9 Paths That Lead To Perfectly Hidden Depression

paths that lead to perfectly hidden depression 1

How did you learn to hide pain? Maybe you took your pain, or any sign of vulnerability or sadness, and hid it behind a camouflaged persona of happiness and productivity that shielded the real you from the eyes of the world. Maybe you pushed yourself relentlessly to build a life that looks perfect from the outside. 




Maybe you’re aware of this destructive adaptation. And maybe, you’re not — until you stop and you allow yourself to notice there’s no one who really knows you because you don’t allow them in. If this sounds like you, perhaps you’re experiencing what I call perfectly hidden depression.

You’re Not Alone…

I wish you could read the personal emails I’ve received; there are thousands from the United States, but also from all over the world: Malaysia, South Africa, India, France, Brazil, Ireland, Australia…



They’ve been written by doctors, advertising executives, teachers, chefs, people from all walks of life. The one thing they have in common? They’ve read or listened to my posts and podcasts on perfectly hidden depression. And their response, “I’m hiding. And doing it very well.”

Perhaps one of those emails has come from you…or perhaps you’ve thought of writing but haven’t yet. Perhaps you were relieved to find yourself relating to the concept of perfectly hidden depression because you’d searched in the past for answers but couldn’t find them because you didn’t meet the standardized criteria for depression. 

Related: 13 Habits of People With Concealed Depression




9 Common Pathways To Destructive Perfectionism

But how did your hiding begin? There are nine common pathways that set the stage for this kind of adaptation, where you coped by creating a perfect-looking persona. 

1) You were sexually or physically abused.

The damage from being the target of sexual manipulation or violence can silence you, particularly if you were told to shut up and keep the dark secret of your family. Whether or not your abuse was secret from others besides your abuser, your life was out of your control.

You weren’t safe as a child (or perhaps you’re not safe even as an adult). Staying in control has become vital to your way of life, and you’ve remained silent and absorbed shame that didn’t belong to you. 

2) You were a child of alcoholics or addicts.

You learned to be hyper-vigilant and kept your feelings completely to yourself because it was far from safe to communicate them to the ones who were supposed to nurture and protect you. You may have devoted yourself to school or athletic activities, a job — anything to keep you away from home.

You might have done whatever you could to become invisible to your parents to protect yourself from their toxicity, never making waves to attract their attention. Now as an adult you remain cautious, looking as if you’re doing ‘fine” but waiting for others to disappoint. 

3) You were emotionally abused.

You were told you weren’t going to amount to anything, or that you were too sensitive, a whiner, a bother, unwanted, perhaps even unloved. Those words can be etched in your mind for quite a long time; you’re left obsessed with proving that parent, teacher, or coach wrong.




So you create a perfect, very successful life, and you avoid admitting vulnerability like the plague.

Related: Why Successful, Confident People Still Feel Inferior Or Incapable

4) You took a pseudo-adult role in your family as a child.

It was your job to take care of all the others in your family. Perhaps one or both of your parents suffered mental or physical illness or was someone who couldn’t act like an adult. Maybe you were the eldest child, or maybe you were simply the one most innately responsible.

You took care of your brothers and sisters, making sure they were fed, did their homework, and were asleep at a decent hour. You made sure a parent took their medication, or you picked them up from the bar at night. You became someone who made sure necessary tasks were accomplished, cleaning the house and doing the grocery shopping…and you were good at it.

You began hiding how lonely and in need of comfort you were. You had to be okay — so you were okay. 

Perfectly hidden depression

5) You are the “star” of your family.

You were highly praised for your successes, “You never disappoint me.” You’re labeled the smart one, the athletic one, the accomplished one. “He can do anything he sets his mind to.” You felt as if you could never fail or falter. The pressure of your childhood was immense; that pressure may have been cultural as well. It was your job to “do better” in life or to make your family proud.

Or perhaps because of racism, sexism, or other ethnic issues, you literally wouldn’t have gotten the chances you did if not for truly being better, smarter, more hard-working. You keep the thumb in your back, pushing and prodding yourself constantly. Vulnerability, struggle, not hitting the mark — all of that is unacceptable. And actually — can seem quite foreign to you. 




Related: 10 Signs You’re A Perfectionist and How To Overcome

6) You are male.

You were taught that it’s unmanly to admit any kind of vulnerability. Your male role models had lived that way, or maybe you grew up in a highly gender-stereotyped environment or culture, where men and women had different rules or expectations.

You put up a huge front of stoicism because to do otherwise would be mocked as weak, and thus you hid the normal human range of emotions, pretending to always be strong, capable, and in charge.

perfectly hidden depression

7) You weren’t allowed to express painful emotion. 

Things happened, even painful things like death, divorce, or disappointment, but no one talked about the pain of those losses. You were hushed for crying, punished for showing anger, sent to your room if you looked upset, “Don’t come down until you get yourself together.” “Don’t air your dirty laundry in public.”

You were never comforted or supported for feeling hurt, lost, or confused. So you hushed and stopped asking for comfort; there was none there. You stuck whatever hurt you had far away, and became an expert at denying its presence. 




8) You felt (or feel) responsible for a parent’s happiness or fulfillment.

Your parent said things like, “I don’t know what I’d do without you.” “There’s no one who understands me as you do.” You feel as if it’s your job to emotional prop up that parent, so you have to be ever-constant, ever-caring.

This undo responsibility is called enmeshment. No child truly has the power to bring fulfillment or contentment to a parent. But you can be manipulated into believing that that is your job. How can you ever leave if it’s your job to make a parent happy? So you may stay locked into that role, either hiding your own struggles or over-sharing them, because the boundaries between you and your parent are quite vague.

