The Breakfast Club - INTERVIEW: Dr. Judith Joseph Talks 'High Functioning,' Hidden Depression, Burnout, Achieving Joy +More
Episode Date: May 14, 2025Today on The Breakfast, Dr. Judith Joseph Discuss 'High Functioning,' Hidden Depression, Burnout, Achieving Joy. Listen For More!YouTube: https://www.youtube.com/@BreakfastClubPower1051FMSee omnystudi...o.com/listener for privacy information.
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Yes indeed.
We have Dr. Judith Joseph, welcome.
Thank you, so great to be here.
Happy mental health awareness month.
Yes, happy mental health awareness month.
So you have a new book out now called High Functioning,
Overcome Your Hidden Depression and Reclaim Your Joy.
What does hidden depression look like?
Ooh, so hidden depression is not like the typical depression.
When people think of depression,
they think of someone crying, not getting out of bed.
But hidden depression hides behind a mask
of pathologically, being pathologically productive.
So imagine, you know, a single mom working
to take care of her kids, working out her job, and she cannot slow down.
People depend on her.
So what does she do?
She shows up to work with a smile on her face.
She's showing up for others, but she feels no joy.
And it's something called anhedonia.
It's a scientific term that I study in my lab.
People don't even know it exists.
So hidden depression doesn't necessarily look sad,
but it doesn't feel joy.
It feels empty.
Actually, I have a friend who just experienced that, right? And he called me with like,
like he had just hit the lottery though. It was so, it was, it was unusual. I don't like to say
weird. It's so unusual. He called me and said, yo, I just figured something out. I'm like, what?
He was like, well, I've been depressed all this time. I'm depressed and I'm like
Why you why why you we you want a steak or a cookie? Like why are you so excited about it?
Like this is not good news. He was like, no, no, I like I'm not suicidal or anything
I've just been burying myself in my work
And I am the most productive but I'm not happy my wife. She gets no attention from me
I'm not like mentally there for my kids and. My wife, she gets no attention from me. I'm not mentally there for my kids.
And I just found out, I was talking to my therapist,
and he was diagnosed and he's depressed.
And it was so crazy because I,
when you think of depression,
you think of the suicidal thoughts,
and you're sad, damn, you can't get out of bed.
He was the opposite, but he was still depressed.
So I just found that out.
Wow.
Yeah, you know why he was happy
is because there's a term in psychology called
affect labeling.
When you know what you're dealing with,
the uncertainty of not knowing how you feel
just makes you feel so stressed.
You feel like, okay, maybe there's something wrong with me.
Would I have to complain about? Maybe it's my fault.
But when someone tells you no,
what you're experiencing is anhedonia.
It's actually a scientific symptom.
Many people struggle with it.
Then you feel as if, okay, it's not my fault.
There's a term for this.
I know what I'm working with here
so I can do something about it.
And as human beings, our birthright is joy.
Like joy is literally built into our DNA.
And if we can't access that joy, that's a problem.
So just because someone's not getting out,
not in bed and crying all day doesn't mean
that it's not a problem.
We have to address this lack of joy.
How do you get out of it, right?
So let's say you work with somebody
who bullies you all the time,
says you're Spanish when you're black,
somebody who has a bad wig
and you have to see it all
the time.
How do you get out of that place of working with them?
Because you got to go to work.
Why are you looking at me like that?
That's just a silly question.
You got to make money.
So how do you get out of that?
You're not even being serious.
I am being serious.
Because there are people that don't want to work with people.
How do you get out of that?
But you know what he's doing right now?
He's accessing joy.
Yes, I am.
Being playful, being comical, he is finding a way through a difficult situation by accessing How do you get out of that? You know what he's doing right now? He's accessing joy. Yes, I am.
Being playful, being comical, he is finding a way through a difficult situation by accessing
joy, right?
But many of us just go to work and we do-
No, I'm not being serious, but how do you work with somebody that you don't like, but
you still need to get money?
I'm not talking about Shalameen or Jess or Lauren, but when people that don't like their
job, but how do you continue to go through that?
Because you still need money,
you still gotta pay for the food on the table,
you still gotta pay for rent,
you still gotta pay for your car,
you still gotta pay for your kids.
