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Understanding Chronic Loneliness

In 2023 the US Surgeon General said loneliness had become a new kind of insidious epidemic in America, and that’s worth talking about. We’re seemingly more connected than ever in an online capacity, but quality face-to-face interaction and a sense of in-person community are seriously lacking.

There’s also a difference between being alone and chronically lonely. When you’re alone, it can be an active choice to be in solitude. You enjoy deep, fulfilling connections with others while having intentional time away on your own.

Chronic loneliness is a profound aloneness from being involuntarily isolated from meaningful relationships for a long period of time. You may be around others but still feel like you are an island of your own. 

What Does It Mean to Be Chronically Lonely? 

Developing a connection with others is an enduring desire that begins in infancy with our earliest caregivers. Before we know anything about the world, there’s already an innate yearning to attach to emotionally responsive individuals who can meet our fundamental need for closeness.

There’s a biological incentive to get along with others and thrive. Research shows that people who developed a healthy, secure attachment style with others reported having higher levels of happiness and well-being.

With loneliness, you may harbor strong feelings of socialization but go without satisfying human intimacy for days, weeks, months, or years. Being alone without a community can cause suffering, sadness, silence, and pain.

When you feel like you do not have anyone you can really confide in, it can leave you vulnerable to loneliness, negatively shift the way you approach the world, and have detrimental health outcomes.

Chronic loneliness isn’t considered a specific mental health condition but a psychological natural phenomenon and a public health epidemic. Loneliness can happen to people of all ages, gender, sexuality, races, and socioeconomic background at various points in life with serious mental and physical health consequences.

Signs Of Chronic Loneliness 

The biggest indicator of chronic loneliness is feeling like you don’t have any significant relationships to share your problems and experiences with. You may want to connect with a partner, friend, or family member and feel like you have no one.

If you are dealing with chronic loneliness, here are some of the other subtle symptoms you may experience:

  • Lack of affection and warmth
  • Low mood and energy
  • Cognitive decline 
  • Sleep problems 
  • Weight problems such as excess weight gain
  • Lack of physical activity
  • Poor physical health 
  • Pain in joints and body
  • Impulse control problems such as shopping 
  • Marathoning TV shows or movies 
  • Unhealthy diet 
  • Substance abuse
  • Cyclical thoughts 
  • Negative thinking and anxiousness
  • Depressive symptoms such as unhappiness, pessimism
  • Feelings of worthlessness and abandonment 

Are You Feeling Lonely? Take the Test

This fast and free loneliness test can help you analyze your current emotions and determine whether or not you may be feeling lonely at the moment:


This loneliness quiz was medically reviewed by Rachel Goldman, PhD, FTOS.

Causes of Chronic Loneliness

Chronic loneliness can happen for several reasons. Research outlines it as follows:

  • Situational loneliness occurs when you experience an event in the environment such as a personal conflict, significant move, career change, accident, disaster, or pandemic.
  • Developmental loneliness happens when you experience a physical or psychological event such as inconsistent home lifestyles, poverty, developmental problems, painful losses of someone important, or have a mental, physical, or intellectual disability.
  • Internal loneliness manifests when you experience an internal event such as anxiety, depression, low self-esteem, guilt, or faulty coping strategies.

A 2022 study found one-third of adults 45 and older feel lonely, and one-quarter of adults age 65 and older feel socially isolated from others. Older immigrants are more at-risk for chronic loneliness since moving countries can augment cultural differences such as a lack of community, fragmented social networks, and language barriers to connect with others.

Newer research has also recognized high rates of loneliness among older LGBTQ+ people. This population can be high risk because they’re already a stigmatized group who may not be connected to friends and family because they were rejected because of their sexuality. As a result, chronically lonely LGBTQ+ individuals find it difficult to pursue meaningful companionship because of anxiety, depression, health issues, and uncertainty engaging with others within the community.

While there’s been a perception that older populations are more vulnerable since the experience can surge with age, the experience doesn’t discriminate. A 2014 study reported 80% of adolescents and young children below the age of 18 reported feeling loneliness at one point in their life as well.

