distress without deeper observation or insight into their personal experiences.

Seemingly manageable symptoms

Unlike major depressive disorder, high-functioning depression manifests milder symptoms. This can deceive the individual and those around them into believing everything is fine. However, beneath the surface, the person may be battling persistent feelings of emptiness, worthlessness, or hopelessness.

Ability to work and maintain relationships, but with a lot of effort

Individuals with high-functioning depression often excel in their professional and personal lives. This is a way of masking their internal struggles behind competence and sociability. They may fear that revealing their true emotions will jeopardize their relationships or career prospects.

Despite outward achievements, those with high-functioning depression struggle internally. Simple tasks that others take for granted feel like uphill battles. Every accomplishment comes at a cost of immense mental and emotional energy, leaving them exhausted and depleted.

Chronic somatic symptoms

Suppressing emotions takes a toll on the body. Individuals with high-functioning depression may experience chronic physical complaints like headaches, digestive issues, or muscle tension. These somatic symptoms serve as a subconscious outlet for the emotional distress they're trying to conceal.

Inclination to self-medicate

To cope with their inner turmoil, some individuals turn to substances like alcohol or drugs. This self-medication offers temporary relief but exacerbates the underlying condition in the long run. It's essential to recognize this behavior as a potential red flag for high-functioning depression.