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August 1, 2025 37 mins
Depression isn’t just about a presence of sadness, it’s also about an absence of happiness. And whilst ceasing to function is a long-understood symptom of Depression, those that cope by never stopping aren’t necessarily in any less need of help. 

In this episode of Lively Minds we discuss High Functioning Depression with Dr. Judith Joseph, a board-certified psychiatrist and researcher. Dr. Joseph, who is also the founder and chief investigator at Manhattan Behavioral Medicine, discusses her groundbreaking research and the resulting book 'High Functioning: Overcoming Your Hidden Depression and Reclaiming Your Joy.'
 
The conversation explores the distinction between high functioning depression and classic depression, the importance of early identification, and Dr. Joseph's innovative five V framework (validation, venting, values, vitals and vision) for cultivating joy and mental wellbeing. 

The episode emphasises the necessity of a proactive approach to mental health to prevent breakdowns and highlights the vital role of understanding trauma and anhedonia in managing depression.

You can buy Dr Joseph’s book: High Functioning at all good bookstores or find out more by clicking here

Please note that this show does not constitute medical advice and is not a replacement for seeking professional help. You can find out more about the show and get signposting to support on our website livelymindspod.com

Follow @livelymindspod on social media, or see our links at  https://www.bio.link/livelyminds 

00:00 Introduction to Lively Minds Podcast
00:16 Meet Dr. Judith Joseph
01:15 Understanding High Functioning Depression
03:23 Proactive Mental Health Approaches
04:37 Defining High Functioning Depression
05:38 The Role of Trauma in High Functioning Depression
07:54 Identifying Anhedonia
17:15 Listener Engagement Break
17:59 Exploring Masochistic Behaviours
19:46 Understanding People Pleasing and Trauma
21:41 Masochistic Personality Disorder Explained
22:27 Big T vs. Small T Trauma
27:01 Coping Mechanisms in High Functioning Depression
30:13 The Five V Framework
37:11 Conclusion and Final Thoughts
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