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Emotional numbness

Feeling nothing much, including the good things: why numbness is usually the bill for holding feeling down rather than its absence, why suppression cannot be selective, and where the line to depression sits.

Wellbeing science

Emotional numbness is the experience of feeling less than you should β€” sometimes less than you can remember ever feeling. Good news lands with a small thud. Bad news lands with the same small thud. You watch yourself receive things at a slight remove, and the most common way people describe it is not sadness but distance: behind glass, underwater, a room away from your own life.

The intuitive reading is that the emotions have gone. They have not, usually. The more accurate reading, and the one this entry takes, is that numbness is the cost of holding feeling down β€” and the reason it is so disorienting is that holding down is not a selective operation. Nothing lets you turn off the dread and keep the delight.

What it looks like

You get news that should have moved you and notice, clinically, that it did not.

You cannot cry. Not from stoicism β€” the crying simply does not arrive, sometimes for months, sometimes at exactly the moment it is expected of you, which is its own humiliation.

Music does nothing. Food is fuel. The things that used to be reliably good β€” a particular walk, a particular person β€” still register as things you approve of without producing the feeling that used to come with them.

Relationships go flat rather than bad. You can be with someone you love and feel administratively fond of them. This is the symptom that frightens people most, because it gets read as a verdict on the relationship rather than as a state you are in, and that misreading ends relationships that were fine.

And there is often a strange calm to it that is not restful. People describe being unusually functional while numb β€” the work gets done, the week is managed β€” which is part of why it can run for a long time before anyone, including you, treats it as anything.

Where it comes from

Suppression, and its price. Gross and Levenson had participants watch films while hiding their reactions. Suppression reduced the outward expression of emotion and did not reduce the inner experience of it β€” while increasing physiological activation. The feeling was still there and the body was working harder. In the same work, suppressing during an amusing film reduced the experience of amusement itself: the positive side is the side that actually dims.

As a habit, it has a shape. Gross and John's research on individual differences found that people who habitually use suppression report less positive emotion, more negative emotion, less social closeness and lower well-being than people who habitually use reappraisal. A strategy that works acceptably for an evening is a poor one to live in.

Exhaustion produces it. Long-running depletion does this reliably, and it is one of the three components of the burnout syndrome β€” the cynicism and detachment that Maslach's model describes as depersonalisation. The entry on emotional exhaustion covers the mechanism, and burnout covers the full picture. Numbness at the end of a long overloaded period is not mysterious; it is what a depleted system does.

Threat produces it too. Litz and Gray's work on emotional numbing in post-traumatic stress describes it as one of the condition's most persistent features, and as specifically a positive-emotion deficit: the capacity for fear and anger is often intact, while warmth, interest and pleasure are the parts that go missing. The same shutting-down logic that produces the freeze response, in fight, flight, freeze and fawn, has a long-form version.

And depression produces it. Anhedonia β€” reduced capacity for pleasure and, as Treadway and Zald argue, for the motivation to pursue it β€” is a core feature rather than a side effect. That is the boundary case, and it is at the end of this entry.

What it is not

It is not alexithymia. That is an access problem: the feeling is at full strength and cannot be named. Numbness is a volume problem: you may be perfectly able to describe what you would be feeling if you were feeling it.

It is not calm. Calm has texture in it, and things still land. The reliable test is the positive side β€” a genuinely settled person still enjoys things.

It is not being over it. People often read numbness after a loss as recovery arriving early. It is more usually the middle of the process rather than the end of it, and it lifts in the wrong order: the hard feelings tend to return before the good ones do.

It is not a personality. "I'm just not an emotional person" is sometimes true and is more often a description of a state that has lasted long enough to be mistaken for a trait. The question that separates them is historical: was this always the case, or is there a before?

What helps, and what to watch

The useful move is generally not to hunt for feeling. Pursuing emotion directly tends to produce a flat search and a further sense of failure.

  • Work on the input side. Sleep, food, daylight and the sleep debt that so often underwrites it. Numbness is one of the first things a depleted system produces and one of the first things rest returns.
  • Reduce what you are holding down. If there is something specific being managed β€” a grief, a situation you have decided not to think about β€” numbness is usually the cost of the management, and the cost falls when the thing is spoken aloud to one person.
  • Accept small signals. Mild interest, mild irritation, the flicker at a piece of music. Feeling tends to return at low volume first and gets dismissed for not being convincing enough.
  • Do the thing without waiting for the wanting. Motivation returning after the behaviour rather than before it is the standard order, and waiting for it to lead is the most common way people stay stuck.
  • Say it to the people affected. "I'm numb at the moment and it isn't about you" protects a relationship from a misreading it may not otherwise survive.

The Burnout Check reads the exhaustion route, the Sleep Quality test reads the input that most often underwrites it, and the Moody Test tracks state across a day, which is more informative than a single self-report on a flat afternoon.

Now the line, and it matters. Feeling flat for a stretch β€” after a loss, after a hard quarter, after an illness β€” is an ordinary human state and it usually moves. What is worth taking to a professional is numbness that has lasted for weeks and does not lift with rest, that has taken the pleasure out of everything rather than some things, or that arrived after something frightening happened. Persistent anhedonia is a core feature of depression and a common feature of post-traumatic stress, both treatable, and neither is "just not being an emotional person".

If the numbness has reached the point where nothing seems to matter, including whether you are here β€” that is not a self-knowledge question. Please tell someone today: a doctor, an emergency service, or a crisis line in your country.

sources

  • Β· Gross, J. J., Levenson, R. W. (1997). Hiding feelings: The acute effects of inhibiting negative and positive emotion. Journal of Abnormal Psychology.
  • Β· Gross, J. J., John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology.
  • Β· Litz, B. T., Gray, M. J. (2002). Emotional numbing in posttraumatic stress disorder: Current and future research directions. Australian and New Zealand Journal of Psychiatry.
  • Β· Treadway, M. T., Zald, D. H. (2011). Reconsidering anhedonia in depression: A neurobiological and psychometric perspective. Neuroscience and Biobehavioral Reviews.
  • Β· Maslach, C., Leiter, M. P. (2016). Understanding the burnout experience: Recent research and its implications for psychiatry. World Psychiatry.

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