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I see it all the time: women who seem to have it all together but are quietly crumbling inside. This topic is deeply personal to me. Just recently, the heartbreaking loss of a highly respected psychiatrist in our community, who tragically took her own life, hit me hard. She was someone so many of us admired, and yet, her inner struggles were hidden from everyone around her. This loss, along with the memory of losing a dear childhood friend to suicide, has stirred a fire in me to speak up. We need to talk about the hidden mental health battles that so many of us face behind closed doors.

I’ve worked with countless women who are juggling careers, motherhood, relationships, and the relentless pressure to be perfect. They wake up exhausted, push through the day, and check off every box on their to-do list, all while feeling disconnected and drained.

What we don’t often see are the silent struggles—high-functioning depression, substance abuse, and the overwhelming pressure to keep it all together. If you’ve ever felt like you’re quietly drowning while appearing “just fine,” this conversation is for you. Let’s dive into these hidden struggles, break down the stigma, and remind ourselves that asking for help is not just okay; it’s necessary.

In this episode of Empowered and Unapologetic, we’re diving into some heavy, but necessary, conversations around suicide awareness and the mental health challenges that high-achieving women often face. We’re peeling back the layers to uncover the hidden struggles of high-functioning depression and substance abuse—issues that can easily fly under the radar.

But don’t worry, we’re not just talking about the problems; we’re also focusing on solutions. From self-exploration techniques to building a supportive community and accessing the right care, we’re here to make sure you’re equipped to manage your mental health proactively. Let’s get into it!

Summary

• High achieving women often struggle with high functioning depression, which may not be visible to others.
• Substance abuse can intersect with mental health issues among high achieving women, and recognizing the signs is important.
• There are barriers to accessing mental health care for high achieving women, including stigma and fears of professional image.
• Managing mental health requires proactive and continuous efforts, including self-exploration, building a supportive community, and seeking professional help.

Understanding the Hidden Struggles of High-Achieving Women: A Personal Perspective

As a licensed marriage and family therapist, I’ve had the privilege of working with many high-achieving women who are juggling careers, families, and personal aspirations. Yet, there’s a critical issue that often goes unnoticed in these circles—mental health struggles that are silently endured. In this blog, I want to open up a dialogue about suicide awareness and the mental health challenges that many successful women face, often behind a mask of competence and composure.

This topic hits close to home for me. Recently, the tragic loss of a respected psychiatrist who took her own life has deeply affected our community. She was a beacon of light for so many, yet her own struggles were hidden from view. This incident, coupled with the loss of a childhood friend to suicide, has made me realize just how pervasive and insidious these mental health challenges can be.

High-Functioning Depression: The Hidden Struggle

High-functioning depression is a term that doesn’t get nearly enough attention. Many of the women I work with are battling this form of depression, which is often difficult to recognize. According to the DSM-5, symptoms might include a persistent depressed mood, low energy, poor concentration, and feelings of hopelessness. Yet, despite these internal battles, these women continue to meet deadlines, lead teams, and appear outwardly successful.

One of the most heartbreaking aspects of high-functioning depression is how well it can be hidden. I’ve seen women wake up exhausted every day, yet they push through, driven by a relentless pursuit of excellence. They attend meetings, achieve goals, and manage their households, all while feeling a profound sense of inadequacy and disconnection. These women often struggle to open up about their feelings, particularly to their partners, who may be unaware of the internal turmoil.

“High-functioning depression is like battling a storm that no one else can see.”

The Role of Substance Abuse

Substance abuse is another coping mechanism that high-achieving women might turn to when the weight of their responsibilities becomes too much. Whether it’s alcohol, sleep medication, or other substances, these tools can start as a way to unwind but can quickly spiral into dependency. I’ve had clients who end their day with a bottle of wine, initially as a way to relax, but eventually, it becomes a necessity to get through the day.

Recognizing when substance use crosses the line into abuse is crucial. If you find yourself relying on alcohol to sleep, hiding your drinking habits, or facing health issues related to substance use, these are red flags that should not be ignored.

“What starts as a glass of wine to unwind can quickly become a crutch that keeps you from confronting deeper issues.”

