Psychological disorder of unwillingness to make friends

Refusal to make friends may be a manifestation of social avoidance, often associated with personality traits, psychological trauma, social anxiety, depressive tendencies, or autism spectrum disorders. These psychological disorders mainly manifest as avoidance of social activities, lack of interest in interpersonal relationships, and strong discomfort in social situations.

1. Personality traits

Introverted or highly sensitive individuals may be more inclined to be alone, which is related to their innate neural type. These groups of people consume energy quickly in social interactions and need to recover their psychological resources through solitude. There is no need to forcefully change personality tendencies, but attention should be paid to distinguishing the boundary between healthy solitude and pathological social avoidance.

2. Psychological trauma

Negative social experiences such as bullying and betrayal by important others during childhood may lead to defensive avoidance. Traumatic memory can lead to conditioned social anxiety, manifested as excessive vigilance towards the motives of others. System desensitization therapy and trust rebuilding training are helpful for such situations.

3. Social anxiety

Patients with social anxiety disorders often have excessive concerns about negative evaluations, and may experience physiological stress reactions such as palpitations and sweating. Cognitive behavioral therapy can help correct catastrophizing thinking, while progressive exposure therapy can reduce sensitivity to social situations.

4. Depressive tendencies

Depressive patients generally exhibit social withdrawal, which is caused by a lack of pleasure and energy. Accompanying symptoms include sustained low mood, decreased sense of self-worth, and so on. Priority should be given to addressing the core symptoms of depression, as social functioning often gradually recovers with emotional improvement.

5. Developmental disorders such as Asperger's syndrome and autism spectrum disorder

can lead to innate lack of social motivation, manifested as difficulty in understanding social rules and the emotions of others. Early behavioral intervention can enhance social skills, but it is necessary to respect the characteristics of neural diversity and avoid overcorrection. Improving social avoidance needs to be done gradually, starting with low stress social scenarios such as joining interest groups or volunteering. Maintaining regular exercise can help alleviate anxiety symptoms, and the Mediterranean diet pattern has a positive effect on emotional regulation. If accompanied by severe emotional distress or social dysfunction, it is recommended to seek professional psychological assessment. Individual differences in social needs should be respected, and the goal of treatment should be to improve quality of life rather than forcing socialization.