How did you learn to hide pain?

Maybe you took your pain, or any sign of vulnerability or sadness and hid it behind a persona of happiness and productivity that shielded the real you from the eyes of others. Maybe you pushed yourself relentlessly to build a life that looks perfect from the outside. Yet there are moments that you’re aware of a gnawing loneliness that’s building inside of you. 

Maybe you’re aware of your own strategy. And maybe, you’re not — until you stop. Until you allow yourself to notice there’s no one who really knows you. Because you don’t allow them in.

If this sounds like you, perhaps you’re experiencing what I call perfectly hidden depression.

You are not alone…

I wish you could read the personal emails I’ve received —  thousands from the United States, but also from all over the world: Malaysia, South Africa, India,, France, Brazil, Ireland, Australia…

They’ve been written by doctors, advertising executives, teachers, chefs — people from all walks of life. The one thing they have in common? They’ve read or listened to my posts and podcasts on perfectly hidden depression. And their response, “I’m hiding. And doing it very well.”

Perhaps one of those emails has come from you…or perhaps you’ve thought of writing but haven’t yet. Perhaps you were relieved to find yourself relating to the concept of perfectly hidden depression because you’d searched in the past for answers – and couldn’t find them because you didn’t fit the standard “definition” of depression. 

Nine common pathways to perfectionism that hides pain…

But how did your hiding begin? There are nine common pathways, nine familial structures or experiences, that may have led you to create a perfect-looking persona.There may be more, but hopefully, these will help you see how anyone might need to deny pain and sadness. 

1) You were sexually or physically abused.

The damage from being the target of sexual manipulation or violence can silence you, particularly if you were told to shut up and keep the dark secret of your family. Whether or not your abuse was secret, your life was out of your control. You weren’t safe as a child (or perhaps you’re not safe even as an adult..) So staying in control has become vital to your way of life, and you’ve stayed silent – because you absorbed shame that didn’t belong to you. 

2) You were a child of alcoholics or addicts.

You learned to be hyper-vigilant — keeping your feelings completely to yourself, because it was far from safe to communicate them to the ones who were supposed to nurture and protect you. You may have devoted yourself to school or athletic activities, a job — anything to keep you away from home. You might have done whatever you could to become invisible to your parents to protect yourself from their toxicity, never making waves to attract their attention. Now as an adult you remain cautious…looking as if you’re doing ‘fine” but always waiting for others to disappoint. 

3) You were emotionally abused.

You were told you weren’t going to amount to anything, or that you were too sensitive — a whiner. Those words can be etched in your mind for quite a long time; you’re left obsessed with proving that parent, teacher, or coach wrong. So you create a perfect, very successful life, and you avoid admitting vulnerability like the plague.

4) You took a pseudo-adult role in your family as a child.

It was your job to take care of all the others in your family. Perhaps one or both of your parents suffered mental or physical illness, or was someone who couldn’t act as an adult. You took care of brothers and sisters. Maybe you were the eldest child, or maybe you were simply the one most innately responsible. You made sure the

y were fed, did their homework, and asleep at a decent hour. You made sure a parent took their medication, or you picked them up from the bar at night. You became someone who made sure necessary tasks were accomplished, and you were good at it. You began hiding how lonely and in need of comfort you were. You had to be okay — so you were okay. 

5) You were the “star” of your family.

You were highly praised for your successes, “You never disappoint me.” You’re labeled the smart one, the athletic one, the accomplished one. “He can do anything he sets his mind to.” You felt as if you could never fail or falter. The pressure of your childhood was immense. And you can come to believe that the world expects perfection as well, with each accomplishment needing to be better than the last one. You keep the thumb in your back, pushing and prodding yourself constantly. Vulnerability, struggle, not hitting the mark — all of that is unacceptable. And actually — can seem quite foreign to you. 

6) You are male.

You were taught that it’s unmanly to admit any kind of vulnerability. Your male role models had lived that way, or maybe you grew up in a highly gender-stereotyped environment or culture, where men and women had different rules or expectations. You put up a huge front of stoicism because to do otherwise would be mocked as weak, and thus you hid the normal human range of emotions, pretending to always be strong, capable, and in-charge.

7) You weren’t allowed to express painful emotion. 

Things happened, even painful things like death, divorce, or disappointment, but no one talked about the pain of those losses. You were hushed for crying, punished for showing anger, sent to your room if you looked upset. “Don’t come down until you get yourself together.” “Don’t air your dirty laundry in public.” You were never comforted or supported for feeling hurt, or lost, or confused. So you hushed. You stopped asking for comfort, because there was none there. You stuck whatever hurt you had far away, and became expert at denying its presence. 

8) You felt (or feel) responsible for a parent’s happiness or fulfillment.

Your parent said things like, “I don’t know what I’d do without you.” “There’s no one who understands me like you do.” You feel as if it’s your job to emotional prop up that parent, so you have to be ever-constant, ever-caring.

This undo responsibility is called enmeshment. No child has the power to bring fulfillment or contentment to a parent. . How can you ever leave if it’s your job to make a parent happy? So you may stay locked into that role, either hiding your own struggles or over-sharing them, because the boundaries between you and your parent are so vague. Your life can become a tangle of hidden secrets. If you do move to another city or take a job that keeps you busy, you walk around feeling as if you’ve failed — simply because you grew up.

9) The culture of the family was influential.

There’s a vast amount of difference between countries and cultures in what is stressed or allowed emotionally. Whether your ethnicity is Scottish, Chinese, Hispanic, or South African, it’s possible that your response to painful emotions was shaped by cultural influences. You mimicked how the adults around you behaved; that is what children do in order to remain safe.

Perhaps more than one of these nine pathways led you to your current-day practice of perfectly hiding your depression. Regardless, you don’t have to continue living a childhood strategy for emotional survival; it worked then but it may not work on your behalf now. 

We all hurt; it’s part of being a human being.

You don’t have to hide.

You can hear more about depression and many other topics by listening to Dr. Margaret’s podcast, SelfWork with Dr. Margaret Rutherford. Subscribe to this website and receive her weekly blog posts and podcasts, as well as  free downloadable ebook, “Seven Commandments of Good Therapy.”!

If you’d like to join my FaceBook closed group, then click here and answer the membership questions! Welcome!

My new book entitled Perfectly Hidden Depression will be arriving November 1, 2019 and you can pre-order here! Its message is specifically for those with a struggle with strong perfectionism which acts to mask underlying emotional pain. But the many self-help techniques described can be used by everyone who chooses to begin to address emotions long hidden away that are clouding and sabotaging your current life.

Originally published July 22, 2017 and republished on July 13, 2019.