High-Functioning Depression Therapy in California | Jabali
- clytenjeri
- Dec 28, 2025
- 3 min read
Mental Health Treatment for High-Functioning Depression in California | Jabali Health
At Jabali Health, we understand that "functioning" is not the same as "thriving." For many professionals in California, depression doesn't always look like an inability to get out of bed; instead, it often manifests as a heavy, persistent weight carried behind a mask of productivity. This state, often referred to as high-functioning depression or Persistent Depressive Disorder (PDD), can lead to a cycle of chronic fatigue, perfectionism, and internal isolation while you continue to meet the demands of your career and family. Our specialized treatment modalities are designed to peel back those layers, moving beyond symptom management to address the unique psychological toll of maintaining a high-performance lifestyle while struggling internally.

What is High-Functioning Depression?
High-functioning depression is not a formal clinical diagnosis, but it is often used to describe Persistent Depressive Disorder (PDD). Unlike major depressive episodes that might leave someone unable to get out of bed, high-functioning depression allows an individual to maintain their daily responsibilities.
To colleagues, friends, and family, you appear successful, reliable, and composed. However, internally, you may be living in a state of survival, meeting your obligations while feeling a deep sense of hollowness and exhaustion.
Symptoms of High-Functioning Depression
High-functioning individuals are experts at masking symptoms, making them appear subtle and easily dismissed as stress or burnout. Common signs include:
Depressed mood most days.
Loss of interest in enjoyable activities.
Sleep disruptions, either oversleeping or insomnia.
Appetite changes that may result in unintended weight loss or gain.
Feelings of hopelessness, worthlessness, and guilt.
Pessimistic mindset or outlook on life.
Difficulty concentrating, thinking clearly, and making decisions.
Moving or speaking more slowly than usual.
Unexplained physical ailments, such as back pain and headaches.
Thoughts of death, suicidal ideation, and feeling like everyone would be better off without them around.
What are the Potential Causes?
High-functioning depression rarely has a single cause. It is often an intersection of several factors:
Biological Predisposition: Imbalances in brain chemistry or genetic history.
Chronic High Stress: The unique pressures of careers, leadership roles, or motherhood in stay-at-home mothers
Unprocessed Trauma: Past experiences that have been pushed down to maintain productivity.
Life Transitions: Navigating significant changes, such as career shifts or health challenges like cancer recovery.
How to Manage High-Functioning Depression
Recovery is not about working harder; it’s about working differently. At Jabali Behavioral Health, we utilize an integrative, holistic approach to help you reclaim your life:
Integrative Medication Management: We view medication as a valuable tool to stabilize brain chemistry. We aim for the most effective regimen at the lowest possible dose to minimize side effects while optimizing your energy.
Evidence-Based Psychotherapy: Utilizing Cognitive Behavioral Therapy (CBT) and Motivational Interviewing (MI), we help you identify and challenge the thought patterns that keep you stuck in a cycle of depression
Nutritional Optimization: Your brain is an organ that requires specific fuel. We formulate nutritional plans to support mood regulation and brain function.
Customized Supplementation: We look beyond traditional prescriptions, incorporating herbs and supplements to improve your overall mental resilience.
Take the First Step with Jabali Behavioral Health
You don’t have to wait for a crisis to deserve support. If you are tired of just "surviving" your life in California or Arizona, it is time to live it on your own terms.
Reclaim your energy and your joy. We invite you to book a complimentary 15-minute consultation with Veronica Kamau, PMHNP-BC. This is a non-judgmental space where you can share your goals and start creating a tailored approach to your wellness.
👉 Book Your Consultation at Jabali Health | Serving High-Functioning Adults in California & Arizona.




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