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The Symptom of Depression That Silently Steals Your Joy (And No One Talks About It)

hidden symptom of depression
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Written by Andrew Le, MD.
Medically reviewed by
Last updated June 19, 2025

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When people think of depression, they often picture sadness or hopelessness. But one of its most overlooked and troubling symptoms is anhedonia—the inability to feel joy or pleasure.

Anhedonia makes life feel flat and empty. Things you once loved—music, food, time with friends—may no longer bring any happiness. It’s as if your brain forgets how to enjoy life. Often, it’s mistaken for stress or tiredness, hiding in plain sight.

According to a study, it is a core symptom of depression and can even appear without other obvious signs. Though it gets less attention than sadness or anxiety, its impact can be just as deep and long-lasting.

So why is this symptom so powerful, and why is it rarely discussed? Let’s take a closer look at what anhedonia is and why it matters.

What Is Anhedonia?

Anhedonia is the loss of the ability to feel pleasure. It's a key symptom of depression but can also appear in other mental health conditions. People with anhedonia often feel emotionally numb, even during activities they once enjoyed. Laughter fades, hobbies lose meaning, and social time feels empty.

There are two main types of anhedonia:

  1. Social anhedonia makes it hard to enjoy being around people. You may avoid conversations, stop going to events, or feel disconnected from loved ones.
  2. Physical anhedonia affects how your body reacts to enjoyable things. For example, food may taste bland, hugs may feel empty, and even music or physical touch might seem dull.

Anhedonia often leads to emotional withdrawal, making it harder to express love, connect, or maintain close relationships. According to a study, this emotional shutdown can strain both friendships and romantic bonds.

What makes anhedonia so challenging is that it’s not about feeling sad—it’s about feeling nothing at all. And that can be even harder to recognize, explain, or cope with.

How Anhedonia Affects Daily Life

Anhedonia can slowly take away the joy in everyday life. You may not notice it at first, but over time, it can change how you feel, think, and act.

Here are some ways it can affect daily life:

  • You stop enjoying activities you once loved, like hobbies, sports, or music.
  • Food may lose its taste, and even your favorite meals feel bland.
  • You avoid social events, even small gatherings with friends or family.
  • It becomes hard to show affection, like saying “I love you” or giving a hug.
  • You feel empty or numb, even when something good happens.
  • Getting out of bed, getting dressed, or doing chores can feel pointless.
  • You may feel disconnected from people, even those closest to you.
  • You no longer feel excitement about future plans or goals.

These changes can happen quietly and build up over time. If this feels familiar, you’re not alone—and it’s a real symptom that deserves attention.

Clinical Dimensions of Anhedonia

Anhedonia shows up in different ways and affects people differently. Experts now recognize that it involves several aspects of how we experience reward, not just the loss of pleasure.

Two key types of Anhedonia:

  1. Anticipatory anhedonia: You don’t feel excited about future events, like a vacation or a favorite meal
  2. Consummatory anhedonia: You don’t feel joy during the activity itself, even if you once did.

For some, anhedonia is temporary and tied to depressive episodes. For others, like those with dysthymia or substance-related disorders, it can be long-lasting—a trait rather than a passing state.

Anhedonia may also affect specific areas of life. Social anhedonia dulls the connection with others, while physical anhedonia flattens the enjoyment of food, music, or touch. These varied forms make it harder to recognize and treat, which is why a deeper understanding is essential for effective mental health care.

How Common Is It?

Anhedonia is more common than many realize. According to a study, up to 70% of people with depression experience it, meaning most aren’t just sad; they also lose interest in things they once enjoyed.

Anhedonia isn’t limited to depression. It can also occur in other mental health conditions, such as schizophrenia, bipolar disorder, and anxiety. Even some physical illnesses like Parkinson’s disease and diabetes have been linked to it.

Research suggests men may experience social anhedonia more than women, despite depression being more common in women. Age may also play a role, with older adults in the general population reporting higher levels, though this varies in clinical groups.