Researchers suggest that loneliness could be especially poignant for adolescents since they have not yet developed the skills to deal with isolation. The impacts of loneliness can be tough to feel when being seen, understood, accepted, and loved is essential to their growth.

Impacts of Loneliness 

Being chronically lonely is a distressing experience that can bring intense feelings of emptiness, pain, and emotional heaviness. Research from the Genomics Core Laboratory at UCLA found loneliness modifies and weakens cells in the immune system, promoting inflammation and escalating the risk of chronic diseases. The CDC also found loneliness can put you at risk for severe health conditions such as:

  • Dementia
  • Stress
  • Alzheimer’s disease 
  • High blood pressure
  • Heart disease
  • Stroke
  • Depression
  • Anxiety
  • Obesity
  • Suicide
  • Substance use disorder
  • Personality disorders
  • Premature death

Other research echo similar findings about chronic loneliness and note that sufferers of chronic loneliness also have a higher chance of needing psychotropic medications.

Overcoming Loneliness

We live longer and we are more connected than ever, yet the current level of loneliness is unprecedented. It may feel insurmountable to get out of chronic loneliness but it’s far from impossible. It’s important to remember: loneliness is a totally normal and universal experience that happens to everyone.

The solution for chronic loneliness is connecting with others. However, that’s easier said than done. It takes courage to open yourself to others and risk rejection when you already feel so vulnerable.

There are easy, small, and effective steps you can take to increase care and affection in your life:

  • Give yourself grace. It’s critical to understand that chronic loneliness can create negative beliefs about yourself and your worth as an individual, preventing you from seeking connection. This may create a self-fulfilling prophecy and further isolate you from others. Try focusing on what you like about yourself and looking for good things in your interaction. It’s OK if this takes time too.
  • Build in self-care. To move out of loneliness, it’s important you believe you are worthy of connection. This can look like taking care of yourself with proper sleep, nutrition, and enjoying the outdoors. Joining a gym or community group can help with social isolation and your physical health while promoting social connectedness.
  • Open up to loved ones. Reach out to people in your life who can hold space with you. Don’t worry about being put together, happy, or perfect in order to see someone. Simply being yourself, in any emotional state, is enough for people to love and appreciate. Changing your approach can open your life up to heart-opening moments filled with joy and connection.
  • Find little moments. When you’re out at the store, strike up a conversation with the cashier. Build a connection with someone whenever you pick up your groceries. Or try out a new class or activity and engage with a friendly face. Over time, these small actions compound, which boosts your mood and sense of being seen. Connection doesn’t always have to be big. It can be incremental and with a variety of people to foster a sense of community.
  • Volunteer and caregive. Becoming a part of your neighborhood and mutual aid efforts can connect you with others who uphold your values and create a link you already know you have in common. It’ll give you a sense of broader perspective, identity, and accomplishment knowing you are doing good. 
  • Get a pet. Animal therapy can positively help with loneliness. Pets can provide you with human touch, consistency, affection, and help with social isolation since you’ll need to get out of the house to take care of them.
  • Seek a therapist. Talking to a therapist can help improve the perception of your loneliness and provide you with tools, techniques, accountability, and support as you connect with others. 

Craving connection is a powerful motivator to feel close to others. We are biologically wired to be around people, where we can share our stories, journeys, and perspectives. Being connected can give you a greater purpose, a deeper sense of self, and help you build your circle of loved ones.

Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
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  2. Dong X, Chang ES, Wong E, Simon M. Perception and negative effect of loneliness in a chicago chinese population of older adultsArch Gerontol Geriatr. 2012;54(1):151-159. doi:10.1016%2Fj.archger.2011.04.022

  3. Yanguas J, Pinazo-Henandis S, Tarazona-Santabalbina FJ. The complexity of loneliness. Acta Biomed. 2018;89(2):302-314. doi:10.23750%2Fabm.v89i2.7404

  4. Hämmig O. Health risks associated with social isolation in general and in young, middle and old agePLoS One. 2019;14(7):e0219663.

