high-functioning depression treatment
high-functioning depression treatment for adults and adolescents
At Galen Hope, we understand that sometimes the people who seem the most put-together are the ones hurting the most. High-Functioning Depression doesn’t always look like sadness on the surface—it often hides behind achievement, “busyness,” and a polished exterior. You may be showing up for work or school, keeping up with responsibilities, and even smiling for others—while quietly feeling empty, overwhelmed, or numb inside. We specialize in treating High-Functioning Depression in both teens and adults in Florida, offering a space where you don’t have to pretend anymore. Here, your inner world matters—and healing begins with being truly seen.
what is high-functioning depression?
High-Functioning Depression is not a clinical diagnosis in itself but is often used to describe a subtype of persistent depressive symptoms, commonly associated with dysthymia (Persistent Depressive Disorder) or mild-to-moderate Major Depressive Disorder. People with High-Functioning Depression often appear reliable, successful, and composed on the outside. Internally, they may feel weighed down by persistent self-doubt, exhaustion, disconnection, and an ongoing sense that they’re “not enough.”
Unlike more severe or acute forms of depression, High-Functioning Depression may not disrupt daily life in obvious ways. But it can erode fulfillment, joy, and emotional health over time. Individuals may struggle with motivation, have difficulty experiencing pleasure, feel like they’re “going through the motions” and constantly battling internal pressure to keep up appearances. Without support, this form of depression can become chronic and isolating.
our approach to high-functioning depression treatment
At Galen Hope, we believe healing from High-Functioning Depression means more than coping—it means reconnecting to yourself, your purpose, and your sense of vibrancy. Our relational approach is individualized and integrative, and we take time to understand how depression shows up in your life, how it’s masked, and what internal beliefs may be fueling your pain.
We provide a mix of proven therapies like Cognitive-Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and body-focused therapies, along with mindfulness exercises and creative methods that help calm your nervous system. Because many of our clients with High-Functioning Depression are used to “managing” on their own, we emphasize safe, meaningful relationships and emotional attunement as key parts of the healing process.
what high-functioning depression treatment might look like at galen hope
1. connect
Connect with us: A compassionate care coordinator will listen and help you take the first step towards healing and moving forward with your life.
2. Collaborate
Collaborate on your treatment plan: Our expert clinical team will design a personalized roadmap based on your goals, needs, and life circumstances.
3. Engage
Engage in our healing community: Participate in a structured, supportive treatment program alongside peers and professionals who understand trauma.
4. Healing
Begin your journey toward lasting healing: As symptoms ease, you will develop skills, insight, and a renewed sense of self to carry with you long after treatment ends.
typical high-functioning depression clients we work with
Galen Hope serves clients from across the United States and beyond, offering compassionate, expert care to individuals from states like: Florida, New York, Texas, California, Connecticut, Massachusetts, New Jersey, Pennsylvania, Georgia, Illinois, Wisconsin, Montana, North Carolina, South Carolina, Arizona, Tennessee, Washington, Maryland, Virginia, and more. Many clients travel nationally and internationally to receive personalized treatment in our welcoming, supportive environment. Our programs are designed to meet the diverse needs of those seeking deeper healing—no matter where they’re coming from.
Many of our clients have lived for years appearing “fine” on the outside while privately struggling with self-doubt, exhaustion, and disconnection. We serve a diverse range of clients, including college students, high-achieving professionals, and overachieving teens. Clients may identify as LGBTQ+, neurodivergent, or have cultural or faith-based pressures that make seeking help more complicated.
At Galen Hope, we also support members of the Jewish and Latin/Hispanic communities, survivors of trauma and loss, and those who carry generational or community-based burdens. No matter your story, identity, or how well you’ve masked your pain—there’s a place for you here. You don’t have to cope alone.
we invite you here to heal in your own very special way
At Galen Hope, every client is immediately acknowledged as an individual whose story may not be represented by traditional diagnostic criteria. We seek to fully understand their life experience and to provide them with an affirming environment where they feel accepted and supported.
For someone struggling with an eating disorder or mental illness, finding a place in the world, forming connections, developing meaning and purpose in life, and having day-to-day support is vital to better outcomes, long-term health, and well-being. We create a sense of community inside our doors, where we facilitate a commitment to recovery. We find tremendous meaning in bringing someone into our circle and helping them recognize the importance they play in it. It is through these relationships that healing takes place and clients begin to develop the skills to live both independently and in relation to others.
high-functioning depression faqs
what are the main symptoms of generalized anxiety disorder?
Symptoms may include persistent low mood, fatigue, irritability, self-criticism, trouble sleeping, difficulty experiencing joy, and a general sense of disconnection. Unlike more visible forms of depression, individuals with High-Functioning Depression may continue to meet daily responsibilities but feel emotionally drained or “numb.” They often feel like they’re surviving—not thriving.
how is high-functioning depression different from major depression?
While both involve depressive symptoms, High-Functioning Depression is typically less severe in presentation and may go unnoticed by others. People with High-Functioning Depression may not exhibit visible signs of distress, but they live with a quiet, persistent heaviness that affects their emotional well-being. Major Depression often includes more acute symptoms, such as significant functional impairment or suicidal thoughts.
what does high-functioning depression feel like day to day?
It feels like you’re running on autopilot. You may get things done but feel detached or exhausted afterward. You might meet external expectations while internally battling feelings of failure, dread, or emptiness. Even small joys feel dull, and emotional connection may feel difficult or out of reach.
what therapy works best for high-functioning depression?
