A Groundbreaking Guide to Mental Health for Black Women
Dr. Judith Joseph, a renowned psychiatrist, is helping Black women reclaim their joy with her latest book, High Functioning: Overcome Your Hidden Depression and Reclaim Your Joy. The book introduces the first research-backed framework for assessing high-functioning depression and provides tools to take control of mental health.
Joseph explains that many Black women struggle with high-functioning depression, which often goes unnoticed because they continue to excel in their careers and personal lives. However, behind their success, they may feel emotionally drained, unfulfilled, or disconnected. High Functioning offers practical strategies to help them recognize and overcome these hidden struggles.
Understanding High-Functioning Depression and Its Impact
High-functioning depression manifests differently from traditional depression. While people with low-functioning depression may struggle with basic tasks like getting out of bed, those with high-functioning depression continue to perform well but feel emotionally numb.
“Trauma makes you self-blame and internalize shame,” Joseph explains. “Many Black women push down their feelings, become accustomed to poor treatment, and prioritize others’ needs over their own.” This emotional suppression can lead to exhaustion, a loss of joy, and difficulty maintaining healthy relationships.
The Power of Keeping Score in Relationships
A key concept in High Functioning is the importance of keeping score in relationships. Joseph emphasizes that people often treat others better than they are treated, particularly when unresolved trauma affects self-worth.
She advises readers to evaluate their closest relationships and determine whether they are reciprocal. “In relationships where there’s no balance, it’s important to recognize patterns and take action,” she says. Keeping score helps individuals set healthy boundaries and prioritize their well-being.
Addressing People-Pleasing and Trauma Responses
One of the biggest challenges for Black women with high-functioning depression is people-pleasing. Many develop this habit as a trauma response, seeking validation while neglecting their own needs.
“Trauma doesn’t mean you’re not lovable. It means you need to be aware of how it impacts your self-perception,” Joseph notes. The book provides tools to help readers identify these patterns, break free from them, and build healthier relationships.
Measuring Joy and Identifying Triggers
Anhedonia, or the inability to feel pleasure, is a common symptom of high-functioning depression. High Functioning includes practical tools for measuring joy, identifying triggers, and making lifestyle changes to restore happiness.
The book also helps readers assess their environment and make adjustments when they notice a loss of interest in things that once brought them joy. It encourages proactive steps toward mental well-being rather than waiting for burnout to set in.
Practical Solutions for Those Without Immediate Access to Therapy
Joseph understands that not everyone has access to a therapist. That’s why High Functioning includes cost-friendly solutions and a list of vetted mental health resources. The book serves as an accessible guide for those who need immediate help but may not have the means to seek professional support.
“My mission is to democratize mental health,” Joseph says. “In some areas, there’s only one psychiatrist for every 30,000 people. I wanted to create a book that provides real tools for those without access to care.”
A Must-Read for Black Women Struggling in Silence
For Black women dealing with hidden depression, High Functioning is a powerful tool for self-reflection and healing. By recognizing patterns, setting boundaries, and measuring their happiness, readers can take control of their mental well-being.
Joseph’s book is more than just a guide—it’s a movement toward prioritizing Black women’s mental health and helping them reclaim their joy.







