Perfectly Hidden Depression by Margaret Robinson Rutherford

Book Summary

Margaret Robinson Rutherford has written a book titled "Perfectly Hidden Depression" which focuses on the relationship between depression and perfectionism. However, the concept of hidden depression differs from the well-known form of depression, which the author explains by outlining its manifestations. In today's world, perfectionism can lead individuals to experience a form of depression, causing them to suffer greatly from within.

In other words, people sometimes turn to perfectionism as a way to escape their pain, ultimately becoming someone, they no longer recognize. According to Radford, many people in the world wear a fake smile when they face overwhelming issues and challenges, fearing that others might perceive them as weak. This smile serves as a mask to escape their current situation.

The concerned author addresses the concept of depression in the first part of the book and then explores the stages of recovery and the formation of a new perspective for her readers across three chapters. She makes significant efforts to prevent the repetitive cycles of depression and the painful suffering that members of society may endure. This work can also be beneficial for psychotherapists seeking to broaden their knowledge and perspectives in treating clients, as it contains concepts that are rarely discussed in depth.

About the Author

Margaret Robinson Rutherford is a writer and clinical psychologist who has been active in treating anxiety and depression for over 25 years. In addition to blogging and maintaining a website where she publishes her work, she hosts a psychology-related podcast where she shares treatment strategies for various psychological disorders. Radford has authored another book titled "Marriage is Not for Chickens" and received an award in 2009 for her contributions to improving mental health in the community.

Who Should Read the Book?

This book is highly suitable for individuals who have been suffering from depression for a long time, as well as those who recognize internal pains stemming from perfectionism.

Table of Contents

"Perfectly Hidden Depression" according to its author, is divided into three sections and ten chapters.

Book Quotes

We can become just as easily trapped by so-called positive thinking as we can by negative thinking. Both can be inhibiting, destructive, inappropriate, delusional, and mistaken.
How many times have you heard your inner whisper say, "I'm fine, thanks," while you know you're not feeling well at all? I bet it's happened quite a lot. When I started writing about hidden depression, many people emailed me in response to the definition of hidden depression. Their responses reflected relief, gratitude, and even shock. One person said, "I can't believe you're describing me this way. It's as if you're inside my head."
Without a doubt, I am not the first person to say that the symptoms of depression can vary among individuals. Sydney Blatt, whom I quoted at the beginning of this page, was one of the first people to research the connection between perfectionism, depression, and suicide. He states that some types of depression must be identified through an individual’s lived experience, even if their symptoms do not align with official indicators.
The term "Perfectly hidden depression" reflects this very idea: the absence of traditional indicators of depression does not necessarily imply the absence of depression. Not all the emails or comments I received were positive or without critique. Some raised valid critical questions: "Isn't it bad enough that people have to grapple with real depression? Now are you labeling every minor issue as depression?" and "I think you’re trying to suggest that there’s something wrong with many people’s struggles to achieve perfection."


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  • Publisher ‏ : ‎ New Harbinger Publications; 1st edition (November 1, 2019)
  • Language ‏ : ‎ English
  • Paperback ‏ : ‎ 216 pages
  • ISBN-10 ‏ : ‎ 1684033586
  • ISBN-13 ‏ : ‎ 978-1684033584
  • Item Weight ‏ : ‎ 10.4 ounces
  • Dimensions ‏ : ‎ 6 x 0.49 x 9 inches
  • Best Sellers Rank: #124,255 in Books

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Book Reviews

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  • Sally

    Sally


    So many of us cover our depression, anxiety and pain with compulsive "perfectionism". Because this syndrome is neither identified or addressed in the psychiatric manual all psychologists use, it typically is missed and left untreated. This book both fills that error and gives all readers the ability to do something about it in this stepwise, highly empathic, intuitively creative and compassionate guide. I especially love how the author involves herself as a model in her own healing of this dysfunctional syndrome--as one of us, not above and beyond us. I love this therapists unwavering commitment to the truth, to her clients, and most of all, to our healing.
  • More_Than_A_Review

    More_Than_A_Review


    Perfectly Hidden Depression by Dr Margaret Rutherford is a must read. Even if you do not think you have it, I am confident that you know someone with it and it will help you in your interactions with them. These people do not appear depressed. They are very active and appear happy; not what you expect depression to look like.

