Therefore, smiling depression frequently goes unnoticed. Even though they can continue with the majority of daily activities, people with smiling depression secretly struggle with a serious mood condition. As mentioned earlier, smiling depression seems to be a high functioning form of depression. If you tend to be a perfectionist or are ambitious, you may be more likely to experience smiling depression. Fear of Coming Off As WeakPeople with smiling depression frequently worry that if they admit to having depression, others would take advantage of them.