A recent study examines the relationship between loneliness and psychosis
Loneliness is something we all experience at some point. But for people living with psychosis, it often runs deeper—becoming a persistent and painful part of daily life. A recent study by Lee et al. (2024) explores this issue, bringing together findings from 41 different studies to paint a vivid picture of how loneliness affects people with psychosis. The results are striking: loneliness isn’t just a side effect of psychosis—it’s a major factor shaping the entire experience of the condition.
One of the most heartbreaking findings is how psychosis and loneliness feed into each other. Many people with psychosis describe feeling profoundly disconnected, struggling to maintain relationships, and experiencing rejection from others. Social stigma plays a major role—fear, misunderstanding, and stereotypes push people further into isolation, making it even harder to reach out.
At the same time, loneliness itself can make psychosis worse. Without meaningful social support, negative thoughts and paranoia can spiral. Some people describe feeling trapped in their own minds, unable to break free from the cycle of isolation.
Despite this deep loneliness, many individuals long for connection. They want relationships, friendships, and a sense of belonging. But fear of rejection—often reinforced by painful past experiences—makes socializing feel risky. Even when opportunities for connection arise, internal barriers like self-doubt, low confidence, and anxiety often get in the way.
For some, psychotic symptoms themselves make it even harder to engage with others. Hallucinations and delusions can create a sense of separation from reality, making social interactions confusing or overwhelming. Others withdraw simply to avoid the stress of trying to “fit in” with a world that often doesn’t understand their experiences.
This research highlights something important: tackling loneliness isn’t just about encouraging social interaction. It’s about addressing the deep-rooted fears, self-doubt, and societal stigma that keep people isolated. Mental health professionals, caregivers, and communities all have a role to play in breaking the cycle.
Support groups, peer networks, and therapy that focus on self-esteem and communication skills can help. But we also need a shift in how society views psychosis. The more we educate people and challenge misconceptions, the easier it becomes for those living with psychosis to feel accepted, included, and safe in their communities.
Ultimately, loneliness isn’t just an individual struggle—it’s a societal issue. And the more we recognise that, the better we can work toward solutions that bring people in, rather than leaving them out.
See the full article: Lee et al. (2024) The experience of loneliness among people with psychosis: Qualitative meta-synthesis. PLOS ONE 19(12): e0315763.