Is It Burnout Or Something Deeper? The High-Functioning Trap | Dr. Judith Joseph

Mark Hyman

Jun 10, 2026

Episode description

If we're wired for joy, why do so many successful people feel exhausted, disconnected, or emotionally flat?

On this episode of The Dr. Hyman Show, I sit down with psychiatrist, researcher, and author Dr. Judith Joseph, whose team conducted the first peer-reviewed clinical study on high-functioning depression. We talk about why feeling "fine" on the outside doesn't always reflect what's happening beneath the surface—and why so many people struggle to feel fully alive.

You’ll learn:

  • Why achievement and productivity don't always lead to fulfillment

  • How to tell whether you're burned out—or struggling with high-functioning depression

  • The surprising connection between unresolved trauma, people-pleasing, and chronic stress

  • What your phone, social media habits, and screen time may be doing to your mood

  • How to start reclaiming joy when life feels flat, exhausting, or unfulfilling

Like many people, I've spent periods of my life focused on achievement and productivity, believing fulfillment would follow. I've learned that the most important work isn't always doing more—it's understanding what's keeping us from fully experiencing joy in the first place.

Want to explore this further? Dr. Judith Joseph offers several self-assessments under the "Quiz" tab on her website, including tools for anhedonia, high-functioning depression, and trauma.

View Show Notes From This Episode

Sign up for Dr. Hyman’s Brainshaping Academy to learn how to nourish the biological systems that support your mental, emotional, and cognitive health

https://drhyman.com/products/brainshaping?utm_source=dr_hyman_show&utm_medium=newsletter&utm_campaign=may_27&utm_content=link

Get Free Weekly Health Tips from Dr. Hyman

https://drhyman.com/pages/picks?utm_campaign=shownotes&utm_medium=banner&utm_source=podcast

Sign Up for Dr. Hyman’s Weekly Longevity Journal

https://drhyman.com/pages/longevity?utm_campaign=shownotes&utm_medium=banner&utm_source=podcast


Mindsip insights from this episode:

Break free from people-pleasing to reclaim self-worth

People-pleasing can be seen as a modern, politically correct version of masochism, where self-worth is tied to sacrificing for others.

Remove smartphones to enhance happiness levels

A study found that removing smartphone access from adults for four weeks increased their happiness scores as much as if they had been treated with an antidepressant.

Validate feelings to reclaim joy

The first 'V' in reclaiming joy is validation, which means accepting and acknowledging what you're feeling without judgment, a step many high-functioning people struggle with.

Utilize 'TIES' method to identify midlife hormonal symptoms

The 'TIES' method helps women distinguish if symptoms like brain fog and moodiness are from a primary psychiatric condition or from perimenopausal hormonal fluctuations.

Identify your unique depression fingerprint through biopsychosocial factors

The biopsychosocial model suggests everyone has a unique 'fingerprint' for their depression based on their specific biology, psychology, and social environment.

Distinguish high-functioning depression from burnout to address trauma

Unlike burnout which is a workplace phenomenon, high-functioning depression persists outside of work and is highly correlated with unprocessed trauma and pain.

Recognize zoom fatigue's impact on self-scrutiny

Constantly seeing your own face on video calls is unnatural and can lead to a state of self-scrutiny similar to the 'autoscopic phenomenon' seen in psychosis.

Confront pain instead of staying busy to find peace

High-functioning individuals often avoid processing pain not by avoiding triggers, but by busying themselves, which is why they feel restless or empty when they sit still.

Reclaim joy by overcoming life’s blocks

Humans are built with the DNA for joy, which is observable in children, but life events and trauma can block our ability to access it.

DOWNLOAD THE APP

Unlock the wisdom of longevity

DOWNLOAD THE APP

Unlock the wisdom of longevity

Unlock the wisdom of longevity

© Mindsip 2025 – Made with ❤ in Vilnius

Unlock the wisdom of longevity

© Mindsip 2025 – Made with ❤ in Vilnius