Goodreads asked Margaret Robinson Rutherford:

Where did you get the idea for your most recent book?

Margaret Robinson Rutherford The ideas in Perfectly Hidden Depression are based on actual people I either saw myself as patients or volunteers who came forward after having read about PHD. Their stories were of course distinct, but they all shared this need for no one to see their pain or know just how lonely and despairing they were. So they had created (and were still creating for many...) the perfect-looking life, while being assaulted by their own inner shame and self-criticism. And if they did seek therapy. they were told they were too anxious, working too hard, or needed rest. They didn't "fit" criteria.

It's time for the criteria to change -- to include another presentation of depression that doesn't fit current more classic criteria.

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