是否有可能具有功能性抑郁症？

There are many misconceptions about what depression looks like. You might envision someone who is too distraught to get out of bed. Or you may imagine someone who isn’t able to work or do activities due to their low mood.

But, in reality, depression takes many forms and can range greatly in severeness. Sometimes, people have what’s called “functional depression.”

什么是功能性抑郁症？

功能性抑制，或高功能抑郁症，不是临床诊断。这更像是一个嗡嗡声的词。但这并不意味着它不是真实的。

After all, some individuals with depression appear somewhat fine to the outside world. They go to work, pay their bills, and talk to people. They might even smile regularly.

但这并不意味着他们不会感到沮丧。其中一些人可能会在下班回家的那一刻爬上床。或者他们每天晚上都会坐在沙发上，整晚都哭。他们可以善于隐藏他们的抑郁症。

Persistent Depressive Disorder

DSM-5（手动临床医生的最新版本用于达到特定精神疾病标准的患者）包括称为持续抑郁症的病症。虽然有几种不同的抑郁症，但似乎高发作的个体可能具有持续抑郁症。

以下是一些常见症状：

• 低的自尊心
• 睡眠习惯的变化（睡得太多或太少）
• Changes in appetite (overeating or decreased appetite)
• 难以集中光
• Trouble making decisions
• 绝望的感觉

In order to qualify for a diagnosis, the symptoms must be present for two or more years. Consequently, many individuals who have these symptoms have learned to function despite them.

How Depression May Impact Functioning

To meet the criteria for a diagnosis of depression, an individual must experience social, occupational, or educational impairments.

This means that their low mood must somehow interfere with their daily lives.

但这并不意味着它们仍然在这些领域的一些地区仍然很好。以下是一个人如何与众不同的例子functional depression might still experience impairments in one area of their lives or another:

• A woman shows up to work on time every day and performs her job well. She rarely engages in any social activities, however, because she doesn’t feel like being around people.
• A man continues to enjoy a rich social life with friends in the evenings and on the weekends. Yet he struggles to get through the workday at times because he’s depressed. Since he works from home, he’s able to show up late or put off certain tasks without anyone knowing.
• 一个女人是一个留在家里的父母。她设法照顾她的育儿职责，但在白天她感到孤独和沮丧。她退出了大学课，因为她感觉不堪重负。
• A college student continues to take online classes and work toward his degree. But he quits his part-time job because he lacks the energy and motivation to work.

Causes

像所有形式的抑郁症一样，功能性抑郁症可以源于几种不同原因。它可能是遗传，生物或生命经验的组合，导致功能抑郁症。

Stress, illness, unresolved grief, substance abuse issues, trauma, relationship issues, and major life transitions are just a few reasons someone might grow depressed.

有些原因有人可能开发功能抑郁症。具有功能性抑郁症的个体通常具有温和的症状，它们能够继续运作。或者他们可能是一个完美主义者，害怕表明他们正在挣扎。

风险

仍然可以发挥在郁闷的人可能会使自己的抑郁症不那么糟糕。

有些人最大限度地减少他们的问题

Some people with high-functioning depression may minimize the seriousness of their condition and be less likely to seek treatment.

他们也不太可能获得情感的年代upport from others if their depression goes undetected. Friends, family members, and colleagues may have no idea that the individual is even depressed.

Additionally, someone with high-functioning depression might feel guilty about getting help (guilt often goes hand-in-hand with depression). They may think that people who have worse depression are more deserving of help.

有些人觉得他们不应该沮丧

他们也可能会告诉自己，他们没有理由沮丧。他们可能会认为因为他们仍然可以运作，他们应该更快乐。或者他们可能相信有工作和一个家庭的人不应抑郁。这些想法可能会阻止他们寻求帮助。

All types of depression can lead to an increased risk of suicide, including functional depression. Someone who has functional depression may experience increased thoughts about death, and they might consider ending their lives.

Other people could misunderstand high-functioning depression. They may think an individual who is withdrawing socially isn’t interested in being friends. Or they might label an individual’s struggle with motivation as laziness.

These misconceptions tend to create even bigger问题for someone who is already struggling with depression. They might increase their social isolation or cause them to try to overcompensate by acting as if they’re OK when they’re truly sinking further into depression.

Treatment

功能抑制可以用药物，治疗或两者的组合治疗。

如果您怀疑您可能有功能性抑郁症，请与您的医生交谈。您的医生可以排除可能导致您的情绪状态的医疗问题。

有时候，身体健康问题（如甲状腺问题）可以为抑郁症做出贡献。

如果您的医生感到治疗，您可能会进行药物。您也可能被提交给专门从事心理健康药物的精神科医生。万博手机客户端

Additionally, your physician could recommend talk therapy. There are several types of therapy that can be effective in treating depression, includingcognitive behavioral therapy(CBT). CBT can help you break free from the thoughts and behaviors that reinforce depressive feelings.

A Word From Verywell

有时候，与周围的人一起检查他们是否有助于确保他们做得好。即使他们在外面看起来很好，而且它们似乎运作得很好，他们可能是对你无所谓的问题。

If you suspect someone in your life may have high-functioning depression, talk to them. Make it clear that it’s OK to ask for help if they need it and that depression isn’t a sign of weakness—anyone can developdepression。