Dr. Judith Joseph is a renowned psychiatrist, professor at NYU Medical School, and the world's leading expert on high-functioning depression. We discuss her groundbreaking research on achievement and anhedonia, the hidden masochism beneath productivity culture, and her revolutionary "5 V's" framework for reclaiming joy without sacrificing ambition. READ MORE👉🏾 http://bit.ly/richroll909 ✌🏼🌱 - Rich This Episode Is Brought To You By… Squarespace: Use code RICHROLL to save 10% off 👉 https://bit.ly/squarespace2025 On: High-performance shoes & apparel crafted for comfort and style👉https://bit.ly/ONXRRP2025 OneSkin: Get 15% off using code RICHROLL👉https://bit.ly/oneskinrrp Check out all of the amazing discounts from our Sponsors 👉🏾 https://bit.ly/rrpsponsors LISTEN / SUBSCRIBE TO THE PODCAST Apple Podcasts: http://bit.ly/rrpitunes Spotify: http://bit.ly/rrpspotify Google: http://bit.ly/rrpgooglepods Meal Planner: http://meals.richroll.com Voicing Change Book: http://richroll.com/vc Clips Channel: https://www.youtube.com/c/RichRollPodcastClips Newsletter: http://bit.ly/rollcallemail CHAPTERS 00:00:00 Intro 00:01:35 Connection to Guest Judith 00:03:58 High Functioning Depression Explained 00:06:48 Anhedonia and Its Symptoms 00:07:15 Daily Life of High Functioning Depression 00:09:19 Impact of Trauma on Mental Health 00:10:02 The Challenge of Identifying Depression 00:13:12 The Interconnection of Anxiety and Depression 00:15:29 Coping Mechanisms and Numbness 00:16:20 Understanding Trauma Types 00:19:20 The Nature of Trauma 00:23:51 Daily Life of High Functioning Individuals 00:26:28 Comparing Life Challenges 00:27:23 Biopsychosocial Model of Joy 00:29:24 Moments of Joy vs. Happiness 00:31:22 AD BREAK 00:33:32 Fear as a Driver 00:36:05 Narcissism and Masochism in High Functioning Depression 00:37:58 Masochism and Emotional Processing 00:38:53 Algorithm Challenges in Discussing Masochism 00:39:50 Masochistic Personality Disorder 00:40:46 People Pleasing vs. Martyrdom 00:42:13 Setting Boundaries with Others and Self 00:43:21 Contagion of Masochism 00:44:01 Affect Labeling and Change 00:46:10 Recognition of Personal Struggles 00:48:09 The Science of Happiness 00:49:06 Courage to Change 00:50:58 Trauma in Healing Professions 00:51:53 Slowing Down vs. Stopping 00:52:21 Strivers Dilemma vs. High Functioning Depression 00:53:02 The Strivers Dilemma 00:53:19 Reception of Work 00:54:36 Proactive Mental Health 00:55:54 At-Risk Individuals 00:57:22 Brain Function and Depression 00:59:10 Treatment Resistance 01:00:10 Mindset Shift 01:02:37 Women and Mental Health 01:04:18 AD BREAK 01:05:36 Introduction to the Five V's 01:06:30 Validation 01:08:31 Rewriting Personal Narratives 01:10:41 Changing Memories 01:11:03 Venting vs. Trauma Dumping 01:11:45 Healthy Venting Practices 01:13:33 Values and Purpose 01:15:42 Connection and Joy 01:17:01 Mind-Body Connection 01:18:02 Impact of Technology on Joy 01:18:21 Research on Screen Time 01:21:02 Cultural Effects of Zoom 01:21:45 Zoom Fatigue 01:23:59 Stanford Zoom Fatigue Center 01:25:47 Planning for Joy 01:26:22 Planning Joy 01:26:46 Pharmacological Interventions 01:27:07 Individualized Treatment 01:28:32 Correlation with ADHD 01:29:28 Research in the Lab 01:31:48 Mindfulness and Medication 01:32:48 Faith and Happiness 01:33:49 Compassion and Connection 01:34:33 Struggles with Saying No 01:35:38 Public Health Communication 01:36:48 Media Training Journey 01:39:33 Evolution of Medical Communication 01:41:31 Social Media and Education 01:42:03 Combating Misinformation 01:42:51 The future of medicine 01:43:25 Effective communication in science 01:44:50 Self-validation for change 01:45:58 Practicing self-worth 01:46:17 Personal reflection and gratitude CONNECT WITH RICH ✩ Website - http://richroll.com​ ✩ Rich Roll Podcast - https://richroll.com/all-episodes/ ✩ Instagram - https://www.instagram.com/richroll/ ✩ Twitter - https://twitter.com/richroll ✩ Facebook - https://www.facebook.com/richrollfans ✩ Strava - https://www.strava.com/athletes/14443?oq=rich ✩ Memoir: Finding Ultra - https://www.richroll.com/shop/books/finding-ultra/ ✩ Meals - http://meals.richroll.com​ ✩ Cook - The Plantpower Way - https://www.richroll.com/shop/books/the-plantpower-way-signed/ ✩ Italian! - The Plantpower Way: Italia - https://www.richroll.com/shop/books/the-plantpower-way-italia-signed/ ✩ Support - https://www.patreon.com/richroll FILMED AND EDITED BY DAN DRAKE https://www.dandrake333.com/ * * * * * NEW TO RICH? Hi I'm Rich Roll. I'm a vegan ultra-endurance athlete, author, podcaster, public speaker & wellness evangelist. But mainly I'm a dad of four. If you want to know more, visit my website or check out these two the NY Times articles: http://bit.ly/otillonyt http://bit.ly/vegansglam I LOVE MAIL! SEND IT HERE: 2630 Conejo Spectrum St. Thousand Oaks, CA 91320 #richroll #richrollpodcast