How do you get through that?
What do you tell people to do?
There's actually a term in my book
called the biopsychosocial model, right?
So what you're talking about,
and what you so eloquently said,
is actually a model used by every single medical student
in the world, right?
The biopsychosocial is like a fingerprint.
We all have our fingerprints, but it's all unique. So we right? The biopsychosocial is like a fingerprint. We all have our fingerprints, but it's all unique.
So we each have a biopsychosocial.
So for example, the person you're talking about,
the biopsychosocial for that person, socially,
what's happening is that they're in this stressful situation,
they're not supported, they're actually being,
there's microaggressions, maybe macroaggressions at work,
but that's just one part of why they're no longer happy.
It's one of the things that's draining the science of their happiness, right?
The other parts of that model are the biologicals. Maybe this person also has a
medical condition like, I don't know, diabetes or psychologically they have
past trauma. So all of those things play into what's taking away from their
points of joy. So understanding where the stressors are and what's causing you to
be unhappy is important. But even within stressful situations, because I've traveled
the world, over 30 countries looking at joy, even when people don't have running water,
even when they're in war zones, they can still access joy.
So find something that makes you happy regardless of the situation.
Because joy is a survival technique. We have to access joy in order to survive, not just
to thrive, but to survive.
So you can find ways at work to connect with someone else.
Maybe someone else is going through it with you,
so you're sharing, you're venting.
Maybe you can use a candle at work
or something fragrant to stimulate the senses,
or make sure that you're leaving work
and having lunch like a human being
instead of being in front of a screen, right?
There are ways that you can access joy
because it's a survival technique.
I believe that, I believe joy is a survival technique.
We actually had Lizzo on and we were talking about that,
but I also feel like some people fake happy
and they fake joy.
So what does the real joy look like?
That's why I say understand the science of your happiness.
There's only one Leonard, There's only one Judith ever
in the history of the universe and the future.
So what is it about you that makes you joyful?
And in my research lab, when we're studying joy,
we're actually adding up points.
For example, if you took a rest and you woke up,
did you feel refreshed?
That's a point.
If you were hungry and you savored your meal,
that's a point.
If you were lonely, you connected with someone, that's a point. But the rest hungry and you savored your meal, that's a point. If you were lonely, you connected with someone,
that's a point.
But the rest of the world is so busy chasing this idea of happy, right?
I will be happy when I get the perfect partner.
I'll be happy when I pay off my debt.
I'll be happy when I have a house.
The science shows us that even when those things happen,
we're still not happy.
So we have to access the points of joy
that really feed into our unique sense of happiness.
For me, it's connection.
If I'm busy, if I'm speaking at places,
if I'm on TV all the time,
and I'm not connecting with my family,
I'm gonna be unhappy.
But for you, it could be something else.
What are the signs of a hidden depression
and high functioning depression?
Yeah, so many people confuse
high function depression with burnout.
The difference is that, you know, for burnout,
let's say you go to a party and you say, I'm burnt out.
People are like, oh, me too, me three, right?
But if you walk into a party and you say, I'm depressed,
people are like, oh, you should do something about that,
right, like your friend, right?
I got cocaine right here.
All we gotta do is sniff it.
I'm like, no.
So when you think about burnout, right,
burnout by definition is an occupational hazard.
When the WHO, the World Health Organization,
classified it, it's the workplace causing the symptoms.
So technically, you take the person out of the workplace,
they should get better.
With high functioning folks,
even when you take them out of the workplace,
they're not better.
What are they doing?
They're busy themselves on a side hustle or two. They're taking on somebody's problems.
They can't sit still.
They're cleaning out their house or their garage, right?
Because it's not the workplace,
it's not something on the outside.
It's something inside that's unresolved.
So this hidden trauma, this unresolved pain,
so they're trying to outrun it by busying themselves.
So when they sit still, they feel empty.
When they're not working, they feel restless. Let me ask you a question I feel like and this is a good thing but
I also feel like it's a bad thing I feel like in the last ten years so many
people have been talking about all these mental health issues and terms does it
sometimes I feel like it's an overload because it's like you know you get a
pain right you Google it and it is 30 things that's wrong with you. Now you're even more confused, right?
