High-Functioning Mood Disorder Care in Glastonbury, CT

From the outside, everything looks fine. The career is going. The house in Glastonbury is well-kept. You show up for people, you meet your deadlines, you keep it together. And then you get home — and the weight of it drops. You're exhausted in a way that sleep doesn't fix. The things you worked hard for don't feel as good as they should. There's a gap between the version of yourself the world sees and what's actually going on inside, and you've been bridging that gap for so long it feels normal. It isn't. And you don't have to keep doing it.

High-functioning mood disorder is one of the most under-treated presentations in psychiatry — because it's invisible to everyone, including sometimes to the person who has it. If you're reading this in Glastonbury and something in that description is clicking, that's worth paying attention to. A mood disorder doesn't have to level you to be real. And the fact that you're holding it together doesn't mean you're fine.

Sindhia Shyras, APRN has nine-plus years of psychiatric experience working with people who look okay on paper but aren't — people who've been told they don't seem depressed, or who've wondered if they're "sick enough" to ask for help. They are. You are. The evaluation is where you start finding that out.

What High-Functioning Mood Disorder Looks Like

High-functioning doesn't mean you're doing well — it means you're managing. There's a difference. Common signs: you're succeeding professionally but running on empty. You socialize but it costs you. You're irritable in private in a way that your colleagues never see. You lie awake going over things. Joy feels muted, like something you're supposed to feel but don't quite reach. Motivation requires constant forcing. You push through because that's what you do, but the pushing is getting harder. A mood disorder — whether it's major depression, dysthymia, bipolar II, or something else — doesn't stop working its effects just because you've learned to compensate for them.

Why Getting an Accurate Diagnosis Matters

A lot of people with mood disorders spend years in the wrong treatment — or no treatment at all — because the presentation doesn't fit the textbook picture. Sindhia's evaluations are thorough and unhurried. She's looking at the full history: how your mood has shifted over time, what triggers episodes, how your energy and sleep cycle, how anxiety factors in. That history is what distinguishes major depression from dysthymia, from bipolar II, from cyclothymia — and the distinction matters, because different diagnoses lead to different treatments. Getting it right the first time saves years.

Treatment That Fits Your Life

People in Glastonbury who have demanding careers and active lives don't always want to be in a weekly therapy office. Sindhia offers psychiatric evaluations, medication management, and supportive therapy — and she works by telehealth as well as in-person at 1 Liberty Sq, Suite 301 in New Britain. She accepts Aetna, Cigna, Husky Health, Medicaid, United Healthcare, Anthem, ConnectiCare, and self-pay. She speaks English, Malayalam, Tamil, and Telugu. No referral is needed.

Your First Appointment

The first visit is about an hour. Sindhia goes through your mood history, your sleep, your energy patterns, how anxiety shows up, what your functioning looks like at home versus at work. It's not a checklist — it's a real conversation. You'll leave with a clear diagnosis or differential, a treatment plan, and a follow-up scheduled. A lot of patients say the evaluation itself is clarifying in a way they didn't expect.

Frequently Asked Questions