  5. Sun JJ, Chang YJ. Associations of problematic binge-watching with depression, social interaction anxiety, and lonelinessInt J Environ Res Public Health. 2021;18(3):1168. doi:10.3390%2Fijerph18031168

  6. Mushtaq R, Shoib S, Shah T, Mushtaq S. Relationship between loneliness, psychiatric disorders and physical health ? A review on the psychological aspects of lonelinessJournal of Clinical and Diagnostic Research : JCDR. 2014;8(9):WE01. doi:10.7860%2FJCDR%2F2014%2F10077.4828

  7. Tiwari SC. Loneliness: A disease? Indian J Psychiatry. 2013;55(4):320-322. doi:10.4103%2F0019-5545.120536

  8. Jang H, Tang F. Loneliness, age at immigration, family relationships, and depression among older immigrants: A moderated relationship. J Soc Pers Relat. 2022;39(6):1602-1622. doi:10.1177%2F02654075211061279

  9. Hughes M. Loneliness and the health and well-being of lgbt seniors. Innov Aging. 2017;1(Suppl 1):606.

  10. Mushtaq R, Shoib S, Shah T, Mushtaq S. Relationship between loneliness, psychiatric disorders and physical health ? A review on the psychological aspects of lonelinessJ Clin Diagn Res. 2014;8(9):WE01-WE04.

  11. Cole SW, Capitanio JP, Chun K, Arevalo JMG, Ma J, Cacioppo JT. Myeloid differentiation architecture of leukocyte transcriptome dynamics in perceived social isolationProc Natl Acad Sci U S A. 2015;112(49):15142-15147.

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  14. Brady S, D’Ambrosio LA, Felts A, Rula EY, Kell KP, Coughlin JF. Reducing isolation and loneliness through membership in a fitness program for older adults: implications for health. J Appl Gerontol. 2020;39(3):301-310.

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  16. Hoang P, King JA, Moore S, et al. Interventions associated with reduced loneliness and social isolation in older adultsJAMA Netw Open. 2022;5(10):e2236676.

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By Julie Nguyen

Julie Nguyen is a certified relationship coach and freelance mental health and sexuality writer. Her writing explores themes around mental well-being, culture, psychology, trauma, and human intimacy.


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Signs You Aren’t Meeting Your Physical, Emotional, or Spiritual Needs

We’ve all been there—feeling a bit off, like something’s missing, but we can’t quite put our finger on it. Maybe it’s the restless nights, the nagging sense of dissatisfaction that persists despite the hustle and bustle of the day, or the way we keep running on empty no matter how much we try to recharge.

It’s easy to brush these feelings aside, telling ourselves we’re just stressed or busy. But what if these are signs that we’re not meeting our own needs?

According to Abraham Maslow, an American psychologist, all of us have needs that range in hierarchy from:

  • Physical needs: Air, water, food, shelter, sleep, etc.
  • Safety needs: Security, employment, resources, etc.
  • Emotional needs: Family, friendship, love, affection, etc.
  • Esteem needs: Competence, prestige, power, etc.
  • Spiritual needs: Self-actualization, meeting one’s full potential, etc.

It’s important to be aware of your physical, emotional, and psychological needs in order to live a healthy, balanced life, says Elizabeth Hughes, LPCC, a therapist at ADHDAdvisor. 

Furthermore, failing to meet your needs can result in significant dysfunction and a decline in overall health, says Helene D’Jay, MS, LPC, Executive Director of Young Adult Services, Newport Healthcare Connecticut.

Let’s dive in and take a look at some signs that could be telling you it’s time to refocus on what you truly need.

At a Glance

Are you living your best life or does it feel like something’s missing? If your needs aren’t being met, you may feel lonely, disconnected, stressed, anxious, or demotivated. It’s important to identify the missing piece so you can feel happier and more fulfilled.

40 Signs You Aren’t Meeting Your Needs

Below, we explore some signs that you aren’t meeting your needs across the various dimensions.