Is that the same thing sometimes with a lot of these terms?
Like when you hear certain things as now I'm depressed,
now I'm a high function and depressed,
now I have anxiety, now I have this,
is it like, do you feel like it's too much for people?
And how can people really break that all down
and realize what they really have
and what's really bothering them?
Because everything sounds the same at some time.
I mean, it's a great question,
but the term affect labeling in psychology shows us
that when you can name it appropriately, right?
It decreases the anxiety.
Think about if you were in a room and it was pitch black
and you heard a loud crash.
Some of us would start swinging,
some would start screaming, some would start running.
But if you turn that light on and you saw what it was,
a vase fell or some inanimate object, you feel relaxed.
Why?
Because you know what you're dealing with.
You know what it is, right?
It's the not knowing and not naming appropriately
that creates a lot of anxiety.
So people end up just drinking a lot, right?
To soothe that thing because they don't know what it is.
Or they end up gambling or spending a lot of money
or doing things, busying themselves to outrun this pain
they don't understand.
And it's interesting too,
because I think whatever you're speaking to,
to me anyway, is the fact that there was a time
where nobody used to talk about their mental health issues.
So we went from saying, we don't speak about this at all,
in order to eradicate the stigma, we gotta tell our story.
So now people are not just going out there to get help
and understanding what they're dealing with,
they're telling their stories.
They're telling their story,
but still the older generations are not as open.
The younger ones, they wanna talk about it,
they wanna feel seen, they wanna feel connected,
and many of them do sometimes inappropriately
use a label to connect, right?
But there's still a lot of stigma.
The places I go, the corporations I go to,
it's still more accepted to say burnt out than depressed,
but we have to name what it is
because the supports are gonna look very different,
the resources look very different.
Now how do you know the difference between somebody
who's staying busy as a response to trauma
to somebody who's actually really busy?
Yes, great question.
It's the anhedonia.
When you ask someone who's busy,
but they're actually pathologically productive,
they're not getting joy.
They end up at my office in Manhattan
and they're like, I don't know what's wrong.
Everything looks good on the outside,
but I just don't feel joyful.
Whereas someone who's actually engaged
in what they're doing, they got the pep in their step.
They're engaged and they're connected
and they're feeling as if they're getting a sense of purpose
versus when you keep doing over time
without actually tapping into purpose, you do feel numb.
You're like, why am I doing this?
But you cannot stop because you're trying to outrun
something that you don't even know is there.
Now you talked about working and being at rest.
So how do you know when you're at rest
and okay with being at rest?
One of the points of joy that we measure
in my research lab is actually that,
it's called
psychomotor agitation.
It's a terrible scientific term, but what it means is that you can't sit still.
You're just on edge.
And when you add up points of joy, being able to be calm and not stressed is actually a
point that many of us leave on the table.
We often think, oh, that's anxiety, not depression, but no, it's almost like a different side
of the same coin, right?
You can't be joyful if you're stressed.
Do you know anyone who's been really stressed out
who was like also joyful?
No.
And then, and look at the monks in other countries
and the gurus, they may have just a mat to sleep on
and bread and water, but they are joyful
because they are at peace.
So if you're not feeling that sense of peace
and you have that inner restlessness,
it's really difficult to be joyful.
But is everybody's peace the same peace though?
It's not, and that's why I said
understand the science of your happiness.
In my book I actually have that model
so that I democratize this information.
Why are just the doctors and medical students
holding onto this?
Every patient that comes to my lab
draws their own biopsychosocial, right?
So you wanna figure out what are the things
that are taking away from my happiness, right?
If you don't understand what's taking away
their points of joy, how can you understand
the science of your happiness?
So in some cases, you're gonna look
at the social factors, right?
Someone who is partnered with somebody who's toxic,
I mean, they can eat all the kale they want,
they're still gonna be unhappy, right?
Versus somebody who, let's say, psychologically,
they dealt with a lot of trauma in their childhood,
neglected, abused, we need to address that of trauma in their childhood, neglected, abused.
