Radio Headspace High-Functioning Depression: Dr. Judith Joseph on Signs, Struggles & Finding Joy Again
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Sep 28, 2025 
In a thought-provoking discussion, Dr. Judith Joseph, a psychiatrist and author specializing in high-functioning depression, sheds light on this often-overlooked issue. She explains how many individuals appear functional on the outside but struggle internally, often delaying necessary help. Dr. Joseph discusses the significance of anhedonia, distinguishes burnout from high-functioning depression, and emphasizes the importance of genuine emotional expression. Listeners will find practical advice for rediscovering joy and caring for their mental well-being.
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Career Pivot From Anesthesiology To Psychiatry
- Dr. Judith Joseph left anesthesiology after finding it unfulfilling and returned to psychiatry for human connection.
- She now combines therapy and clinical research at Columbia and Manhattan Behavioral Medicine.
Hidden Symptoms Behind Functioning Lives
- Many people meet depression symptoms but aren’t diagnosed because they still function externally.
- Dr. Judith Joseph calls for early detection instead of waiting for crisis to prevent breakdowns.
Anhedonia: The Quiet Loss Of Joy
- Anhedonia means losing interest and pleasure in things you once enjoyed.
- Dr. Judith Joseph says lack of joy can be a red flag even when people keep showing up externally.
