The term “smiling depression” is used to describe people who appear to be happy in front of others, but in reality are dealing with severe depression. The situation is extremely deceptive, since the individual hides his or her feelings behind a facade of happiness that is only an act to cover up the truth, according to Alexandra Sabal, a psychologist at our clinic, who provides more information on this topic.

How does smiling depression manifest itself?

The symptoms of smiling depression vary from person to person. It is characterized by false smiles, social isolation, loss or increased appetite, permanent fatigue, insomnia, excessive sleep, feelings of sadness, guilt, anxiety, negative emotions, lack of interest in activities previously considered pleasurable, poor academic or work performance, thoughts or comments about death.

Why does smiling depression occur?

This behavior can occur for a variety of reasons. For example, not wanting to worry the family, fear of being judged, fear of alienating one’s partner, panic of losing one’s job, etc. Unlike other types of depression, this one is very dangerous because not only is it difficult to detect, most of the time the person does not receive treatment in a timely manner, becomes isolated and self-deluded as his or her condition worsens and may even be overcome by suicidal thoughts and behaviors.

Treatment

Some common strategies are: Cognitive behavioral therapy, to explore and understand the patient’s thoughts and feelings in order to develop strategies to manage their emotions in a healthy way; medications, support from friends and family, education to learn what depression is, recognize its symptoms and how it affects the body and mind. In addition, setting realistic goals for the person to regain a sense of control over his or her life, self-care habits and continuous monitoring by a mental health professional.

Remember:

• If the patient does not receive therapy the symptoms of sadness, hopelessness, anxiety and fatigue may worsen, in addition to presenting a deterioration of quality of life in terms of family, social and sentimental relationships, poor academic and work performance, increased risk of suicide and developing physical health problems such as sleep disorders, heart conditions, metabolic diseases, among others.
• If you are struggling with depression seek professional help, our mental health specialists can help you overcome this condition.

Alexandra Sabal
Psychologist at Clínica Ricardo Palma