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8 Warning Signs Your Friend is Hiding Depression

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Have you ever heard of the term “smiling depression”, “high-functioning depression” or “hidden depression”? As these names imply, this is when a clinically depressed person tries to keep the depression a secret from others. They often appear cheerful, successful, and seemingly put-together - leading you to the belief their lives are perfectly happy, fine and without mental illness.

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Suggested video(s):
5 Things Not To Say To Someone With Depression
https://youtu.be/ihabkxaGqFs

Writer: Chloe Avenasa
Script Editor: Denise Ding
Script Manager: Kelly Soong
VO: Amanda Silvera
Animator: Clarisse Lim Xingyi
YouTube Manager: Cindy Cheong

**Key Signs to Watch For:**

1. **Deep Emotional Sensitivity** (0:43) – They experience emotions more intensely than others.
2. **Reduced Optimism** (1:14) – They struggle to maintain a positive outlook.
3. **Perfectionist Tendencies** (1:36) – They feel a strong need to be the best at everything.
4. **Sudden Mood Swings** (2:02) – Their emotions fluctuate unpredictably.
5. **Substance Abuse** (2:34) – They have turned to drugs or alcohol as a coping mechanism.
6. **Increased Social Withdrawal** (2:58) – They spend significantly more time away from home.
7. **Hesitancy to Seek Help** (3:30) – They feel guilty or uncomfortable asking for support.
8. **Masking Their Struggles** (3:59) – They put on a happy front, even when they’re struggling inside.

References:
· Brownhill, Suzanne, et al. “‘Big build’: hidden depression in men.” Australian and New Zealand journal of psychiatry10 (2005): 921-931.
· Abroms, Gene M. “The diagnosis and treatment of hidden depression.” Psychiatric Quarterly4 (1981): 235-241.
· Fisch, Robert Z., and Gidon Nesher. “Masked depression: Help for the hidden misery.” Postgraduate medicine3 (1986): 165-169.
· Grohol, J. (2018). 6 Secret Signs of Hidden Depression. Psych Central. Retrieved on February 7, 2020, from https://psychcentral.com/blog/6-secret-signs-of-hidden-depression/

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