Loneliness FAQ
Here are clear answers to the questions people ask most often about loneliness: what it is, how it affects your health, how to make friends later in life, what to say to your doctor, and how loneliness fits with prescribed medicine.
What is loneliness?
Loneliness is the painful sense of having less closeness or company than you want. It’s a feeling about the gap between the connection you have and the connection you’d like, so it doesn’t depend only on how many people are around. You can feel lonely in a full house or a long marriage, and you can feel content living on your own. Loneliness often follows a change, such as the death of a spouse, children moving out, retirement, a move to a new town, friends moving away, or a health problem that keeps you home. It’s very common at every age, and feeling it doesn’t mean anything is wrong with you. The main loneliness room explains it in more depth.
Is being alone the same as being lonely?
Being alone and being lonely are different. Being alone describes your situation: nobody else is in the room. Loneliness describes a feeling: you want more company than you have. Many people enjoy time alone, like a free evening with a book or a slow morning with coffee, and they don’t feel lonely at all. Others feel lonely while surrounded by people, because nobody in the room really knows them. It helps to notice which one you’re feeling on a given day. You might say to yourself, “Tonight I’m enjoying my own company,” or “Tonight I’m lonely.” Knowing the difference can help you stop dreading every hour alone while still taking the painful hours seriously.
Is this therapy?
This room is educational writing about loneliness. It isn’t therapy, counseling, or treatment, and it can’t diagnose anyone. The pages explain what loneliness is, describe the situations where it often starts, and suggest small practical steps, like a standing phone call or a regular place to go. They’re meant to go alongside the care you already have, never to replace it. If you’d like to talk with someone, your doctor can suggest a counselor, therapist, or support group, and many communities have grief groups and senior centers with programs for people who live alone. If you need care, please talk with your doctor or a counselor.
Will this find me people, or deliver a friend?
These pages suggest small next steps, like one message, one standing call, or one visit to a place where people gather. No page can promise you a friend, because other people make their own choices and have their own lives. What the pages can do is help with your side: the nerve it takes to reach out, a plan for the long evening, and words to use when you don’t know what to say. You won’t find tips here for persuading or managing anyone into keeping you company. Everything on Arcana Mentis is about your own mind, and other people’s minds belong to them.
Is loneliness bad for your health?
Long-term loneliness can affect your health, which is why public health agencies take it seriously. The CDC links ongoing loneliness and social isolation with higher risks of heart disease, depression, and dementia, among other problems. Loneliness can also disturb sleep, affect appetite, and make it harder to keep up with exercise and medical appointments. A lonely week now and then is part of life and isn’t a cause for alarm. If loneliness has lasted for months, or it’s affecting your sleep, mood, or daily routine, mention it to your doctor. The CDC’s page on social connection, linked at the bottom of this page, explains more.
Should I tell my doctor I’m lonely, and what do I say?
Yes, it’s worth telling your doctor, even if it feels like a strange thing to bring up at a checkup. Loneliness is part of your health, and knowing about it can change what your doctor looks for. You don’t need perfect words. You could say, “I’ve been very lonely since my wife died, and I’m not sleeping well,” or “I hardly talk to anyone during the week anymore.” Mention practical things too: whether you’re still driving, whether you can follow conversation in a group, and whether pain or tiredness keeps you at home. Your doctor may ask about mood, sleep, and appetite, and may suggest a hearing check, a counselor, or local programs. It can help to write your sentence on a card and bring it to the appointment.
Is loneliness a reason to stop my antidepressant, or any other prescribed medicine?
Loneliness is never a reason to stop, skip, or change a prescribed medicine on your own. Keep taking it as prescribed whether your evenings get better or worse, and talk with your doctor before any change. A good week with more company isn’t a sign you no longer need it, and a hard week isn’t a reason to take more or less. Medicine and company do different jobs, and many people need both. If you have questions about a medicine, write them down and bring them to the doctor who prescribed it. The page on medicine and loneliness covers this in more detail. If you’re in crisis in the United States, call or text 988.
What if the loneliness is a crisis?
If you’re frightened or don’t feel safe, please don’t spend the night alone with a web page. In the United States, call or text 988. The 988 Suicide & Crisis Lifeline answers at any hour, including nights and holidays, and you can call just because you’re lonely and scared. You don’t need to decide first whether your pain counts. If you’re outside the United States, call your local emergency number or a local crisis line. This site has no public inbox and can’t answer a crisis, but a real person on the line can stay with you while the worst of the night passes.
How can I tell loneliness from depression?
Loneliness and depression are different things, though they often show up in the same week. Loneliness is the ache of wanting more company, and it often eases, at least for a while, when you spend time with someone you like. Depression is a medical condition. It can bring a low mood most of the day, a loss of interest in things you used to enjoy, changes in sleep or appetite, tiredness, trouble concentrating, or feelings of worthlessness. These signs may stay even when you’re with people. If signs like these last two weeks or more, talk with your doctor. This site can’t tell you which one you’re living with. The depression room offers education alongside care, has the same rule about medicine, and is also not yet medically reviewed.
Why is it so hard to reach out when I’m lonely?
Loneliness tends to make reaching out feel harder than it is. Researchers who study loneliness generally describe it as putting people on alert for rejection. A slow reply can start to feel like proof that nobody cares, so you hold back, and holding back keeps you lonely. You may also feel out of practice, worry that you’ll sound needy, or hear a harsh inner voice calling you a burden. All of this is common. It helps to keep the first step very small, like a two-line text or one cup of coffee at a gathering, and to remind yourself that a slow answer often just means a busy week. The mind control room has ways to answer the harsh voice.
How do I make a new friend later in life?
