I have a lot on my mind, but all I want to do is stay locked in my room and not socialize with anyone. Why do I feel so alone?
It has been said that depression is often the result of a blocked goal. Often people struggle with both anxiety and depression but have difficulty determining which is the most important issue. For some, depression is the result of frequently blocked goals and when their predominant issues are evaluated, they discover that they are anxious (worried) about a lot of areas in their life but seem to find no relief. When there is no relief and there have been numerous attempts (either in their mind or in practical application) to resolve the anxiety, depression is often the result. In this type of case, depression is not the main or underlying issue. The anxiety is the underlying issue. Having "a lot on my mind" sounds like anxiety. Unresolved anxiety can lead to feelings of depression which are often associated with "emptiness." In the question above, I would want to evaluate all of the issues surrounding having "a lot on my mind" and determine where these might be coming from. Has there been ongoing rejection from peers? From family? If so, why does this seem to be happening? Isolation is often a protective measure that one implements to avoid further pain. Where does that need to protect originate? Are there unmet needs from childhood? Are there traumatic life events that have created a need to self-protect as a defense mechanism?We can feel "alone" even when in a crow of people or at a party. This has nothing, in this case, to do with being around people. It has more to do with how we view ourselves. If there is a prevailing message or script that has been internalized that says, "You are worth nothing" or "You don't deserve the company of others" then being around people will not alleviate the problem but only exacerbate it. I would want to evaluate how one feels about themselves and what negative messages one has received and has repeated to oneself over time.The Developmental Needs Meeting Strategy is a therapy aimed at addressing unmet childhood needs. If there is specific trauma that is associated with socializing with people, then EMDR can be very helpful in desensitizing and reprocessing the trauma. Looking at whether this individual's issue with emptiness is straight depression or whether it is depression as a result of unresolved anxiety is key to determining a treatment strategy.