We need to address that first,
because it's really hard to access joy
when you're in fight or flight.
And then biologically, let's say,
if there's someone who has an autoimmune condition, right?
If you're constantly in a state of high inflammation,
your brain's not gonna be happy.
So everyone's so unique,
but we're chasing things that work for other people
without understanding our own science.
And going back to what you said just a minute ago, when you were saying people
bury themselves in work and they have to be doing something all the time, they're always at their
busiest. How do you, I don't know how to answer, like how are you supposed to feel when you do
nothing? Yes.
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How are you supposed to feel when you do just do nothing?
My clients ask me that all the time because the high functioning folks have
something called all or nothing thinking.
When you tell them that you need to slow down, they're like, well, I can't stop.
And I'm like, hold on a second.
Stopping is not equivalent to slowing down, but their role, their sense of
their worth is so tied closely to what they do.
They feel like without their role,
they're unlovable, that they are lazy, right?
So we have to challenge a lot of that.
And in the PTSD, the post-traumatic stress research
that I do with combat veterans,
what we see is that, you know,
people who are triggered by things like,
let's say a situation, a person, a place,
you know, they avoid those things, right?
But those of us who are pathologically productive
with high functioning depression,
we avoid dealing with the pain by working.
So a lot of it is unpacking, what are you running from?
You think you're chasing this goal, this happiness,
but what are you actually running from?
And the trauma response of I don't feel worthy
without my role, that is exactly it.
They don't even realize it's tied
to some past unprocessed pain.
So a lot of times we spend going back in the past,
I'll ask them to open up their phones
or bring in old pictures so we can trace back
to a time when they actually were feeling purposeful
and tapping into joy.
And we try to figure out and unpack what was that trauma.
And then we spend a lot of time in grounding, right?
Grounding techniques help you to calm that fight or flight
because that busyness is you trying to outrun this past,
right?
So it doesn't look like flashback,
it doesn't look like nightmares,
but it's this busyness
because you're trying to outrun your own fight or flight.
But we spent a lot of time with grounding.
And I talk about the techniques in my book.
So they feel at ease when they sit still.
We're talking to Dr. Judith Joseph.
She has a new book out, High Functioning, Overcome
Your Hidden Depression, and Reclaim Your Joy.
What you gonna say, Joseph?
What if you live here in Manhattan?
You can't ground out there.
Actually, great question.
I actually talk.
Central Park.
That's a good one.
And I taught this course, the same one I'm teaching you about at the White House, right?
Talk about people who are in high stress situations at work, right?
I taught them how they can actually ground at their desk.
And there's a technique called the 5-4-3-2-1, right?
You can do it with a beverage like a coffee or a tea.
But what you do is you sit and for five minutes every day you practice
this you hold on to that tea and you list five things you can see. So you describe the
cup, describe the liquid, you describe your hand, the table, like you're really describing
five things that you see the color. Four things that you feel. So you feel the cup, you feel
the warmth, you feel the chair, you feel the ground under your feet. Three things that you can hear,
so you may hear some wind outside,
you may hear music, you may hear the sound of the beverage.
Two things that you can smell,
you smell the fragrances in the cup and on you,
one thing you can taste, you sip it.
If you're doing five, four, three, two, one in that way,
you're not thinking about your past pain,
you're not getting triggered,
you're not thinking about what's happening around you,
you're so present and you're teaching your brain
that you have the capacity to sit still and to be present.
Because when we don't process that fight or flight,
we feel disconnected from our bodies.
But the grounding techniques allows us to sit still
and just do nothing.
Do you need to rest to find peace?
I think so.
It's one of the points of joy.
It's really difficult to access joy when you are restless.
It's really difficult to access that feeling
of happiness and pleasure when you're in fight or flight.
Right?
So it's important to practice these peaceful methods.
I think, I'm hung up on this one question
you asked earlier, you was like,
can you feel joy when you're stressed?
It's very, very difficult.
It's super difficult.
Imagine when you're stressed
and you're sitting eating your food.
Many times we'll finish the bowl
and we don't even know we finished our plate, right?
Because our brain was somewhere else.
So we missed out on a point of joy, right?
We weren't tasting the crunchy salad or the dressings.
