High Functioning Depression: The Struggle No One Sees

As a therapist, I often meet people who arrive in sessions carrying a quiet confusion. They are successful, reliable, thoughtful and capable. They meet deadlines, they care for their families, they show up for friends, from the outside, their lives appear steady and even admirable. Yet privately they describe a persistent heaviness or a sense of moving through life behind a pane of glass. Many of them say the same thing in different words.