What is the psychological illness of not wanting to go out

Not willing to go out may be a manifestation of psychological disorders such as social anxiety, depression, or agoraphobia, which need to be evaluated by professional doctors based on individual symptoms. Common reasons include excessive anxiety, low mood, traumatic experiences, introverted personality, and environmental adaptation disorders.

1. Social anxiety disorder

Patients with social anxiety disorder have a strong fear of interpersonal interaction, often accompanied by physiological reactions such as palpitations and sweating. Typical manifestations include avoiding gatherings, refusing to speak in public, and fearing negative evaluations. Perhaps related to childhood bullying experiences or genetic factors, cognitive-behavioral therapy and progressive exposure training are commonly used intervention methods, and doctors may prescribe drugs such as paroxetine and sertraline for adjuvant treatment.

2. Depression

Patients with depression often experience sleep disturbances and changes in appetite due to sustained low mood and loss of motivation to go out. The core characteristics are decreased interest and lack of energy, and in severe cases, suicidal thoughts may occur. Neurotransmitter imbalance and major life events are the main causes, which require a combination of psychological therapy and medication. Medications such as escitalopram oxalate and fluoxetine are commonly used, and phototherapy is effective for seasonal depression.

3. Square phobia

Square phobia is characterized by a pathological fear of open spaces, where patients believe that going out may encounter danger and be difficult to rescue. Often accompanied by panic attacks and excessive dependence on safe areas, it is related to overactive amygdala. Systematic desensitization therapy combined with respiratory training can improve symptoms, and doctors may recommend short-term use of anti anxiety drugs such as alprazolam.

4. Post traumatic stress disorder

After experiencing trauma such as traffic accidents and violent events, some patients may exhibit avoidance behavior when going out. Typical symptoms include flashback of traumatic scenes, increased alertness, and emotional numbness, which belong to psychological defense mechanisms. Eye movement desensitization therapy and narrative therapy have good effects, and if necessary, drugs such as methylphenidate can be used to control excessive alertness.

5. Adaptation disorders

Changes in living environment may lead to short-term social withdrawal, such as adaptation difficulties after immigration or retirement. Manifested as temporary avoidance of socializing without pathological features, usually lasting no more than six months. Supportive psychotherapy combined with mindfulness training can accelerate adaptation, and establishing new social circles is a key intervention direction.

Long term seclusion may exacerbate social dysfunction, and it is recommended to gradually increase the frequency of going out from short walks. Maintaining a regular schedule and moderate exercise can help improve mood, and you can try transitioning from online socializing to offline interaction. If symptoms persist for more than two weeks or are accompanied by suicidal tendencies, seek professional help from a psychiatrist or psychological counselor immediately. Family and friends should avoid forcing themselves to go out, and instead guide them gently through accompanying shopping, common interest activities, and other means.