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Hey Psych2Go fan, welcome back.
各位观众，欢迎回来。
Have you ever heard the term, smiling depression? High-functioning depression or hidden depression?
大家有没有听说过，微笑抑郁症？高功能抑郁症或隐秘性抑郁症？
As these names may imply, this is when a clinically depressed person tries to keep their depression a secret from others.
正如它们的名字所暗示的，这是指临床抑郁症患者试图对他人隐瞒自己的抑郁症。
They often appear cheerful, successful, and seemingly put together,
他们通常表现的很开心成功，
leading you to the belief that their lives are perfectly happy, fine, and without mental illness.
这一切会让你认为，他们生活的非常愉快，完全没有精神疾病的迹象。
Is there someone you think might be secretly depressed? Look out for these 8 telltale signs that they might have hidden depression.
你认为有谁可能患有抑郁吗？看看以下8种暗示他们可能患有隐秘性抑郁症迹象。
1. They feel emotions on a much deeper level.
1. 他们能感受到更深层次的情感。
Does your friend become emotionally volatile in response to a simple question or comment?
你的朋友是否会因为一个简单的问题或评论而情绪波动？
Those who are secretly depressed will often feel things more intensely than usual because of how much they bottle up inside.
那些隐秘性抑郁症患者埋藏得越深，他们的情感就越强烈。
They're more susceptible to crying, getting upset, or even having a full-fledged breakdown
他们更容易哭泣、难过，甚至会彻底崩溃
because they feel overwhelmed with the depths of all of their emotions.
因为他们觉得自己被所有的情感淹没了。
This swings both ways, being more affectionate and loving towards others, while also more easily angered and saddened.
这种情绪是双向的，会对别人更加深情和热爱，同时也会更加易怒和难过。
2. They're less positive and optimistic.
2. 他们没有那么积极乐观了。
Does your loved one, who used to be so easygoing and light-hearted become cynical and pessimistic?
你爱着的那个人，他曾经非常容易相处、无忧无虑，但现在却变得愤世嫉俗且悲观？
They might be internally struggling with a lot of dark thoughts they are too afraid to share.
他们可能在内心深处与他们害怕分享的黑暗想法作斗争。
They may adopt a more nihilistic point of view, and become less positive and optimistic than you're used to them being.
他们可能会采纳一个更加虚无的观点，并变得不如期望积极乐观。
3. They're obsessed with being the best.
3. 他们痴迷于成为最好的。
Depression, hidden or not, is often a thief that robs us of our ability to enjoy the simple pleasures of life.
抑郁症，不管是隐藏与否，通常都像是一个小偷，偷走了我们享受生命中简单快乐的能力。
People with concealed depression will often throw themselves into their work
隐匿抑郁症患者通常会将自己沉溺于工作中，
in order to find meaning in their lives and make sense of their suffering.
只为找到他们生活的意义，弄清楚他们为什么痛苦。
By overworking themselves, they get a sense of reprieve from their depression,
通过过度工作，他们能够获得一种从抑郁症中解脱的感觉，
and distract themselves from all the negativity that they feel.
并让自己从消极情绪中分心。
4. They have sudden mood swings.
4. 他们的情绪会突然波动。
Depression isn't always gonna look like sadness, sometimes depression manifests as anger, irritability, and sudden changes in mood.
抑郁症并不总是看起来悲伤，有时抑郁症会表现为愤怒、易怒以及突然的情绪波动。
Depression makes feeling happy and even enjoying things they used to love incredibly difficult.
抑郁症让感受快乐，甚至是享受过去热爱的事情变得非常困难。
Their response is a tendency to lash out and become emotionally unhinged.
他们的反应是一种攻击的倾向，以及情绪上的错乱。
There's just too much rage and desperation for them to suppress. So, like a volcano, they let it erupt and throw tantrums.
他们要压抑住的愤怒和绝望有太多了，所以就像火山一样，他们让它爆发，然后大发雷霆。
5. They've started abusing drugs or alcohol.
5. 他们开始滥用药物或酗酒。
Occasional recreational drug use and drinking are fairly common,
偶尔使用娱乐性药物和饮酒是很常见的，
however, the red flag for hidden depression starts to wave when it stops being occasional and becomes regular and then turns into dependence.
