The alarm rings. Coffee brews. Shower runs. Clothes on. Traffic endured. Work completed. Meetings attended. Responses crafted. Lunch forgotten. Or eaten automatically, taste absent. Clock watched. Home navigated. Dinner assembled. Television absorbed. Sleep attempted.
Repeat.
This is what they call "functional." The diagnostic manual doesn't recognise it properly. Clinical language that fails to name the particular gravity of moving through existence while empty of it. The peculiar achievement of performing aliveness without experiencing it.
They mistake the performance for health.
"But you're doing so well," they say. As if motion equals meaning. As if completion of tasks signals completion of person. The checklist of basic maintenance becomes evidence against suffering. Your ability to maintain external systems interpreted as proof that internal systems function.
The depression that wears business casual. That keeps appointments. That responds to emails. That remembers birthdays. That smiles at appropriate moments. That nods in meetings. That appears, by all measurable metrics, to be participating in the world.
What they don't see: the extraordinary physics of it. The mass of each movement multiplied by invisible resistance. Newton's first law perverted, a body at rest requires herculean force to be put in motion. A body in motion immediately seeks rest again.
Consciousness becomes binary: the strain of doing versus the void of not-doing. The space between exists only in theory.
Heidegger spoke of "thrownness" the condition of being thrust into existence without consent, without preparation. But functional depression is a special case. Not merely thrown into being, but forced to perform adequately within it while experiencing its fundamental absence.
The cruelest aspect isn't the pain. It's the efficiency.
Systems develop. Adaptive mechanisms that require minimal consciousness. Autopilot sophisticated enough to navigate social terrain. To anticipate expectations. To mimic appropriate reactions. To generate convincing explanations for declining invitations, for quiet withdrawals, for the flat affect briefly visible before the facial muscles remember their script.
The self bifurcates. The performing self and the experiencing self divide like cells, creating separate organisms sharing one body. The performing self attends meetings. The experiencing self watches from somewhere unreachable, muffled behind glass.
Dissociation as survival mechanism. Dissociation as professional development.
There's no dramatic break. No cinematic collapse. No intervention-worthy moment. Just the slow erosion of colour. The gradual narrowing of possibility. The quiet acceptance that this machinery of motion is all there is.
Joy doesn't vanish. It flattens. Becomes theoretical. An equation understood but not solved.
Csikszentmihalyi's concept of "flow" inverts. Instead of losing oneself in immersive experience, one watches oneself perform from a distance. Perpetually meta-cognitive. Perpetually outside. The narrating voice never quiets: "Now you are smiling at the joke. Now you are asking about their children. Now you are walking to your car. Now you are lying in bed staring at the ceiling, another day successfully traversed, another cycle of motion without meaning completed."
The medical literature fails to capture the philosophical dimension. The existential vertigo of maintaining surface tension while the depths disappear. Of building elaborate structures on foundations that have quietly eroded.
Kierkegaard might have called it a particular type of despair: "the despair that is ignorant of being despair." Except this despair knows itself intimately. Studies its own contours in the dark. Maps its territory with precision. But moves through the world as though the map were blank.
"High-functioning" becomes both achievement and indictment. A measurement of how convincingly one can counterfeit presence.
The cultural narrative of depression demands visible disability. Expects surrender. Recognises only the depression that prevents function, not the depression that colonizes function. That hollows it from within while maintaining its shell.
The vocabulary betrays the experience. "Getting out of bed" becomes the benchmark for severity. As though verticality were the measure of suffering. As though the ability to propel the body through space correlated with the ability to inhabit it.
What metric captures the distance between doing and being? What scale measures the emptiness that walks to meetings, that presents reports, that remembers colleague's names, that meets deadlines?
The particular exhaustion isn't from the tasks themselves. It's from the constant translation. The endless conversion of emptiness into approximated presence. The mathematics of calculating appropriate responses when the internal reference points have disappeared.
Simulation theory, but personal. The self as sophisticated algorithm generating behavior without consciousness behind it. Or with consciousness trapped behind one-way glass, watching the algorithm perform.
Camus proposed that the only serious philosophical question was whether to commit suicide. But functional depression poses a different question: Is this motion-without-meaning already a type of death? Is this maintenance of systems with no one home to experience them already a form of non-existence?
The peculiar purgatory of being structurally intact but essentially empty.
There's no dramatic conclusion possible. No cathartic revelation. No sudden integration of the bifurcated self. Just the continued maintenance of motion. The continued performance of presence. The continued functional non-existence that registers on no diagnostic scale, that raises no clinical alarms, that meets every external metric of adequacy while meeting no internal metric of aliveness.
The alarm rings. Coffee brews.