I smile way too much even while suicidally depressed. When I went to the hospital this doctor didn't believe a word coming out of my mouth because of the smile and friendliness. On the outside it looked like I'm fine. But my Insides were being torn to shreds with anxiety and severe depression. I am just good at hiding it. Also I was showing signs of psychosis. The most recent stay was different. I was very psychotic and this new doctor believed me. I stayed for 2 weeks and he wanted me to stay even longer. But usually I sit and smile laugh and make jokes. I have schizoaffective disorder so I have the depression mania and psychosis.