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Tackling High Functioning Depression With Dr. Judith Joseph

May 11, 2025
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Psychiatrist, researcher, and writer Dr. Judith Joseph pulled up for a strong dialog on The Mama’s Den podcast, and belief us—this one is a must-listen. For those who’ve ever felt such as you’re holding all of it collectively on the skin whereas struggling in silence on the within, you might be not alone. 

Dr. Judith, who’s the writer of Excessive Functioning: Overcome Your Hidden Melancholy and Reclaim Your Pleasure, retains it actual about her personal expertise with melancholy, the realities of high-functioning psychological well being struggles, and why Black girls, particularly, face distinctive challenges on the subject of looking for assist.

What Is Excessive-Functioning Melancholy, Actually?

Excessive-functioning melancholy is a type of issues that isn’t at all times straightforward to acknowledge—particularly whenever you’re busy, productive, and nonetheless dealing with your obligations. However simply since you’re getting issues carried out doesn’t imply you’re okay. Dr. Judith breaks it down, explaining that high-functioning melancholy differs from conventional melancholy as a result of, on the floor, the whole lot seems high-quality. However beneath, many individuals wrestle with anhedonia (a scarcity of pleasure), burnout, and exhaustion that they will’t appear to shake.

And for Black girls? The wrestle is much more actual. “Girls are twice as more likely to have melancholy and anxiousness in comparison with males,” Dr. Judith explains. “Black girls are inclined to have extra stressors and fewer permission to course of ache.” She goes on to spotlight the distinctive pressures Black girls face, from microaggressions within the office to societal expectations that demand they hold pushing ahead it doesn’t matter what.

“They will’t decelerate as a result of they don’t need to let their neighborhood down,” she continues. “Black girls, we don’t need to disappoint anybody, as a result of we typically really feel like we’re fortunate to be there.” The burden of at all times having to be robust, to show your self, to carry it down—it takes a toll. And too usually, high-functioning melancholy is dismissed or ignored till it reaches a breaking level.

The 5 V’s: A Framework for Discovering Pleasure

Dr. Judith presents a sensible, manageable method to reclaiming pleasure—one step at a time. Her “5 V” framework provides us easy, on a regular basis methods to fight melancholy and begin prioritizing psychological well-being:

1. Validate

“Think about that there are 5 issues that, if you perform a little little bit of every single day — you’ll be able to choose one or two, not all 5 — then happiness is inside attain,” Dr. Judith says. “All of us have the capability to create dopamine, which is the pleased chemical. So if you happen to really feel as if you happen to’re not getting pleasure, you are able to do one in all these 5 issues every single day.”

The primary V is validation—acknowledging and accepting how you are feeling, it doesn’t matter what. As a substitute of dismissing your feelings or pretending you’re high-quality, attempt being sincere. “Truly say, ‘I’m burnt out. I’m depressed. I’m overwhelmed,’” she advises. “Acknowledging how you are feeling decreases uncertainty, and people want to understand how they’re feeling.”

2. Vent

However let’s be clear—venting is not the identical as trauma-dumping. Dr. Judith emphasizes the significance of expressing your emotions in a wholesome means, whether or not that’s speaking to a trusted pal, journaling, singing, dancing, or portray. “You possibly can vent in a means that feels genuine to you,” she says. “And whenever you let these feelings out, you truly really feel higher.”

3. Values

All of us love good issues, however actual happiness doesn’t come from materials possessions. “These are issues which are priceless, not issues with worth tags,” Dr. Judith reminds us. “On the finish of the day, once I’m on my deathbed, I’m not going to be like, ‘I want I purchased a Prada bag.’ I’m going to be like, ‘I want I had extra time with my daughter.’”

4. Vitality

Your physique and mind? You solely get one. Dr. Judith drives this dwelling with a lesson she teaches her daughter day by day: “What number of our bodies did God offer you?” Her daughter solutions, “One, Mommy!” After which comes the follow-up query: “What do you need to do with it?” The reply? Deal with it.

“What you eat, how a lot you progress, how a lot you relaxation—all of it impacts your psychological well being,” Dr. Judith says. “Consuming processed meals that will increase irritation could make you depressed. Being in poisonous relationships can take a toll in your well-being. Sleep, motion, and nourishing your physique matter greater than you notice.”

5. Imaginative and prescient

Lastly, don’t overlook to have a good time your self. “Many people do nice issues, after which we’re simply onto the following,” Dr. Judith says. “However have a good time your wins. Acknowledge them. Don’t simply say, ‘Okay, what’s subsequent?’ Take a second to understand your self, as a result of tomorrow shouldn’t be promised.”

Destigmatizing Melancholy & Taking the Subsequent Step

Psychological well being, spirituality, and cultural views all intersect on this dialog, and one factor is obvious—Black folks deserve the area to course of their ache, heal, and thrive. Dr. Judith’s message is easy: You don’t have to attend till you break down to hunt assist. And discovering pleasure isn’t about big, dramatic adjustments; it’s about small, constant steps every single day.

Her ebook, Excessive Functioning: Overcome Your Hidden Melancholy and Reclaim Your Pleasure, hits bookshelves on April 8, and is bound to be a game-changer for anybody seeking to higher perceive their psychological well being and discover actual, sustainable pleasure. So, if you happen to’re a high-achieving one that’s been struggling silently, take this as your signal to begin prioritizing your self. You deserve pleasure. And as Dr. Judith reminds us, it’s inside attain.

Set off Warning: This episode incorporates point out of suicide from 06:45 – 08:00, which can be triggering for some listeners. Tune in to the newest episode of The Mama’s Den now on all podcast platforms and watch on Black Love’s YouTube channel.



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