{"podcast":{"title":"Extend Podcast with Darshan Shah, MD","slug":"extend-podcast-with-darshan-shah-md-7064213","podcast_index_feed_id":7064213,"rss_url":"https://feeds.libsyn.com/551312/rss","website_url":"https://drshah.com/","image_url":"https://static.libsyn.com/p/assets/d/5/1/7/d5176cf64b959ae8e55e3c100dce7605/DARSHAN_SHAH_MD.-3.png","author":"Darshan Shah, MD","episode_count":172,"summary":"Extend with Darshan Shah, MD is a podcast dedicated to cutting-edge science, research, tools, and protocols designed to help you extend your healthspan. Starting my medical journey at 16 and becoming one of the youngest doctors in the country, studying and training at the Mayo Clinic, Harvard Business School, Singularity University and other prestigious institutions, becoming a board certified surgeon and accumulating over two decades of practice, I have discovered that a mere 20% of health knowledge yields 80% of the results. That's why this podcast is all about cutting through the noise on how to turn back the aging clock. I interview world-renowned medical practitioners, doctors, experts, and thought leaders, offering you a step-by-step guide and actionable advice to proactively avoid disease and optimize your health. Plus, I share weekly solo episodes giving you quick, digestible protocols for successfully extending your healthspan.","last_synced_at":"2026-06-09T18:18:24.162936+00:00","page_url":"https://stenobird.com/podcast/extend-podcast-with-darshan-shah-md-7064213"},"episode":{"title":"156. Dr. Judith Joseph: High-Functioning Depression, Anhedonia, and Reclaiming Joy","slug":"156-dr-judith-joseph-high-functioning-depression-anhedonia-and-reclaiming-joy","published_at":"2026-04-16T08:00:00+00:00","page_url":"https://stenobird.com/podcast/extend-podcast-with-darshan-shah-md-7064213/156-dr-judith-joseph-high-functioning-depression-anhedonia-and-reclaiming-joy","show_page_url":"https://stenobird.com/podcast/extend-podcast-with-darshan-shah-md-7064213","url":"https://03add746-5496-41d9-bcc9-511a526491e9.libsyn.com/156-dr-judith-joseph-high-functioning-depression-anhedonia-and-reclaiming-joy","audio_url":"https://traffic.libsyn.com/secure/03add746-5496-41d9-bcc9-511a526491e9/Extend_-_Dr._Judith.mp3?dest-id=4758622","summary":"High-performing individuals often appear successful on the outside while quietly experiencing a loss of joy, emotional numbness, and chronic internal stress. This disconnect, often overlooked in traditional diagnostics, may signal a form of depression that goes unrecognized for years. In this episode of Extend, we sit down with Dr. Judith Joseph, psychiatrist, researcher, and author of High Functioning, to unpack the science of high-functioning depression and how anhedonia can manifest even in highly productive individuals. We break down why traditional mental health models often miss these patients, how pathological productivity masks deeper issues, and how the biopsychosocial model helps identify where joy is being lost across biological, psychological, and social domains. We also explore Dr. Judith Joseph's 5 Vs framework and how tools like validation, venting, values, vitals, and vision can help systematically restore daily points of joy and long-term emotional resilience. Dr. Judith Joseph is a board-certified psychiatrist, researcher, and media educator specializing in high-functioning depression and the science of happiness, known for translating complex psychiatric concepts into practical, evidence-based tools that help individuals reclaim joy and optimize mental well-being. What We Discuss: (06:03) High-functioning depression explained (08:50) Pathological productivity and busyness (10:07) Limits of traditional diagnosis (12:28) Anhedonia and loss of joy (14:00) Happiness vs joy (16:45) Biopsychosocial model (19:57) Biological drivers of mood (21:56) Metabolic health and inflammation (24:00) Social factors and relationships (26:09) Validation and venting (29:07) Values and meaning (31:39) Vitals and lifestyle factors (35:29) Technology and disconnection (37:18…","meta_description":"High-performing individuals often appear successful on the outside while quietly experiencing a loss of joy, emotional numbness, and chronic internal stre…","key_points":[],"chapters":[],"topics":[],"duration_seconds":2528,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/extend-podcast-with-darshan-shah-md-7064213/episodes/156-dr-judith-joseph-high-functioning-depression-anhedonia-and-reclaiming-joy/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/extend-podcast-with-darshan-shah-md-7064213/156-dr-judith-joseph-high-functioning-depression-anhedonia-and-reclaiming-joy.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}