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Rethinking "High Functioning Depression": Why Language Matters in Mental Health

Writer's picture: Christina PereiraChristina Pereira

In the realm of mental health discussions, the term "high functioning depression" has gained traction, but it's time to critically examine its implications. While it may seem innocuous at first glance, this term carries significant weight and can have detrimental effects on how we perceive and treat individuals with depression. Here's why I believe we should reconsider the use of this term:


Firstly, labelling someone as having "high functioning depression" risks trivialising their experience. By focusing on their ability to function in daily life, we may inadvertently downplay the severity of their symptoms. Just because someone appears to be functioning well on the surface doesn't mean they aren't struggling internally. This can lead to their suffering being overlooked or invalidated, hindering their access to the support and treatment they need.


Moreover, the concept of "high functioning" implies a binary distinction between those who can navigate daily tasks and those who cannot. This dichotomy between "high functioning" and "low functioning" overlooks the complexity of depression and the varying degrees of impairment individuals may experience. It perpetuates the harmful notion that those who are not "high functioning" are somehow failing or choosing not to function optimally, which is far from the truth. Depression affects everyone differently, and no one should be judged or labelled based on their perceived level of functioning.


Instead of using divisive terms like "high functioning depression," we should strive for a more inclusive and empathetic approach to mental health discourse. All forms of depression, regardless of how they manifest, deserve equal recognition and support. By reframing the conversation around depression, we can foster a greater understanding of its nuances and ensure that everyone receives the care and attention they deserve.


Furthermore, language plays a crucial role in shaping our perceptions and attitudes towards mental illness. The words we use can either empower or stigmatise individuals seeking help. By moving away from stigmatising labels like "high functioning depression," we can create a more supportive and compassionate environment for those struggling with their mental health.


Perhaps we may instead prioritise understanding and empathy. Depression is a complex and multifaceted illness that affects millions of people worldwide. No one should feel ashamed or judged for their symptoms, regardless of how they present outwardly. By embracing a more nuanced understanding of depression, we can break down barriers to treatment and foster a culture of acceptance and support.


In conclusion, the term "high functioning depression" does more harm than good. It perpetuates harmful stereotypes and overlooks the diverse experiences of individuals living with depression. As we continue to strive for a more inclusive and compassionate approach to mental health, let's leave behind unhelpful labels and instead focus on supporting each other with understanding and empathy. After all, everyone deserves equal rights to care pathways when it comes to mental health.

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©2023 by Christina Pereira Clinical Psychologist.

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