While some recover with treatment, others continue to struggle with anhedonia, even after other symptoms improve. This highlights the need to recognize and treat anhedonia directly, not just as a side effect of broader conditions.

What Causes It?

Anhedonia is closely tied to how the brain processes rewards. A key factor is dopamine, the “feel-good” chemical. According to research, changes in brain areas like the prefrontal cortex and striatal regions can reduce how we experience pleasure.

Inflammation may also play a role. Studies show that higher levels of proteins like C-reactive protein are linked to reduced activity in reward-related brain regions, making it harder to feel joy.

Importantly, some people continue to experience anhedonia even after other depression symptoms improve, proving it’s not just a side effect, but a distinct issue that needs focused care.

The Genetic and Biological Roots

Science also shows that it has strong genetic and brain-based causes.

Research shows it can be partly inherited, meaning some people are born with a higher risk.

A major study found that polygenic risk scores (DNA patterns) can predict a higher chance of having anhedonia. These DNA patterns are linked to brain differences, such as less gray matter and changes in reward-related brain areas.

Epigenetics also plays a role—stress or trauma can change how certain genes work without changing the genes themselves. These changes affect how the brain responds to rewards, making it harder to feel pleasure.

Because it is tied to brain structure and chemistry, anhedonia can be difficult to treat with simple emotional or lifestyle changes.

Even though the research is still growing, these findings help explain why anhedonia is a complex condition with deep roots in the brain.

Diagnosing Anhedonia

Anhedonia is hard to diagnose because it’s based on personal experience, not something a blood test or scan can detect. Instead, mental health professionals use questionnaires to understand how someone experiences pleasure and reward.

Two common tools are:

  1. Temporal Experience of Pleasure Scale (TEPS): Measures enjoyment in both anticipating and experiencing positive events.
  2. Snaith-Hamilton Pleasure Scale: Focuses on how much joy a person feels in social, physical, and recreational activities.

These tools help distinguish anhedonia from general low mood and track progress during treatment. Still, since the symptoms are subjective, many people struggle to describe what they’re feeling—or not feeling.

That’s why honest communication with a doctor or therapist is key. The more clearly anhedonia is understood, the better the chances of finding the right support.

Treatment Limitations and Challenges

Treating anhedonia is complex. Many standard depression treatments—like SSRIs—don’t fully address it. Some people even report feeling emotionally numb, which can make anhedonia worse.

According to a study, over half of the people with depression don’t respond to their first treatment. Even after switching medications or starting therapy, about 30% still experience symptoms, especially anhedonia. That’s because most treatments focus on reducing sadness, not restoring pleasure or motivation.

While cognitive behavioral therapy (CBT) can help reframe negative thoughts, those with anhedonia often struggle to engage due to low motivation. When the brain no longer finds joy in activities, even trying can feel impossible.

These challenges highlight the need to treat anhedonia as a distinct issue, not just a symptom of depression. Tailored approaches are essential for meaningful recovery.

Wrap Up

Anhedonia is a hidden but powerful symptom of depression that quietly steals joy and motivation from daily life. It affects how you experience pleasure, making even your favorite things feel dull or meaningless. While it often goes unnoticed, anhedonia can deeply impact your relationships, work, and overall well-being.

The good news is that there are growing treatment options, from newer medications to brain-based therapies. If you’ve stopped feeling joy and wonder what’s wrong, you’re not alone—and help is out there.

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The stories shared below are not written by Buoy employees. Buoy does not endorse any of the information in these stories. Whenever you have questions or concerns about a medical condition, you should always contact your doctor or a healthcare provider.
Jeff brings to Buoy over 20 years of clinical experience as a physician assistant in urgent care and internal medicine. He also has extensive experience in healthcare administration, most recently as developer and director of an urgent care center. While completing his doctorate in Health Sciences at A.T. Still University, Jeff studied population health, healthcare systems, and evidence-based medi...
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