What is the disease of not liking to communicate with people

Not liking to communicate with others may be a manifestation of social avoidance behavior, commonly seen in social anxiety disorders, depression, autism spectrum disorder, personality disorders, post-traumatic stress disorder, and other conditions. Long term avoidance of socializing may affect interpersonal relationships and social functioning. It is recommended to clarify the reasons through psychological counseling or psychiatric assessment.

1. Social anxiety disorder

Patients with social anxiety disorder have excessive fear of social situations, often accompanied by physiological reactions such as palpitations and sweating. Typical manifestations include avoiding eye contact and refusing to attend gatherings. Cognitive behavioral therapy and systematic desensitization training are the main intervention methods, and anti anxiety drugs such as sertraline and paroxetine can be used under the guidance of a doctor.

2. Depression

Depressive patients often experience decreased interest and social withdrawal, which may be accompanied by symptoms such as changes in appetite and sleep disorders. The social reduction caused by depression is a negative symptom and should be distinguished from simple introverted personality. Antidepressants such as fluoxetine and venlafaxine can be used for treatment, and mindfulness therapy is more effective.

3. Autism Spectrum Disorder

The core symptoms of autism include social communication disorders and stereotyped behavior, which are only discovered in some high functioning patients as adults. Manifested as difficulty understanding social rules and lack of empathy. Early behavioral intervention can improve social skills, and medication can assist in treating accompanying anxiety.

4. Personality disorders

Patients with split personality disorder and avoidant personality disorder will actively stay away from social interaction. The former lacks social desire, while the latter avoids it due to fear of negation. Long term isolation may worsen symptoms, and group psychotherapy can help establish safe interpersonal patterns. After experiencing traumatic events such as violence or bullying, some patients with post-traumatic stress disorder may exhibit social avoidance behavior. This withdrawal belongs to the psychological defense mechanism, often accompanied by increased alertness and trauma flashback. Eye movement desensitization therapy and narrative therapy can help rebuild social security. Improving social avoidance should be done gradually, starting with low stress social scenarios such as attending book clubs or interest groups. Regular exercise can boost confidence, while supplementation with Omega-3 fatty acids and vitamin D may improve mood. If the symptoms persist for more than two months or are accompanied by functional impairment, it is recommended to seek professional evaluation from a psychiatric department. Family members should avoid forcing themselves to socialize and can naturally establish connections through joint activities.