CBT, ACT, and psychodynamic or relational therapy are all effective. At Galen Hope, we use an integrative approach, incorporating evidence-based practices alongside somatic work, mindfulness, and experiential therapies—allowing us to address both the underlying beliefs and the physiological stress responses that accompany High-Functioning Depression.
Can someone recover from high-functioning depression?
Absolutely. With the right support, individuals can develop healthier coping strategies, deepen their emotional awareness, and reconnect with purpose, joy, and peace. Recovery is not just about symptom reduction—it’s about living a life that feels meaningful, aligned, and whole.
what medications are commonly prescribed for high-functioning depression?
SSRIs (Selective Serotonin Reuptake Inhibitors) and SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors) are often prescribed to help regulate mood. Some individuals may also benefit from other medications, depending on their unique biology and co-occurring conditions. At Galen Hope, we offer thoughtful medication management as part of a broader integrative treatment plan.
what's the difference between an inpatient vs outpatient treatment center?
Inpatient centers offer 24/7 support for individuals requiring acute stabilization. Outpatient treatment, like what we offer at Galen Hope, allows clients to engage in structured, immersive care while remaining connected to their communities and everyday lives. Our programs are ideal for individuals with High-Functioning Depression seeking personalized, intensive support in a relational and flexible setting.
how can I help a friend or family member with high-functioning depression?
Begin by actively listening without attempting to provide solutions. Acknowledge their pain, even if it’s not visible, and avoid assuming they’re “fine” because they’re functioning. Encourage them to seek professional support, and remind them they don’t have to earn rest, joy, or connection. Galen Hope offers education and family support to help loved ones understand and respond with empathy.
does galen hope take insurance?
Yes. Galen Hope accepts insurance for mental health and eating disorder treatment. We are in-network with ComPsych, Claritev (formerly called Multiplan), Aetna, and Optum/UnitedHealthcare plans. We also work with many out-of-network insurance providers and offer benefit verification to help you understand your options.
What insurance plans does Galen Hope accept for eating disorder and mental health treatment?
Galen Hope is currently in-network with ComPsych, Multiplan, Aetna, and select Optum/UnitedHealthcare plans. Through our Optum contract, we may also be able to work with commercial plans such as UnitedHealthcare, AvMed, and Oscar. We also support many clients through out-of-network benefits with providers like Blue Cross Blue Shield (BCBS), Cigna, First Health, and others. To determine how your specific plan may apply to treatment, please contact us for a complimentary insurance verification.
Can I use out-of-network insurance to pay for treatment at Galen Hope?
In some instances, we can accept out-of-network (OON) as full payment while in others, we provide a scaled partial payment. This may also be connected with your out or pocket max, as well as co-pays and co-insurance. The degree to which out of network benefits cover the full cost of treatment varies greatly from policy to policy. In some instances it can serve as full payment, while others may cover a portion. In all cases, individuals using out of network benefits will be subject to paying their out-of-network deductible and other fees such as the out of pocket max, co-insurance or co-pays as dictated by your insurance policy.
Does Galen Hope help verify insurance benefits for treatment?
Absolutely. We offer free insurance benefit verification to help you understand what your policy may cover before you begin treatment. We aim to provide full transparency around coverage and any potential out-of-pocket costs.
Can I get a Single Case Agreement (SCA) for treatment at Galen Hope?
When clinically indicated and appropriate, we pursue Single Case Agreements (SCAs) to help families access in-network-level coverage with an out-of-network provider. Our team advocates on your behalf and provides clinical documentation to support the request. We encourage you to call us so that we can determine if a SCA is warranted.
What happens if my insurance stops covering treatment early?
If your insurance coverage ends unexpectedly and we believe the denial of care is not in your best clinical interest, our team will work directly with your insurance carrier to appeal the decision. You will receive timely notification of any changes in authorizations for care in order to explore financial options and clinical recommendations to help minimize any disruption in care.
How can I find out what my insurance covers for eating disorder or mental health treatment?
Our admissions team will assess your insurance policy, the recommended level of care, and your treatment location to give you a clear understanding of what your plan is likely to cover. We’ll guide you every step of the way.
Are insurance benefits different depending on where I live?
Yes. Insurance coverage may vary by state and plan type. We consider your plan’s regional requirements when evaluating your benefits.
Will I know my treatment costs before starting at Galen Hope?
Yes. Before admission, we’ll walk you through all anticipated costs, including what insurance is likely to cover and any out-of-pocket expenses, so there are no surprises.
Can Galen Hope help me understand my insurance coverage?
Yes. Our experienced admissions team will break down your policy, explain your mental health or eating disorder benefits, and help you make the most informed decision possible.
our high-functioning depression treatment centers in florida
With two state-of-the-art High-Functioning Depression treatment centers in Florida, Galen Hope is deeply committed to helping individuals move beyond performance-based living and into lives of authenticity, connection, and meaning. Our immersive outpatient programs are relational and tailored to each client’s psychological needs. Whether you’re based in Florida or traveling from out of state, we’re here to guide you on a path to sustainable transformation and inner peace.
Galen Hope proudly serves clients across South Florida through our two conveniently located treatment centers. Our Coral Gables location, just south of Miami and ~30 miles south of Fort Lauderdale, offers accessible care in a vibrant, culturally rich setting. In Delray Beach—just south of Palm Beach—clients will find a serene and supportive environment ideal for healing and growth. Whether you’re local to Florida or traveling from out of state, our programs offer a safe, welcoming space for true healing and growth.
coral gables
Address: 806 Douglas Road, Suite 625
Coral Gables, FL 33445
delray beach
Address: 4600 Linton Blvd.
Delray Beach, FL 33445