Smiling Depression: What You Need to Know

What is smiling depression?


Smiling depression doesn’t just affect people with low incomes and sketchy lives. It doesn’t target dysfunctional homes and rebellious teens (Hurd, A.A., 2017). 

Smiling depression, believe it or not, often affects seemingly happy couples, the educated, and the accomplished (Hurd, A.A., 2017). To the outside world, you got it; these victims seem like the most successful individuals (Hurd, A.A., 2017).

 “Smiling depression” is a term for someone living with depression on the inside while appearing perfectly happy or content on the outside (Elmer, 2018). Their public life is usually one that’s “put together,” maybe even what some would call normal or perfect (Elmer, 2018).

Smiling depression isn’t recognized as a condition in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) but would likely be diagnosed as a major depressive disorder with atypical features (Elmer, 2018).

What are the symptoms of smiling depression?

Someone experiencing smiling depression would — from the outside —appear happy or content to others. On the inside, however, they would be experiencing the distressful symptoms of depression. 

Depression affects everyone differently and has a variety of symptoms; the most distinguished being deep, prolonged sadness. Other classic symptoms include:

  • changes in appetite, weight, and sleeping
  • fatigue or lethargy
  • feelings of hopelessness, lack of self-esteem, and low self-worth
  • loss of interest or pleasure in doing things that were once enjoyed

Someone with smiling depression may experience some or all of the above, but in public, these symptoms would be mostly — if not completely — absent. To someone looking from the outside, a person with a smiling depression might look like:

  • an active, high-functioning individual
  • someone holding down a steady job, with a healthy family and social life
  • a person appearing to be cheerful, optimistic, and generally happy

If you’re experiencing depression yet continue to smile and put on a façade, you may feel:

  • Like showing signs of depression would be a sign of weakness
  • like you would burden anyone by expressing your true feelings
  • that you don’t have depression at all, because you’re “fine.”
  • That others have it worse, so what do you have to complain about?
  • that the world would be better off without you


Photo by Jopwell from Pexels
References

 

Elmer, J. (2018, November 18). Smiling Depression: Symptoms, risk factors, test, treatments, and more. Healthline. https://www.healthline.com/health/smiling-depression

 

Hurd, A.A., S. (2017, March 17). Smiling depression: How to recognize the darkness behind a cheerful facade. Learning Mind. https://www.learning-mind.com/smiling-depression/

 

Labeaune, Psy.D., R. (2014, November 12). The secret pain of "Smiling" Depression. Psychology Today. https://www.psychologytoday.com/us/blog/the-guest-room/201411/the-secret-pain-smiling-depression

Morin, LCSW, A., & Snyder, MD, C. (2020, April 15). Could you have smiling depression? Verywell Mind. https://www.verywellmind.com/what-is-smiling-depression-4775918