    Some of you may automatically know you are a perfectionist. Others may not recognize the behavior until you read how it can manifest itself. The author shares 10 characteristics of perfectly hidden depression.

    Once you understand what perfectly hidden depression is very well, the author gives you a quiz to see how well you relate to it. From there we move to part II where you start learning the five stages of healing.

    The author includes sections to journal, answer questions and think through what you have read and how it relates to you. In addition, there are real stories; these were very impactful for me. The author’s compassion and empathy come through the book loud and clear. It makes you feel like you know her and the book is written to where you feel she is talking to you directly.

    My very humble opinion is that perfectly hidden depression is behind a lot of the increase in suicide.

    Again, I want to stress that I highly recommend this book. Even if you think it is not for you, I am confident you will know someone you want to share the book with.
  • Laurie Nerat

    Laurie Nerat


    This informative book identifies those negative patterns or beliefs that keep us emotionally detached from our selves and others. With detailed explanations, readers can use this book to help address their own issues of perfection. Perfectly Hidden Depression is a unique construct that explores a hidden mental health struggle becoming more and more prevalent, including the motives behind this push for perfection.

    The book includes great reflections questions throughout, but I do wish the publishers had included room for readers to respond to each question, more like a workbook style.
  • msudakov

    msudakov


    I first heard about Perfectly Hidden Depression via a Facebook Live on The Mighty. When Dr Margaret began describing the characteristics it felt like she was talking about me. I purchased her book, started listening to her brilliant podcast “Self Work” and started following her work on social media. After having read the book, I’m even more convinced that this syndrome is 100% what I struggle with. The book is onto something that often gets overlooked in the mental health arena, namely when people appear to be high functioning and yet are deeply depressed. I highly recommend reading the book and more importantly actually taking the time to complete the exercises. It’s worth going at a slow enough pace to really do the work and if possible discussing some of your observations with a therapist.
  • Chris Clough

    Chris Clough


    I bought this for my husband because it described him to a T. But I dont like giving out books I havent read so I read the whole thing. It was very insightful into the thinking of a man Ive know and loved for years. This book helped me be more compassionate and patient. The journaling exercises are solid and build on each other. Its a workbook. Unfortunately I dont think my husband is ready to do the work. But at least I know what Im dealing with.
  • Cassandra

    Cassandra


    I came across DR M & her podcasts on the subject some time ago & found them enormously helpful & of great comfort, to at long last make some sense of my life. The book encapsulates the concept in easy to read chapters & the process flows.Most of all I find Dr M very gentle and compassionate in her manner & her passion and dedication as a psychologist shine through.She stands out from the plethora of self-help books in a genuine, realistic and practical way.
  • Ben Y

    Ben Y


    Needs more insights, hitting the nail on the head with personal and relationship dynamics and personal stories.
  • VICTORIA MCCALEB WADE

    VICTORIA MCCALEB WADE


    I started listening to the audible version of this book while awaiting my hard copies (yes, plural) because this book is too important not to share. I’ve also recommended this book to several friends. If you think this book might be for you or you know someone who might want or need this book you simply can’t afford not to get it. Thank you Dr. Margaret Rutherford. I highly recommend this book and your podcast.
  • Kindle Customer

    Kindle Customer


    I picked up this book and couldnt put it down. Be certain to check in on the seemingly strong people in your life and see if they are mentally ok.
  • D - A

    D - A


    A great help in not only looking at my own life in regard to some of the issues but I think it sheds a light in how we can relate differently to others that might be suffering from PHD. Dr. Margaret has given readers a tool to help to open our minds and hearts to heal and know we are not alone.
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