EPISODE · May 5, 2026 · 25 MIN
High Functioning Depression: You Go to Work, Come Home & Fall Apart
from Chat with Dr. Kat · host Dr. Kat Derrig-Palumbo
You go to work. You take care of your family. You show up, you function, you get through the day. But the moment you're alone — the mask drops, and the sadness is right there waiting. Most people living with persistent, low-grade depression don't even recognize it as depression because they're still "functioning." They assume depression means you can't get out of bed, so what they're feeling must just be who they are. Dr. Kat breaks down the types of depression most people never learn about — from major depression and dysthymia to postpartum, PMDD, and the surprising crash that can follow a happy event like a wedding or graduation. She shares personal stories from her own pregnancies and licensing journey, and introduces a striking anchor-and-boat analogy that explains why depression keeps cycling back even when you think you're getting better. Whether you suspect something's off in your own life or you're watching someone you love quietly struggle, this episode gives you the language to finally name what's happening.I want to hear from you! To submit show ideas or be considered as a guest, visit https://chatwithdrkat.com/contact/Follow Chat with Dr. Kat:Facebook: https://www.facebook.com/chatwithdrkatInstagram: https://www.instagram.com/chatwithdrkatYouTube: https://www.youtube.com/@chatwithdrkatTikTok: https://www.tiktok.com/@chatwithdrkatX: https://x.com/ChatwithDrKatHealth & Wellness Programs:https://mindbodyseries.com/
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What this episode covers
You go to work. You take care of your family. You show up, you function, you get through the day. But the moment you're alone — the mask drops, and the sadness is right there waiting. Most people living with persistent, low-grade depression don't even recognize it as depression because they're still "functioning." They assume depression means you can't get out of bed, so what they're feeling must just be who they are. Dr. Kat breaks down the types of depression most people never learn a...
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High Functioning Depression: You Go to Work, Come Home & Fall Apart
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