Yeah, that's crazy, yeah.
Like, mostly, not even everything,
because I ain't trying to sound like a client here
or anything like that, but a lot of things
that you're saying, like I live this every day.
Like, I'll eat something up and then do something else
and then forget that I'm hungry and then do it
because I'm trying to keep myself busy.
Like, I wake up every morning at four,
being here at six, we get done at a certain time.
I go home, then I work on other businesses,
and then I do, and then I have an eight month old baby,
and I have a 13 year old son, and I'm married,
and it's so many different things, right?
And the drugs.
And the drugs.
So, so yeah, he just not had to put it out there like that.
But yes
What I find for me speaking of drugs at the end of the night a good like pre-roll like I
for me We that calms me down. I'm able to relax and just like take a breath
But by the time that is that's like 12 1 o'clock in the morning, I gotta be back up at four.
Yeah, yeah.
It's like, but I don't think I'm stressed or depressed.
It's like, what the hell is going on then?
You may be, I'm not your doctor,
but a lot of people like you who have busy careers,
families, a lot of responsibilities,
they're caretakers, right?
In my study, the first ever published in the world
on high function depression,
a lot of caretakers, a lot of caregivers,
they experience that lack of joy.
Why?
Because they're so busy in their minds,
they're so restless that they're missing out
the precious baby's face in front of them
who wants to snuggle with you, right?
You lost a point right there.
Because when you snuggle, you're getting oxytocin, right?
You're getting that attachment hormone.
And many times I hear a lot of people saying
they're intimate with their partners
and they just can't wait to get over with
because they just want to, they're missing out. That's a point of people saying they're intimate with their partners and they just can't wait to get over with because they just want to, you know, they're missing out.
That's a point of joy for human beings, right?
Sleep is a point of joy,
but many of us are spending our times on our phones
before we go to bed.
So that's disrupting our sleep.
So we are losing so many points
because we cannot sit still.
What about the, I got you some water too.
What about the five V's?
Can you break down the concept of healing with the five Vs?
Well, the reason I came up with the five Vs,
I got a point of joy there, I'm going to quench my thirst.
Is because when I travel the world,
the number five comes up in a lot of countries, right?
So I want people to envision their hand
and say to themselves like,
I am built with a DNA for joy. It is my birthright as a human, I wanna reclaim countries, right? So I want people to envision their hand and say to themselves like, I am built with the DNA for joy.
It is my birthright as a human.
I wanna reclaim it, right?
And you tap it.
And V, listen to me.
She's saying, do it.
Why you yelling?
She's saying, I want you to do it.
He is doing it.
You're messing up my joy.
Take this hand and do this with your hand.
Do this.
Show me how to do it.
Look at your hand.
So look at your hand and envision that, you know,
you are built with the DNA for joy. It is your birthright as a human being, but sometimes we forget how to do it. Look at your hand and envision that you know you are built with the DNA for joy it is
your birthright as a human being but sometimes we forget how to access it so I want you to reclaim
your joy tapping into one of the five E's every day right just one don't do more than one or two
because that's too much and the first one is validation. So validation is acknowledging and
accepting how you feel good or bad bad, without judgment, right?
And you know how I said that
when you don't know what you're dealing with,
validation is like turn the light on in that room
so you know what you're working with.
You're naming the emotion good or bad,
and you're accepting it.
And you can self-validate, right, to yourself.
But sometimes with my assessments,
I validate through the quizzes,
the quiz online that I have on my website.
If you take the anhedonia quiz and you see you have a high anhedonia score, you're like,
wow, I'm lacking joy.
That is why I feel this way, right?
And the second is venting.
Venting is expressing emotion.
So you can vent verbally like we are right now, or you could write in a journal or pray
or dance or sing or cry.
All are ways to express emotion.
And in my lab, when people come in, I'll fill up a red balloon.
And every person would take a turn trying to put that balloon underwater.
And 100% of the time it pops up.
You cannot escape physics, right?
So venting is, imagine if you're letting the air out of that balloon slowly over time, right?
What happens if you don't let that air out is that that balloon, that stress, that emotion
will pop up in areas of your life that you don't want it to.