但如果这些不再是偶尔性的，反而成为常态，然后变成依赖，那么隐秘性抑郁症患者就要警惕了。
The Anxiety and Depression Association of America, (A.D.A.A.),
美国焦虑和抑郁症协会（ADAA）发现，
found that approximately one in every five people who are depressed, also had a substance use disorder.
近五分之一的抑郁症患者，也患有物质使用障碍。
6.They're always out of it lately.
6. 他们最近总是不在状态。
Is your usually punctual friend suddenly forgetting your lunch dates?
你那个一向准时的朋友突然忘记你们的午餐约会了？
Does your friend zone out more often than usual when you're talking to them?
当你和朋友讲话时，他们比以往更容易走神？
Difficulty concentrating and remembering is one of the symptoms of depression.
注意力难集中，记忆力变差是抑郁症的症状之一。
The depressed person often has a hard time keeping their train of thought,
抑郁症患者通常很难保持思路清晰，
and struggles with finishing tasks affecting their grades or work performance.
并难以完成任务，影响他们成绩或工作表现。
They have difficulty with decisions and remembering recent events.
他们难以做决定，记不住近期发生的事情。
They may even start to speak and move more sluggishly as a result.
他们甚至因此说话和行动变得更加迟缓。
7. They feel bad about asking for help.
7. 他们对寻求帮助感到内疚。
Does your friend tell you something's wrong, but then waves it away saying,
你的朋友告诉你出问题了，但又否认说，
it's just silly or unimportant and they'll just deal with it on their own?
只是不痛不痒的小事，自己就能够处理好的吗？
When someone is trying to conceal their depression from others,
但有人试图隐藏自己的抑郁症时，
they'll often send subtle cries for help that they immediately take back.
他们通常会发出微妙的求救信号，然后马上收回。
They apologize for asking for help, even when they're struggling,
他们会 为了求助道歉，甚至在自己挣扎的时候
and never want to burden anyone else with what they're going through.
也绝不像让自己的经历成为别人的负担。
And 8. They always try to look or act happy.
8. 他们总是尝试着看起来或表现得很开心。
Do you know someone who's constantly smiling and cheerful?
你认识经常微笑，总是很快乐的人吗？
Usually denying that something is wrong, even when you know, there is?
他们通常会否认事情出问题了，即便你知道确实是出问题了。
They won't let others see them cry, or be sad, so, they make up excuses about why they can't see you much.
他们不会让别人看见自己在哭泣或难过，所以他们会为不能经常见面编造借口。
Usually, when they think no one else is looking, the facade will be dropped and you'll see things aren't okay.
通常，当他们以为没人在周围看着的时候，他们会卸下面具，你就会看到不太对劲儿了。
Those with depression won't always show the symptoms commonly associated with the condition.
抑郁症患者并不总是表现出与抑郁症相关的症状。
Does this bring anyone to mind? Because of the negative stigma surrounding mental illness,
你有没有想到谁？因为围绕着精神疾病的污名，
many patients often feel the need to keep their struggle a secret for fear that they'll be judged, shamed or mistreated for their illness.
很多病人通常觉得自己需要努力保密，因为他们害怕被评论、被羞辱或遭遇不公平的对待。
If you know someone who you suspect is secretly depressed, you can do them a solid and show your support by reaching out to them.
如果你怀疑认识的人可能有抑郁症，你可以给他们支持，向他们伸出援手。
This may help them move towards getting the professional mental health care they need in order to improve.
这或许可以帮助他们获取专业精神健康帮助，以帮助他们得到改善。
Paying attention to these signs could make you a lifesaver. If you know someone who may benefit from online counseling,
关注这些迹象可以让你成为一名救命者。如果你知道有谁需要在线咨询，
we actually partnered up with betterhelp, an affordable online counseling platform that you could utilize.
我们实际上在于betterhelp合作，他们是一个大家可以利用的线上咨询平台。
They're constantly striving to improve their services in terms of conditions. The link will be in the description below.
他们一直在努力改善他们的服务条件。链接将放在下方描述框。
