Internally, however, they feel a persistent sense of exhaustion, emptiness, or quiet hopelessness. This is the reality of high-functioning depression, and it’s a silent struggle for many high achievers.

I often sit with patients who are genuinely confused by their own struggles. They look at me and ask, "Is it really possible that I have ADHD? I got good grades. I hold down a demanding job. I’m definitely not lazy."

Healthy goals shouldn't just push you forward; they should protect your mental health while you get there. Here is how to shift your approach.