Physical Needs

Not meeting your basic physical needs can affect not only your mental and emotional state but also your health. Here are some signs and symptoms to look out for:

  • You’re always tired: If you frequently find yourself feeling tired, it may be a sign that you’re not getting enough sleep or nutrition.
  • You fall sick often: Your immune system takes a hit when you’re not eating or sleeping properly, leading to frequent colds, headaches, or other ailments.
  • You’re cranky and moody: If you’re feeling unusually irritable or moody, it might be due to lack of sleep. Even hunger can affect your mood, making you hangry.
  • You’re stressed out: If you’re not getting enough rest, you may find yourself feeling more stressed out by the ups and downs of everyday life.
  • You’re struggling to concentrate: Struggling to focus or experiencing brain fog could be caused by dehydration, poor diet, or lack of physical activity.
  • You’re craving junk food: When you aren’t getting the nutrients your body needs, you may find yourself craving junk food or overeating, as your body tries to compensate for the deficiency.
  • Your weight is fluctuating: Significant and unexplained changes in weight—whether gain or loss—can be a sign that you’re not balancing your diet or activity levels properly.
  • You’re experiencing aches and pains: Persistent pain, particularly in the back, neck, or joints, can be a sign that your lifestyle is too sedentary and you’re not getting enough physical activity. 
  • Your mobility and muscle strength are declining: If you realize you aren’t moving as much as you’d like, you may also notice signs like lack of mobility or decrease in muscle strength, says Hughes.

Safety Needs

Feeling safe and secure is a fundamental human need. If these needs aren’t being met, you might experience some of the following signs:

  • You’re constantly on edge: If you don’t feel safe in your environment or you’re uncertain about your future, you may find yourself constantly feeling anxious or on edge.
  • You have trust issues: When your sense of security is compromised, you may struggle to trust people, even those close to you, which can lead to isolation or strained relationships.
  • You avoid certain people or places: If certain places, people, or situations make you feel uncomfortable or unsafe, you may go out of your way to avoid them, even if it’s inconvenient or irrational.
  • You’re experiencing paranoia: You may be excessively suspicious or mistrustful of others and find it hard to believe that they’re not trying to harm you in some way.
  • You’re hyperalert: You may find it difficult to relax and become hyperalert, constantly scanning your surroundings for potential threats, even in relatively safe situations. You may even find yourself getting startled easily.
  • You’re not sleeping well: Whether it’s physical danger or financial insecurity, your concerns may keep you up at night, leading to insomnia or nightmares.
  • You’re using substances: You may find yourself turning to alcohol or drugs to cope with your fears and anxieties.

Emotional Needs

Not having your emotional needs met can make you feel deeply unhappy. As human beings, we require connection, belonging, and a sense of community, says D’Jay. 

Here are some signs that can indicate you’re not feeling emotionally fulfilled:

  • You’re not feeling seen: Most humans want to feel seen and heard, says Hughes. “If you’re leaving social situations and still feel lonely, misunderstood, or invalidated, it’s possible your social needs went unmet during that interaction.”
  • You’re online a lot: If you’re spending more time on social media or texting instead of engaging in face-to-face interactions, it could be a sign that your in-person social needs aren’t being met.
  • You’re always lonely: You might feel disconnected or alone, even when you’re surrounded by people, which is a sign that your emotional connections aren’t as deep or supportive as you need them to be. 
  • You’re emotionally exhausted: A constant sense of sadness, emptiness, or emotional exhaustion can indicate that you’re not receiving the love, support, or understanding you need.
  • You feel numb: Eventually, you may detach from your emotions because they’re too painful to bear. It can feel like you’re just going through the motions, disconnected from your feelings and the world around you.
  • You’re unable to express your emotions: Struggling to open up or express your feelings can be a sign that you’re not comfortable being vulnerable, possibly because your emotional needs have been neglected or dismissed in the past.
  • You avoid intimacy: You might shy away from deep emotional connections or intimacy, either because you fear rejection or because you’ve become accustomed to not having your emotional needs met.
  • You’re using unhealthy coping mechanisms: Turning to unhealthy habits like overeating, substance abuse, or excessive screen time might be one way of trying to fill the emotional void.

When emotional needs, such as love, security, and validation are unmet, it can manifest into psychological symptoms, such as anxiety, depression and emotional instability.


