Smiling depression: The sadness hidden behind a smile

Smiling depression describes the experience of appearing happy on the outside while struggling emotionally inside. Although it is not an officially recognized diagnosis, online searches for the term have increased by 50% over the past five years.

Olivia Remes, a mental health researcher at the University of Cambridge, says people experiencing this form of depression may continue socializing, performing well at work and joking with others while privately feeling depressed and discouraged.

Depression can involve persistent sadness or a loss of interest and enjoyment lasting weeks or months, affecting work, relationships, sleep and daily life. Some research suggests that up to 40% of people with depression experience an atypical form, which may include sleeping or eating more than usual or temporarily feeling better when something positive happens.

People may hide their symptoms because they fear stigma, judgment or becoming a burden to others. Perfectionism, high personal expectations and family or cultural pressures can also make it difficult to acknowledge emotional struggles or seek help.

Experts warn that concealing depression can prevent people from receiving the support they need. Clinical psychologist Barney Dunn of the University of Exeter notes that connecting with others can help counter feelings of isolation. Remes also cautions that untreated symptoms can become chronic or severe and increase suicide risk.

Some warning signs may be easy to overlook, including losing interest in activities that once brought joy, experiencing unusual heaviness in the arms or legs, and repeatedly canceling social plans. Recognizing these changes can be an important step toward seeking professional support.