Your life can become a tangle of hidden secrets. If you do move to another city or take a job that keeps you busy, you walk around feeling an odd sense of guilt — simply because you grew up.

Related: Escaping The Matrix of Depression: The Hidden Antidote That Will Set You Free

9) The culture of the family was influential.

There’s a vast amount of difference between countries and cultures in what is stressed or allowed emotionally. Whether your ethnicity is Scottish, Chinese, Hispanic, or South African, it’s possible that your response to painful emotions was shaped by cultural influences.

You mimicked how the adults around you behaved; that is what children do in order to remain safe.



We all hurt; it’s part of being a human being. You don’t have to hide.

Check out Dr. Margaret Rutherford’s best-selling book, Perfectly Hidden Depression on Amazon.


Written By Dr. Margaret Rutherford 
Originally Appeared On Dr. Margaret Rutherford 
paths that lead to perfectly hidden depression pinex
paths that lead to perfectly hidden depression pin
Paths That Lead To Perfectly Hidden Depression pin

— Share —

,

Leave a Reply

Your email address will not be published. Required fields are marked *

Up Next

The Benefits Of Meditation: A Single Practice to Transform and Potentially Extend Life

The Benefits Of Meditation: How It Can Transform and Extend Life

The benefits of meditation go way beyond just being calmer—it’s all about finding your Zen, living longer, and actually enjoying the moment. When you practice meditation, you tap into the importance of being present, ditch the chaos in your mind, and make space for a calmer, happier you.

KEY POINTS

The health benefits of meditation are innumerable including potentially increasing one’s lifespan.

Eliminating what the Buddhists call monkey mind is a surefire way to become more present to your life.

Higher social standing, once measured by leisure, is now measured by busyness.

Up Next

Healing from Trauma: 5 Myths You Shouldn’t Believe

Healing from Trauma: Myths You Shouldn't Believe

Healing from trauma is tough enough without all the myths floating around about it. These misconceptions can make dealing with traumatic memories even harder than it needs to be. Let’s bust some of the biggest myths about healing from trauma so you can focus on what really works!

Originally confined to physical injuries, the concept of “trauma” expanded as psychology advanced. Mental health professionals recognized that distressing events could inflict profound emotional wounds and operational injuries beyond just catastrophic situations like disasters and violence.

It became clear that any experience threatening one’s stability, not just extreme cases, could cause deep psychological and physiological harm—reactions previously misunderstood as personal weakness instead of natural responses to threat.

Up Next

Othello Syndrome: 7 Signs of Extreme Jealousy In A Relationship

Signs Of Othello Syndrome in Relationship

A small amount of jealousy is normal in any relationship. Some find it an indication of love, but there exists a deeper, more intense feeling that can disrupt peace of mind: Othello Syndrome. 

Some may experience a sinking feeling in their stomach when their partner spends time with their friends, despite assurances. They find themselves obsessively checking their partner’s phone or social media accounts.

So, What Is Othello Syndrome?

This psychiatric condition is a form of morbid or pathological jealousy that can dominate thoughts and actions. It leads a person to make repeated accusations on their partner or spouse, believing that they’re cheating on them, base

Up Next

Feeling Weird in Therapy? 10 Signs Your Therapist Does Not Like You

Signs Your Therapist Does Not Like You

Okay, let’s get real. You’ve probably had that nagging feeling in therapy like, “Wait, does my therapist even like me?” And honestly, you’re not alone. You might notice signs your therapist does not like you.

Now, we all know that therapy is supposed to be a safe space where someone helps you unpack your emotional baggage, but what if your therapist is just not vibing with you? You might ask yourself “Is my therapist tired of me?”

Today, we are going to explore the signs your therapist does not like you, and help you understand if you have the right person guiding you.

Related:

Up Next

Mental Wellness: 10 Ways to Keep Your Mind Healthy in 2025

Mental Wellness Ways to Keep Your Mind Healthy in

Modern life can lead to burnout, stress, and a sense of overwhelm. Our jobs, love lives, families, and social life demand so much time and effort that taking care of our minds is not a luxury but a necessity. Here are 10 ways to keep your mind healthy in 2025.

Maintaining mental wellness doesn’t have to be complicated. There are simple yet impactful things you can do to keep your mind healthy, and help you cultivate a peaceful, positive life.

So, whether you’re looking to enhance your focus, or simply feel more at ease with whatever challenges life throws at you, these 10 practical tips on how to keep your mind healthy will guide you towards better mental health in the year ahead.

Read

Up Next

6 Benefits of Reliving Your Happy Memories

Happy Memories Benefits Of Nostalgia

We all have those happy memories that bring a smile to our faces, right? Well, it turns out reliving those positive thoughts and memories can actually do wonders for your mind and mood. Let’s explore the the benefits of reliving your happy memories.

KEY POINTS

“Remembering when” with others can instantly make you happier.

Recalling happy memories is a powerful way to interrupt negative thoughts.

A bedtime practice of remembering joyful experiences that have enriched your life can boost life satisfaction.

“Moments big as years,” a phrase coined b

Up Next

Toxic Guilt Holding You Back? 5 Ways to Let It Go

Toxic Guilt Holding You Back? Ways to Let It Go

Toxic guilt can be an overwhelming feeling that holds you back, but learning how to release toxic guilt is essential for emotional healing. By understanding toxic guilt and addressing it head-on, you can break free from its grip and move toward a healthier mindset.

Guilt is an adaptive, natural response that stabilizes relationships. It is good to apologize and mean it when we have committed an offense.

Some think that the most enlightened among us can do without guilt; after thinking something through, a simple, heartfelt apology would do and replace the nagging feeling of having done something wrong. But this is discounting feelings.

Feelings are significantly faster than thoughts (See