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Everyday mental health

Loneliness: Why It Hurts and How to Build Connection

Why loneliness matters for health, the difference between being alone and feeling lonely, and practical steps to build connection as an adult.

A person sitting on a bench looking at the water

Photo: Beth Chobanova on Unsplash

The short version

  • Loneliness is the gap between the connection you have and the connection you want.
  • The US Surgeon General has called loneliness a public health concern.
  • Small, repeated interactions build connection over time.

You can feel lonely in a crowd, in a marriage, in an office full of people. Loneliness isn’t about how many people are around you; it’s about whether you feel connected.

Why it matters

In 2023, the US Surgeon General issued an advisory calling loneliness and isolation a public health concern, citing links to heart disease, depression, anxiety and earlier death.

Alone vs. lonely

  • Solitude is chosen and can be restorative.
  • Loneliness is painful, unwanted disconnection.

Why connection gets harder as adults

  • Fewer built-in social settings than school
  • Moves, remote work and busy schedules
  • Social anxiety or past rejection
  • The belief that others are already “full”

Building connection

  1. Repeat exposure: see the same people regularly (a class, a gym, a volunteer shift). Friendship often grows from repetition.
  2. Make the first move: most people are waiting for someone else to.
  3. Small reach-outs: a text, a meme, “thinking of you.”
  4. Deepen one relationship rather than widening many.
  5. Join something: faith communities, clubs, community gardens, support groups.
  6. Notice negative predictions (“they won’t want to”) and test them.

Questions people ask

Is loneliness a mental illness?
No, it’s a common human experience. But chronic loneliness is linked with depression and anxiety and deserves attention.
Written by Mara EllisonWriter behind Therapist Words and author of two self-help books. Not a licensed therapist; content is checked against professional sources. About · Editorial policy
Sources and further reading

This article is for education, not therapy or medical advice. Read our disclaimer. In crisis? Call or text 988.

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