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Commune with Jeff Krasno

Joy vs. Happiness: Dr. Judith Joseph on Healing from HFD

Commune with Jeff Krasno

Commune Media

Society & Culture, Health & Fitness

4.5 • 673 Ratings

🗓️ 18 September 2025

⏱️ 45 minutes

🧾️ Download transcript

Summary

In this episode of the Commune Podcast, Jeff Krasno speaks with psychiatrist and bestselling author Dr. Judith Joseph about high functioning depression (HFD) — a condition she identified through research and clinical practice that affects millions but often goes unnoticed. Dr. Joseph explains why HFD doesn’t look like “classic” depression, how trauma and scarcity drive overwork and people-pleasing, and why joy and presence are key to healing. Together, they examine how productivity culture masks pain, how technology and social media amplify disconnection, and what practices can help us reclaim everyday joy. This podcast is supported by: Stemregen: Get 20% off your first order at stemregen.co/commune with the code COMMUNEPOD LMNT: Get a free sample pack with any purchase at DrinkLMNT.com/COMMUNE Vivobarefoot: Go to Vivobarefoot.com/commune where you’ll receive 25% off Bon Charge : Get 15% off when you order at boncharge.com and use promo code COMMUNE Mimio: Get 25% off with code COMMUNE25 at Mimiohealth.com

Transcript

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0:00.0

Welcome to the Commune podcast. My name is Jeff Krasnow. Today I'm joined by Dr. Judith Joseph. Dr. Joseph is a board-certified psychiatrist, clinical researcher,

0:24.8

and best-selling author of High Functioning, Overcome Your Hidden Depression, and Reclaim Your Joy.

0:32.5

She is also a clinical assistant professor at NYU and serves as chair of the Women in Medicine Initiative

0:38.2

at Columbia University. Her groundbreaking work has brought high functioning depression,

0:43.5

which she calls the hidden epidemic of our time, into mainstream awareness. In her book and her

0:49.7

research, she explores how countless people who seem to be thriving outwardly, always busy, always productive, are actually

0:57.8

struggling inwardly with Anne Hedonia, the inability to feel joy. She makes a crucial distinction

1:05.7

between happiness, which is fleeting and external, and joy, which is deeper, steadier, and rooted in connection

1:13.7

values and meaning. As you'll hear in this conversation, we dive into the landscape of hidden

1:19.7

depression, how trauma, both big T and little T, shapes our emotional lives, why imposter syndrome

1:27.0

can keep us from naming our suffering,

1:29.5

and how social media fuels the endless comparison that steals joy.

1:35.9

And most importantly, Dr. Joseph shares her powerful five V's framework,

1:40.9

validation, venting, values, vision, and vitals for reclaiming joy and moving from

1:46.6

mere functioning to flourishing. This is a practical and compassionate discussion that I think will

1:53.1

resonate with anyone who has ever felt that they had to hold it altogether while quietly

1:58.8

falling apart on the inside. And now my conversation with Dr. Judith

2:04.2

Joseph. Okay, Dr. Judith Joseph, what a treat. Well, thanks for having me. It's nice to meet you.

2:10.7

Yeah, great to meet you. I love meeting a doctor who's writing best-selling books and appearing on

2:16.8

podcasts who's actually also seeing

2:19.0

patients. And I'm actually learning so much from you. I mean, before we jump into the blood

2:26.1

and guts of the interview, I was checking out your Instagram and I learned what whining was.

...

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