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cover of episode Signs you may have high-functioning depression – and 5 ways to fix it | Dr. Judith Joseph and Dr. Sarah Berry

Signs you may have high-functioning depression – and 5 ways to fix it | Dr. Judith Joseph and Dr. Sarah Berry

2025/5/1
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ZOE Science & Nutrition

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Judith Joseph
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Sarah Berry
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Dr. Judith Joseph: 我是世界上第一个专门研究高功能抑郁症的医生。我的研究发现,高功能抑郁症患者并不一定感到悲伤,他们可能仍然能够正常工作和生活,但内心却缺乏快乐和兴趣。快感缺失(anhedonia)是高功能抑郁症的一个关键症状,它表现为对曾经喜爱的事物失去兴趣和快乐。高功能抑郁症患者常常因为能够正常运作而被医生忽视,但如果不及时处理,可能会导致更严重的抑郁症或其他健康问题。现代社会中的压力因素,如科技、饮食、社会经济差距等,导致了与以往不同的新型抑郁症。我们需要重新审视高功能抑郁症的诊断标准,并关注预防工作。男性更容易患上高功能抑郁症,因为他们通常不善于表达自己的情绪,可能通过酗酒等方式来应对抑郁情绪。未处理的创伤经历是高功能抑郁症的一个重要因素,它会导致快感缺失和无法处理痛苦情绪。应对高功能抑郁症,需要采取五个步骤:验证(承认自己的痛苦)、发泄(表达情绪)、价值观(关注生活中真正重要的事物)、生命体征(关注身体健康,包括饮食、运动和睡眠)、远景(庆祝成功)。 Professor Sarah Berry: 我的研究表明,饮食会显著影响情绪和心理健康。改变饮食可以有效减轻抑郁症状,地中海饮食就是一个很好的例子。超加工食品与儿童和青少年的情绪低落和抑郁症之间存在关联。改善饮食,多吃全谷物、植物性食物、富含纤维的食物以及富含欧米伽-3脂肪酸的食物,并避免摄入高糖、高加工食品,对改善情绪和心理健康至关重要。

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We often associate depression with withdrawal and low energy - but what if it hides behind a packed schedule and staying busy? Board-certified psychiatrist Dr. Judith Joseph joins Professor Sarah Berry to explore high-functioning depression.

Dr. Joseph explains how depression gets missed by medical professionals, explaining what’s really happening in the brain. She shares how traditional definitions of depression often overlook people who appear to be coping, leading many to go undiagnosed and unsupported.

We discuss how a busy, high-achieving lifestyle can actually mask the symptoms of depression - and even perpetuate it. Dr. Joseph, the first psychiatrist to run a lab focused on high-functioning depression, shares her latest findings on its causes, signs, and long-term impact. ZOE’s Chief Scientist Prof. Sarah Berry explains how food and the gut microbiome may hold the key to reducing these symptoms.

If this sounds familiar, Dr. Joseph introduces a quick self-test to help identify high-functioning depression - and outlines five practical strategies to begin healing, and Sarah gives you the foods that could help.

🥑 Make smarter food choices. Become a member at zoe.com) - 10% off with code PODCAST

🌱 Try our new plant based wholefood supplement - Daily 30+)**

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Timecodes

01:55 Quickfire questions

03:55 How depression has changed

05:34 Do you have Anhedonia?

10:05 What is high functioning depression?

12:22 3 categories you should understand

14:48 The risk of being busy all the time

17:55 How to cultivate joy and purpose

18:28 Why men are at increased risk

21:38 What is trauma?

24:14 Is depression influenced by what we eat?

26:23 Gut microbiome and brain health

27:43 You need these brain foods

30:55 How to beat stress eating

33:50 Try this trick when you eat

36:49 The power of slowing down

Get Dr Judith’s new book:__ UK__) | US)

📚Books by our ZOE Scientists

The Food For Life Cookbook)

Every Body Should Know This by Dr Federica Amati)

Food For Life by Prof. Tim Spector)****

Free resources from ZOE

Live Healthier: Top 10 Tips From ZOE Science & Nutrition)

Gut Guide - For a Healthier Microbiome in Weeks

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Episode transcripts are available here).