Smiling depression is a term often used to refer to a patient who you think is depressed, but doesn’t look it and often won’t admit it.
Sometimes they tell you, “No, I’m not depressed” — and they smile. But it’s a sad smile.
To the outside world, they give no hint of their problem — often holding down a full-time job, running a family home and enjoying an active social life. But underneath they are suffering secret panic attacks, insomnia, crushing low self-esteem and even suicidal thoughts.
The ability to carry on with life despite everything is what distinguishes ‘smiling’ depression.
The recognized symptoms of depression tend to be crying a lot, feeling lethargic, perhaps even not being able to get out of bed. But not everyone with depression displays these symptoms.