The Rich Roll Podcast High Functioning: The Hidden Depression That May Be Stealing Your Joy & The Tools To Get It Back With Dr. Judith Joseph
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May 12, 2025 
Dr. Judith Joseph, a Harvard-trained psychiatrist and clinical professor at NYU, dives deep into the complexities of high-functioning depression. She discusses the paradox of achievement and joy, revealing how success can mask emotional struggles. Judith introduces her transformative '5 V's' framework for regaining joy and emphasizes the significance of acknowledging trauma. The conversation tackles self-care strategies and the unique challenges of women in the workplace, encouraging a proactive approach to mental health and the rewriting of personal narratives for a fulfilling life.
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Judith's Pre-Birth Busyness
- Judith Joseph shares her experience preparing for childbirth while managing a busy lab and teaching career.
- She describes the relentless busyness and inability to sit still typical of high functioning depression.
Busyness Masks Emotional Pain
- People with high functioning depression cope by constant busyness to avoid pain.
- This overdoing masks their emotional numbness and prevents joy.
Anhedonia and Restlessness Defined
- Anhedonia, or lack of joy, is a core crisis for humans and key sign of high functioning depression.
- People with high functioning depression feel restless when still, highlighting their trauma-driven fight/flight state.
