The danger of high-functioning depression as told by a college student
Overachievers can struggle with mental health issues, too.

I first saw a psychiatrist for my anxiety and depression as a junior in high school.
During her evaluation, she asked about my coursework. I told her that I had a 4.0 GPA and had filled my schedule with pre-AP and AP classes. A puzzled look crossed her face. She asked about my involvement in extracurricular activities. As I rattled off the long list of groups and organizations I was a part of, her frown creased further.
Finally, she set down her pen and looked at me, saying something along the lines of "You seem to be pretty high-functioning, but your anxiety and depression seem pretty severe. Actually, it's teens like you who scare me a lot."
Now I was confused. What was scary about my condition? From the outside, I was functioning like a perfectly "normal" teenager. In fact, I was somewhat of an overachiever.
I was working through my mental illnesses and I was succeeding, so what was the problem?
I left that appointment with a prescription for Lexapro and a question that I would continue to think about for years. The answer didn't hit me all at once.
Instead, it came to me every time I heard a suicide story on the news saying, "By all accounts, they were living the perfect life."
It came to me as I crumbled under pressure over and over again, doing the bare minimum I could to still meet my definition of success.
It came to me as I began to share my story and my illness with others, and I was met with reactions of "I had no idea" and "I never would have known." It's easy to put depression into a box of symptoms.
Even though we're often told that mental illness comes in all shapes and sizes, I think we're still stuck with certain "stock images" of mental health in our heads.
When we see depression and anxiety in adolescents, we see teens struggling to get by in their day-to-day lives. We see grades dropping, and we see involvement replaced by isolation. But it doesn't always look like this.
And when we limit our idea of mental illness, at-risk people slip through the cracks.
We don't see the student with the 4.0 GPA or the student who's active in choir and theater or a member of the National Honor Society or the ambitious teen who takes on leadership roles in a religious youth group.
No matter how many times we are reminded that mental illness doesn't discriminate, we revert back to a narrow idea of how it should manifest, and that is dangerous.
Recognizing this danger is what helped me find the answer to my question.
Watching person after person — myself included — slip under the radar of the "depression detector" made me realize where that fear comes from. My psychiatrist knew the list of symptoms, and she knew I didn't necessarily fit them. She understood it was the reason that, though my struggles with mental illness began at age 12, I didn't come to see her until I was 16.
If we keep allowing our perception of what mental illness looks like to dictate how we go about recognizing and treating it, we will continue to overlook people who don't fit the mold.
We cannot keep forgetting that there are people out there who, though they may not be able to check off every symptom on the list, are heavily and negatively affected by their mental illness. If we forget, we allow their struggle to continue unnoticed, and that is pretty scary.
This article was written by Amanda Leventhal and originally appeared on 06.03.16
- 8 things to consider before you write a 'please reach out' post about ... ›
- Depressed woman's husband wrote a 'love list' for her - Upworthy ›
- short film shows how kindness can help someone with depression - Upworthy ›
- The case for accommodating students struggling with mental health - Upworthy ›
- KC Davis breaks down how to do chores when you're depressed - Upworthy ›
- Upper middle-class kids are now considered high risk - Upworthy ›
- Charming 95-year-old British Gran has powerful advice for dealing with depression - Upworthy ›
- College professor accidentally starts free online university - Upworthy ›
- A mom sent her depressed son's friend a life-changing text - Upworthy ›
- Deepak Chopra teaches depressed people how to find joy - Upworthy ›
There's a reason why some people can perfectly copy accents, and others can't
Turns out, there's a neurodivergent link.
A woman in black long sleeve shirt stands in front of mirror.
Have you ever had that friend who goes on vacation for four days to London and comes back with a full-on Queen's English posh accent? "Oooh I left my brolly in the loo," they say, and you respond, "But you're from Colorado!" Well, there are reasons they (and many of us) do that, and usually it's on a pretty subconscious level.
It's called "accent mirroring," and it's actually quite common with people who are neurodivergent, particularly those with ADHD (Attention Deficit Hyperactivity Disorder). According Neurolaunch, the self-described "Free Mental Health Library," "Accent mirroring, also known as accent adaptation or phonetic convergence, is the tendency to unconsciously adopt the accent or speech patterns of those around us. This linguistic chameleon effect is not unique to individuals with ADHD, but it appears to be more pronounced and frequent in this population."
Essentially, when people have conversations, we're constantly "scanning" for information—not just the words we're absorbing, but the inflection and tone. "When we hear an accent, our brains automatically analyze and categorize the phonetic features, prosody, and intonation patterns," writes Neurolaunch. For most, this does result in copying the accent of the person with whom we're speaking. But those with ADHD might be more sensitive to auditory cues. This, "coupled with a reduced ability to filter out or inhibit the impulse to mimic…could potentially explain the increased tendency for accent mirroring."
While the article explains further research is needed, they distinctly state that, "Accent mirroring in individuals with ADHD often manifests as an unconscious mimicry of accents in social situations. This can range from subtle shifts in pronunciation to more noticeable changes in intonation and speech rhythm. For example, a person with ADHD might find themselves unconsciously adopting a Southern drawl when conversing with someone from Texas, even if they’ve never lived in the South themselves."
People are having their say online. On the subreddit r/ADHDWomen, a thread began: "Taking on accents is an ADHD thing?" The OP shares, "My whole life, I've picked up accents. I, myself, never noticed, but everyone around me would be like, 'Why are you talking like that??' It could be after I watched a show or movie with an accent or after I've traveled somewhere with a different accent than my 'normal.'
They continue, "Apparently, I pick it up fast, but it fades out slowly. Today... I'm scrolling Instagram, I watch a reel from a comedian couple (Darcy and Jeremy. IYKYK) about how Darcy (ADHD) picks up accents everywhere they go. It's called ADHD Mirroring??? And it's another way of masking."
(The OP is referring to Darcy Michaels and his husband Jeremy Baer, who are both touring comedians based in Canada.)
Hundreds of people on the Reddit thread alone seem to relate. One comments, "Omfg I've done this my whole life; I'll even pick up on the pauses/spaces when I'm talking to someone who is ESL—but English is my first language lol."
Sometimes, it can be a real issue for those around the chameleon. "I accidentally mimicked a waitress's weird laugh one time. As soon as she was out of earshot, my family started to reprimand me, but I was already like 'oh my god I don’t know why I did that, I feel so bad.'"
Many commenters on TikTok were shocked to find out this can be a sign of ADHD. One jokes, "Omg, yes, at a store the cashier was talking to me and she was French. She's like 'Oh are you French too? No, I'm not lol. I'm very east coast Canada."
And some people just embrace it and make it work for them. "I mirror their words or phrase! I’m 30. I realized I start calling everyone sweetie cause my manager does & I work at coffee shop."