Unmet Mental Health Needs

Despite the progress we’ve made in mental health awareness, there’s still a significant stigma attached to seeking help, especially for high-achieving women. The fear of appearing weak or incapable often prevents them from reaching out for the support they need. For example, a successful lawyer might avoid therapy because she fears it will undermine her professional image or lead colleagues to question her competence.

This stigma creates a barrier to accessing essential mental health care, which can be life-saving. It’s crucial that we start breaking down these barriers and normalize seeking help. Mental health should be as prioritized as any other aspect of our well-being.

“Admitting you need help isn’t a sign of weakness; it’s a courageous step towards living a fuller, healthier life.”

Honoring Dr. Josephine McNary

We take a moment to honor Dr. Josephine McNary, a renowned psychiatrist whose untimely death is a stark reminder of the mental health crisis that affects even those who dedicate their lives to helping others. Her passing is a call to action for all of us to be more vigilant, compassionate, and proactive in supporting those who may be silently suffering.

Practical Steps for Managing Mental Health

Addressing mental health requires proactive and continuous effort. Here are some practical steps you can take:

1. Self-Exploration Techniques: Reflect on your day-to-day activities. Does your calendar align with your values? Are you taking time for yourself, eating meals away from your desk, or spending quality time with loved ones? Self-exploration means taking an honest look at how you’re managing your time and prioritizing your well-being.
2. Building a Supportive Community: Surround yourself with people you can rely on—friends who listen without judgment and support you without competition. It’s not just about having friends; it’s about having a network that genuinely understands and supports you. If your current circle doesn’t fit, seek out new connections that do.
3. Finding the Right Professional Help: Whether you prefer traditional therapy, holistic treatments, or a combination of both, finding a mental health professional who aligns with your needs is critical. Opening up about your struggles is not a sign of defeat; it’s an act of courage and self-preservation.

Final Thoughts

As we wrap up this episode, I want to remind you that seeking help is a sign of strength, not weakness. We’ve covered a lot today, from understanding high-functioning depression to recognizing the impact of substance abuse and the critical need for accessible mental health care. If you or someone you know is struggling, please reach out for help. You are not alone, and there are resources available to support you.

Remember, your mental health matters, and taking steps to care for yourself is one of the most important things you can do. If you need support, visit us at Outside the Norm Counseling. Together, let’s continue to break the stigma and support each other on this journey.

TALK TO A THERAPIST

If you’re feeling stuck and ready to explore these challenges more deeply, consider reaching out for professional help. Here at Outside the Norm Counseling, we’re here to support you on your journey to self-discovery and confidence. For more information, go to Outside the Norm Counselingor call us at 951-395-3288.

Thank you for joining me today. Remember, you are beautiful, you are worthy and empowered. Until next time, stay unapologetically you. Bye for now.

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• Outside The Norm Counseling – 951 395 3288 call to schedule an appointment today!
• 5 Things that are Killing your Marriage Free Guide available at www.veronicacisneros.org

Meet Veronica Cisneros

As a leading authority in women’s empowerment and a fierce advocate for building strong networks, Veronica is your go-to guru for turning fears into victories, struggles into strengths, and doubts into boundless opportunities.
Licensed Marriage and Family Therapist for 10 plus years; empowering high-achieving women in business to conquer both professional heights and personal fulfillment. She doesn’t do bandaids!
Veronica has a unique approach to overcoming obstacles and smashing through the glass ceilings that loom over ambitious women. With her arsenal of practical tools, actionable strategies, and unwavering support, Veronica doesn’t just help women succeed in their careers – she helps them thrive in every facet of their lives.

But Veronica’s expertise isn’t just theoretical – it’s personal. With over 24 years of marriage, three daughters, and a soaring career, Veronica embodies the resilience and determination needed to navigate life’s challenges. As a Licensed Marriage and Family Therapist, Group Private Practice Owner, of Outside The Norm Counseling, Marriage Coach, and the voice behind the Empowered and Unapologetic podcast, Veronica effortlessly guides women to challenge themselves beyond their comfort zones.

Veronica is more than an expert – she’s a partner in transformation, turning mundane relationships into true connections. With her relatable charm and infectious humor, Veronica illuminates the path for women who refuse to settle for anything less than success in both business and relationships. Through practical tips, heartfelt anecdotes, and her trademark wit, Veronica empowers every woman to cultivate unbreakable bonds without sacrificing their ambitions.

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