It'll pop up at work, in your relationships, in your family, right?
So when you let the air out over time, you're able to have that balloon glide on the water.
You're more peaceful.
And then the third V is values, right?
So I brought in those candles for you
because I value giving back to my community.
So right now I'm wearing a design from a black designer
who's a close friend of mine, Carly Cushney,
and I brought candles from Harlem Candle Company, right?
Because I like to give and pour back into my community.
And so tap into what gives you meaning and purpose.
Think priceless versus price tags.
Many of us chase the things, right?
We chase the clout, we chase the money.
I was like that too.
But you're not doing things
that give you meaning and purpose.
So you're missing out, right?
So now I won't take a speaking engagement
if I'm missing out on my time with my daughter.
We need to talk about that more.
Yeah, because honestly, I co-parent.
So I'm only gonna see her for like,
you know how they do the math on on on socials
I'm gonna miss out on my time with her. It's that's priceless. Why would I do that?
No amount of money can give me that time back, right? So really tap into things that matter and
The fourth V is vitals. What nourishes your your mind your brain your body, right?
You only get one I tell my daughter since she was two,
how many bodies did God give you?
And she always says, one mommy.
And I said, what you gotta do with it?
Take care of it.
And she's known that since she was two, right?
But we treat our bodies so poorly.
You know, we criticize the way we look,
but it's like, I have strong legs
that get me to places, right?
A lot of people don't have that.
So be kind to your body.
Eat nourishing foods, not processed foods, get movement in. You know, protect your
brain from too much screen time. You know, the way that we look at our faces all
the time, it's very unhealthy. You know, when we're looking at our face on
FaceTime, we're looking on Zoom, super unhealthy. It's causing a lot of stress.
We weren't meant to look at our face that much, right? Really? We weren't.
There's a term in psychiatry called the autoscopic phenomenon.
So people who are psychotic with schizophrenia,
they'll see images of themselves across the room
and it creates a lot of anxiety for them and depression.
We're doing that to ourselves.
And that's why filters exist,
because that's a better way to look at yourself
and know a lot of women and men cannot take a picture
on the regular camera now because,
okay, I get it, I'm putting it together.
Yes, yes, it's really unhealthy for us.
If I were to see my face next to yours right now,
I'd be so distracted, I wouldn't even be listening to you.
We were made to look at each other,
to interact with each other, to get feedback,
not to look at ourselves.
So really protect your brain.
And the other parts of idols are our relationships,
we neglect it, we have to pour into healthy relationships because the unhealthy ones will drain
our life source. And then the last fee is vision. How do you plan joy in the
future so you keep moving forward instead of getting stuck in the past? So
this could be small, you know, like I plan joy every day after I get my kid to
school on time on the days I have her. I'll sit in my living room and I have my
Caribbean coffee and I enjoy it.
I savor it, because that's my time.
But for someone else, it could be something else, right?
So plan the joy, celebrate your wins.
When you meet a major milestone, right?
Celebrate it as a team.
You don't get that time back.
So plan joy in the future.
What do you hope people will walk away with
after reading High Functioning?
I really hope that they understand that joy is a priority.
It is a necessity.
It is part of our survival,
especially in our community.
Without joy, what would have happened to us?
So prioritize joy and understand the signs
of your happiness.
There is only one you,
and there will only ever be one you.
So take the time to know yourself.
Understand what's taking away from your joy
so you know where to add back to it.
And joy has the power to change people
and their communities.
So we all probably have interacted with people
who are not joyful.
They can change the tone of a room, right?
So if we take the time to invest in joy,
we can literally change not just ourselves,
but our families, our communities, and I think the world.
How do they find you, Dr. Judith?
Dr. JudithJoseph.com, and follow me on all the socials,
Dr. Judith Joseph, and pick up my book, High Functioning.
Overcome your hidden depression and reclaim your joy.
Thank you for joining us.
Thank you so much.
Dr. Judith Joseph, it's The Breakfast Club.
Good morning, thank you.
Wake that ass up.
Early in the morning.
The Breakfast Club.
Thank you. Wake that ass up.
Early in the morning.
The Breakfast Club.
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