High Functioning audiobook cover - How to Overcome Your Hidden Depression and Reclaim Your Joy

High Functioning

How to Overcome Your Hidden Depression and Reclaim Your Joy

Judith Joseph

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High Functioning
Understanding HFD+
Core Symptoms+
Healing Framework (The Vs)+

Quiz — Test Your Understanding

Question 1 of 7
What is a defining characteristic of high-functioning depression, according to the text?
  • A. It involves obvious signs of distress, such as struggling to get out of bed or missing work.
  • B. It is easily identified by doctors who ask about a patient's daily habits and family responsibilities.
  • C. It allows individuals to appear highly productive and successful on the outside while living on autopilot.
  • D. It is a condition that primarily affects individuals who refuse to take on responsibilities.
Question 2 of 7
According to author Judith Joseph, what is the underlying root cause of high-functioning depression?
  • A. A genetic predisposition to chemical imbalances in the brain
  • B. Unresolved trauma, which can range from subtle betrayals to major life events
  • C. An over-reliance on social media and technology
  • D. A lack of clear career goals and professional ambition
Question 3 of 7
The book identifies 'masochism' as one of the two main symptoms of high-functioning depression. How does the author define masochism in this context?
  • A. A clinical desire to inflict physical pain on oneself to relieve stress
  • B. The loss of ability to experience joy in everyday activities
  • C. Self-defeating behaviors, such as extreme people-pleasing and sacrificing one's own needs
  • D. A tendency to aggressively push away friends, family, and coworkers
Question 4 of 7
What is 'anhedonia', the other primary symptom of high-functioning depression mentioned in the text?
  • A. A reduced ability to experience joy, pleasure, or pride in achievements
  • B. A state of hyper-productivity where one cannot stop working
  • C. The physical manifestation of stress, such as an elevated heart rate
  • D. An overwhelming feeling of imposter syndrome in the workplace
Question 5 of 7
Which of the following is a recommended method for practicing 'self-validation'?
  • A. Seeking constant reassurance from a romantic partner or close friend
  • B. Watching a movie or reading a book that mirrors your own traumatic experiences
  • C. Posting about your daily achievements on social media to receive positive feedback
  • D. Pushing negative emotions aside to focus entirely on future goals
Question 6 of 7
How does the author suggest distinguishing healthy 'venting' from harmful 'trauma dumping'?
  • A. By ensuring you only vent through solitary, creative outlets rather than to other people
  • B. By keeping the conversation strictly limited to five minutes
  • C. By making sure you ask for permission and leave room for a reciprocal, two-way conversation
  • D. By only venting to licensed therapists and never to friends or family members
Question 7 of 7
When working on the 'values' step of healing, why does Joseph recommend focusing on 'transcendent values' rather than rudimentary ones?
  • A. Transcendent values like connection and impact ultimately bring more lasting satisfaction than rudimentary values like power or money.
  • B. Transcendent values require grand, ambitious projects that serve as a distraction from depressive thoughts.
  • C. Rudimentary values are impossible to achieve when suffering from high-functioning depression.
  • D. Focusing on transcendent values guarantees immediate approval and praise from your peers.

High Functioning — Full Chapter Overview

High Functioning Summary & Overview

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 Listen to 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

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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