Not liking socializing with others is not necessarily a psychological disorder, it may be a manifestation of introverted personality, or it may be related to psychological problems such as social anxiety disorder, avoidant personality disorder, depression, autism spectrum disorder, etc.
1. Introversion
Introversion is a normal personality trait characterized by a tendency to be alone and to expend energy in social interactions rather than acquiring energy. Introverted individuals usually have a small number of close friends and perform better in quiet environments, which is fundamentally different from psychological disorders. Introverted personality does not require treatment, but can be adapted to necessary social interactions by gradually participating in small social activities.
2. Social anxiety disorder
Patients with social anxiety disorder have persistent fear of social situations, often accompanied by physiological reactions such as palpitations and sweating. This group of people crave socializing but are afraid of negative evaluations, which is different from being purely introverted. Cognitive behavioral therapy and systematic desensitization training are commonly used intervention methods, and in severe cases, anti anxiety drugs such as paroxetine and sertraline can be used according to medical advice.
3. Avoidant personality disorder
is characterized by long-term avoidance of social interaction, excessive sensitivity to criticism, and low self-worth. Patients often voluntarily isolate themselves out of fear of rejection, a pattern that persists from early adulthood. Psychological therapy requires establishing a stable counseling relationship, combined with social skills training, and if necessary, medication such as fluoxetine can be used to improve emotional symptoms.
4. Depression
During a depressive episode, there may be symptoms such as social withdrawal and decreased interest, but they are usually accompanied by core symptoms such as low mood and changes in appetite. This type of social avoidance is a manifestation of illness rather than a personality trait and requires treatment for depression. Combining medication such as venlafaxine and metronidazole with psychological therapy can improve overall social functioning.
5. Autism spectrum disorder
has social communication barriers and stereotyped behaviors, and some high functioning patients may exhibit active avoidance. This type of situation requires early behavioral intervention to enhance interaction skills through structured social training. Medications such as risperidone can assist in improving accompanying symptoms of impulsivity or anxiety, but cannot alter core social deficits.
For social avoidance that continues to affect daily life, it is recommended to seek professional psychological assessment. In daily life, you can try to record specific difficulties when socializing, starting with low stress scenarios such as participating in interest groups like book clubs. Maintaining regular exercise and adequate sleep can help stabilize emotions, while progressive exposure can help alleviate social anxiety. If accompanied by physiological symptoms such as insomnia and changes in appetite, it is necessary to seek timely medical attention at a psychiatric department for screening of organic diseases.
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