Hochfunktionale Depression: Nach außen leistungsfähig, doch „innerlich wie abgestorben“

Around one in five to six adults experience depression at some point in their lives, with women twice as likely to be affected compared to men, according to studies. Not all individuals suffering from depression exhibit outward signs, explains Ulrich Hegerl, a psychiatrist and psychotherapist: "Even a high-performing employee may be suffering from a depression."

Recognizing the symptoms of depression within oneself, understanding the differences between "high-functioning depression" and "burnout," and knowing how supervisors should respond when they suspect a team member may be dealing with a depression are key points Hegerl covers in an interview. Hegerl, who is the chairman of the board of the Stiftung Deutsche Depressionshilfe und Suizidprävention, sheds light on the warning signs of depression, even in seemingly high-functioning individuals.

One of the distinctive symptoms of depression is a feeling of being "dead inside," where individuals often lose interest in things they previously enjoyed, experience persistent exhaustion, and have a sense of hopelessness or helplessness. Suicidal thoughts are also alarming indicators. Despite these symptoms, some people continue working for months due to their perception of their condition as a reaction to overexertion or relationship problems.

Shame and fear of disappointing others may also play a role, as they may not want to burden their colleagues or fear disappointing their superiors. The belief that a person who is always high-performing and takes on a lot of responsibility is mentally fit is a misconception. Just because someone performs well at work does not mean they are free from depression.

However, the presence of depression can still impact an individual's performance. The term "high-functioning depression" is not helpful in assisting individuals in recognizing and accepting their condition; rather, it is merely another trending phrase. The phrase "burnout" is similarly problematic, as it often sounds less like a mental illness and more like an expected consequence of overwork. In reality, burnout is often a form of depression.