Depression is a serious mental health condition that can affect people we least expect.

憂鬱症是嚴重的心理健康症狀，可能影響我們最意想不到的人。

With concealed depression, you may manage your symptoms in ways that keep your condition hidden from others.

隱藏起憂鬱症的話，你可能會用不同方式管理憂鬱症，不讓其他人發現。

Often, you may adopt coping strategies that may not strike others as unusual.

有可能你會採用對別人來說不太尋常的因應策略。

Still, the burden to carry this mental illness without support can make the experience even more isolating.

但是，有這個心理疾病的負擔卻沒有支持，可能會讓你的經歷更被孤立。

Before we begin, we would like to mention that this video is created for educational purposes only and is not intended to substitute a professional diagnosis.

在開始前，我們想告知大家，這個頻道是為了教育目的而創立的，並不是要取代專業診斷。

With that said, here are 6 signs of concealed depression:

知道這些後，以下是六個隱藏起憂鬱症的跡象：

One: You may appear to be the happiest person in the room.

第一，你表現得像是房間裡最開心的人。

Do you sometimes appear happy or upbeat even if you feel otherwise?

有時候你會不會假裝開心或樂觀，儘管你根本不快樂？

These attempts could turn into stable personas or behaviors that even your friends and family will believe in.

這種假裝可能會變成穩固的個性或行為，而你的朋友和家人也會相信是真的。

The misconception that people with depression are always gloomy, can create disbelief when you open up about having depression.

憂鬱症的人總是很悲傷的錯誤觀念，會在你談論自身憂鬱症時，造成別人懷疑。

Sometimes it may feel like it's easier to adopt a happy persona than to share your true feelings.

有時假裝快樂比分享真實感受還簡單。

Two, you may be a perfectionist.

第二，你是完美主義者。

According to psychologist Dr. Margaret Rutherford, perfectionism, over-responsibility, and not allowing anyone to see the real you are three basic traits of perfectly hidden depression.

根據心理學家 Margaret Rutherford 醫生，完美主義、過於負責、不讓別人看見真實的自己，是三個隱藏憂鬱症的基本特徵。

Your depression may be masked by your impressive accomplishments and the ability to balance all your tasks and ambitions with a smile on your face.

你的憂鬱症可能會被令人印象深刻的成就、可以完成所有任務的能力與野心與臉上的微笑隱藏起來。

Not only can these people be perfectionists, but they may also be highly self-critical, since they find personal value from external accomplishments or responsibilities.

這些人可能不只是完美注意者，他們可能非常自我批判，因為他們的個人價值來自外在的成就和責任。

Three: you seek ways to numb, avoid, or escape pain.

第三，你尋找麻痺、避免、逃離痛苦的方法。

We all feel the need to escape the stress of our lives sometimes, and active forms of coping, like exercise, is a good way to de-stress.

我們偶爾都會有逃離生活壓力的需要，也會有應對的活動形式，像運動就是紓壓的好辦法。

However, some may turn to more risk-taking behaviors like drinking and gambling.

但是有些可能會選擇具風險的行為，像是飲酒或賭博。

While people who indulge in escapism or avoidance may not necessarily be depressed, some excessive forms of coping strategies that are out of character, such as increased substance abuse or self-harm, can be a cause for concern.

雖然逃避現實的人不見得都憂鬱，但有些極端的應對策略已經不像那個人會做的事，像是增加的藥物濫用狀況或自殘，就是該擔心的徵兆了。

Four: you may struggle with other health concerns.

第四，你可能還有其他健康困擾。

Do you suffer from other health problems?

你有受其他健康問題所苦嗎？

People with other chronic health conditions may face pain and symptoms that can lead to mood changes and depression.

有慢性健康狀況的人，可能會面對疼痛和疾病症狀，最終導致心情改變和憂鬱症。

A study by Biomedical Center, found that depression is often overlooked and normalized in people age 65 and older who have chronic physical illnesses such as diabetes, coronary disease, and Parkinson's disease.

生醫中心做的一項研究顯示，65 歲以上有慢性生理疾病的人，像是糖尿病、冠狀動脈疾病、帕金森氏症，可能會被忽略有憂鬱症或憂鬱會被引以為常。

Your physical health is prioritized over your emotional health, and so your depression can remain buried or confused with other conditions.

你的身體健康比心理健康更重要，所以憂鬱症可能深藏不露，或被跟其他症狀搞混了。

Five: you express your pain through art and music.

第五，你透過藝術和音樂來表達痛苦。

Creativity can be a healthy channel to release despair.

創意力是釋放絕望的健康渠道。

It's no secret that some of the world's greatest artists suffered from mental illnesses.

大家都知道，有些世上最偉大的藝術家受心理疾病所苦。

Many artists, musicians, and writers have expressed their pain in creative and even genius ways and gone on to inspire many others.

許多藝術家、音樂家、作家都透過有創意或甚至天才的方式來表達痛苦，接著也激勵了許多人。

Still, these expressions of suffering are real and should be addressed.

然而，這些表達痛苦的方式是真實的，也應該被處理。

And six, you might give subtle cries for help.

第六，你可能會發出微弱的求救訊號。

Are you consistently absent from work or school?

你會常常在工作或學校缺席嗎？

Do you always over burden yourself with work?

你是不是總是因工作而過勞？

While suffering from concealed depression, you might not announce your distress outright.

若受隱藏起來的憂鬱症所苦，你可能不會直接公告你的苦惱。

You may express your pain in ways that may cause others to investigate further.

你會用其他種方式表達痛苦，讓其他人更深入探究原因。

Cries for help can surface in the form of self-deprecating comments or a lack of concern for your physical or mental health.

求救訊號可能以自我藐視的言論顯現，不在乎自己的生理或心理健康也可能是訊號。

Do you think you may have concealed depression or know someone who does?

你覺得你可能有隱藏起來的憂鬱症，或你認識的人可能有嗎？

Let us know in the comments below.

在底下的留言區讓我們知道吧！

If you do, you're definitely not alone.

如果你有隱藏的憂鬱症，你絕對不孤單。

Don't be afraid to seek help, and talk to someone you trust about your situation.

不要害怕尋求幫助，要跟你信任的人談談你的狀況。

The references and studies used in this video are added in the description below.

這支影片用到的文獻和研究會在底下的敘述中。

If you found this video helpful, be sure to like, subscribe, and share this video with those who might benefit from it.

如果你覺得這支影片有幫助，請按讚並訂閱，也要分享給會受益的人。