HELENE D’JAY, MS, LPC

Esteem Needs

When your esteem needs aren’t being met, it can affect your confidence and overall sense of self-worth. These are some common signs:

  • You’re insecure: You may frequently feel insecure about your abilities, appearance, or worthiness.
  • You’re very self-critical: You may constantly criticize yourself and put yourself down. The negative self-talk can have you doubting every decision you make and action you take.
  • You need others’ approval: If you lack self-confidence, you may find yourself always looking for validation from others.
  • You fear failure: You might shy away from new opportunities or challenges because you’re afraid of failure or don’t believe in your own potential.
  • You feel worthless: Whether at work, in your relationships, or in social settings, you might feel like your efforts go unnoticed or unappreciated, leading to a sense of worthlessness.
  • You compare yourself to others: If you frequently compare yourself to others and feel like you don’t measure up, it can be a sign that your need for respect and self-worth isn’t being fulfilled.
  • You feel like a fraud: You may experience imposter syndrome and worry that others will discover you’re not as competent as they think, even if you have the skills and achievements to prove otherwise.
  • You have difficulty accepting compliments: When your esteem needs aren’t met, you might struggle to accept compliments or positive feedback, dismissing them as insincere or undeserved.
  • You resent others’ success: If you often feel resentful or jealous of others’ achievements, it might be because you’re not feeling successful or valued yourself.

Spiritual Needs

When your spiritual needs aren’t being met, it can leave you feeling adrift and unmotivated. Here are some signs that you’re seeking more:

  • You’re unsure of your purpose: You might find yourself questioning the meaning of your life or feeling unsure about your purpose, which can make you feel lost and directionless.
  • You’re restless: You may experience a persistent feeling of inner restlessness or dissatisfaction, as if something important is missing, even if everything seems fine on the surface.
  • You lack inspiration: You may feel uninspired or creatively blocked, which can be extremely demotivating.
  • You feel disconnected: You’re not feeling connected to something larger than yourself, such as a higher power, nature, or a sense of universal meaning, making you feel out of sync with the world around you.
  • You’re not at peace: You may often experience anxiety, stress, or a sense of unease, and rarely have peace of mind.
  • You’re feeling stagnant: You might feel like you’re stuck in a rut and not growing or evolving as a person.
  • You struggle to find joy in everyday life: You might have trouble finding happiness or contentment in your life.

How to Identify What’s Missing

Finding what’s missing in your life can be a deeply personal journey, but here are some steps you can take to help you explore and discover what you might need:

  • Reflect on your life: Take some time to reflect on your life and think about where the unhappiness or frustration is coming from. Are there specific areas—such as work, relationships, personal growth, or health—where you feel something is lacking?
  • Identify gaps: Think about what’s missing from your daily life. Is it adventure, connection, motivation, or something else? What do you wish you had more of?
  • Listen to your emotions: Pay attention to feelings of sadness, anxiety, or restlessness. These emotions can be clues that point you toward unfulfilled needs.
  • Talk to your loved ones: Sometimes the people close to you can offer insights that you might not see yourself. Ask your loved ones for feedback about areas where they see you struggling or unfulfilled.
  • Try new things: Try new activities, explore different hobbies, or take on challenges outside your comfort zone. Sometimes, discovering what’s missing comes from trying something new.
  • Take small steps: You don’t have to drastically change your life overnight. Start with small steps towards fulfilling your needs, and gradually build on them as you move forward.
  • Be patient with the discovery process: Finding out what’s missing can be a process that takes time. Be patient and kind with yourself as you explore different aspects of your life.
  • Consider professional help: If you’re having difficulty figuring out what’s missing, a therapist or life coach can help you explore your feelings and understand your needs.

Keep in Mind

Recognizing when your needs aren’t being met is an important first step toward living a happier and more fulfilled life. By paying attention to the signs and taking proactive steps to address them, you can work toward the life you want for yourself. Remember, it’s okay to seek help from friends, family, or professionals along this journey. Your needs are valid, and it’s important to prioritize them.

“Meeting our fundamental needs is critical for sustaining our overall health and well-being. Properly addressing these needs allows us to function at optimal levels, achieve our personal and professional goals, and cultivate healthy relationships,” says D’Jay.

Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
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By Sanjana Gupta

Sanjana is a health writer and editor. Her work spans various health-related topics, including mental health, fitness, nutrition, and wellness.


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