Most friendships later in life grow the same way they did earlier: through seeing the same people again and again. Pick one place where the same people come back each week, such as a walking group, a choir, a library club, a class, a church supper, a senior center, or a volunteer shift. Go at least four times before you judge it, because people start talking to a face they’ve seen a few times. When someone seems friendly, make a small, specific invitation: “Would you like to get coffee after this next week?” Say yes to small invitations when you can. Friendships take months to grow, and nobody can promise how one will turn out. The page wanting a friend at 70 goes into more detail.
What can I do on a long evening alone?
A simple routine gives a long evening some shape. Turn a lamp on at the same time each night, eat supper at the table on a real plate, and take a short walk after the dishes if you can. Keep one small project for the early evening, like a puzzle, a letter, or a photo album. Set up a standing weekly call with someone you like, so at least one evening a week has a voice in it. In the last hour before bed, try to keep the phone and the news away and do something calming instead. None of this brings a visitor, but many people find the evening feels shorter. The page on long evenings at home has a full evening plan.
What if I reach out and nobody answers?
It hurts when a message goes unanswered or a plan falls through, and it happens to everyone who tries. Most of the time it has to do with the other person’s week, health, or worries, which you can’t see from where you are. Give yourself a day to feel disappointed. Then try one of three things: the same person again in a couple of weeks with a lighter message, a different person, or a different place. It helps to keep a short list of the steps you’ve taken, with dates, so on a bad day you can see that you’ve been trying. If months of trying leave you feeling hopeless, tell your doctor, since that can be a sign that low mood has joined the loneliness.
Can trouble hearing make loneliness worse?
Trouble hearing can make loneliness worse, because conversation becomes tiring and embarrassing when you keep missing words. Many people start skipping gatherings, restaurants, and phone calls without realizing hearing is the reason. If you find yourself asking people to repeat things, turning the TV up louder than others like, or leaving group events early because you can’t follow the talk, ask your doctor about a hearing check. Hearing aids and other help can make it easier to stay part of the conversation. In the meantime, choosing quieter places, choosing a seat where you can see faces, and telling friends “I hear better one on one” can help.
Do phone calls, video calls, and online friends count?
Phone calls, video calls, letters, and online friendships can all be real sources of company. A regular phone call with a sister or an old friend can be one of the warmest parts of a week. Video calls let you see grandchildren grow and friends’ new homes. Online groups can connect you with people who share a hobby, a health condition, or a loss. Still, many people find that screens alone aren’t enough, especially on long evenings. It often helps to mix them with some in-person contact, even small things like a chat with a neighbor. The page on online-only friendships covers this in more detail, and nights with the phone covers late-night scrolling.
How do I get through a holiday alone?
A written plan helps most. A few days ahead, decide on one comforting thing for the morning, the meal you actually want, one activity or outing for the afternoon, and a gentle way to end the evening. Put the plan on the refrigerator. If you’d like company, start looking a few weeks ahead: ask someone you trust, look for community or church meals, or volunteer. Have an easy answer ready for people who ask about your plans, like “I’m keeping it simple this year.” Expect a dip the day after, and plan something small for that day too. The page on holidays alone goes through each step. Holidays aren’t a reason to change a prescribed medicine, and if the day turns into a crisis, call or text 988.
Who is this room for?
This room is for anyone who feels lonely. You might recognize your week in one of the circumstance pages, such as long evenings at home, a move to a new city, a holiday without guests, or friends who moved away. Others cover a long Sunday, wanting a new friend later in life, and friendships that mostly happen online. Some readers are newly widowed, some are recently retired, some are caring for someone, and some have lived alone for years and simply want more company. Younger readers are welcome, and so is everyone else. You don’t need to fit a category to read here, and you don’t need a reason beyond wanting to feel less alone.
Are younger readers who are lonely welcome?
Younger readers are welcome, including anyone who wants company while they learn and anyone with questions about a medicine. Loneliness is common in the years after school, after a move for work, or when a group of friends scatters, and it can feel confusing when everyone online seems busy and connected. The practical steps in this room work at any age: one regular place, one standing call, and small, specific invitations. The medicine rule is the same at every age: keep taking it as prescribed and talk with your doctor before changing anything. For more, read Younger, and lonely.
How should I read this room?
Start with one page. The main page is the loneliness room, which explains loneliness, where it starts, and small practices that help. If a situation sounds like yours, try a new city, long evenings at home, younger and lonely, holidays alone, after friends moved, Sunday, or online-only friendships. If you’re new to the site, If you’re lonely is a short starting path. The glossary defines loneliness and adjunct to care, and the Site FAQ covers the whole site. One page is plenty for tonight.
Have these pages been medically reviewed?
These pages are not yet medically reviewed, so please don’t treat them as if they were. They’re education to use alongside your care and the people in your life. The information about health comes from general, widely shared guidance, and the trusted sources listed at the bottom of each page, like the National Institute on Aging and the CDC, explain the medical side in more detail. If anything here doesn’t match what your doctor has told you, follow your doctor. Keep taking any prescribed medicine as prescribed, and bring your questions to the person who prescribed it.
The main page is the loneliness room, answers for the whole site are in the FAQ, and the glossary defines loneliness and adjunct to care. If you’re new here, start with If you’re lonely. Shorter pages from across the site are in the library.
If you’re in crisis in the United States, call or text 988 before you keep reading. A real person can stay on the line with you, and your doctor can help with the longer road.
Learn more from trusted sources
These public health agencies explain the medical side of loneliness and staying connected in more detail than this site does.
- Tips for staying connected from the National Institute on Aging lists practical ways to see and hear from people more often.
- Social connection from the CDC explains why time with other people matters for your health.
- Depression from the National Institute of Mental Health covers the signs, the causes, and the treatments that help.