What causes low mood and not wanting to talk?
Nov 14, 2025
Source: Cainiu Health
Dr. Zhang Baohua
Introduction
In general, feeling low and not wanting to talk may be caused by imbalances in neurotransmitters, the impact of stressful events, neurasthenia, depressive mood disorders, hypothyroidism, or other reasons. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under a doctor's guidance. In daily life, create a warm and supportive living environment and avoid excessive immersion in negative emotions when alone.
Generally, feeling down and not wanting to talk may be caused by neurotransmitter imbalances, the impact of stressful events, neurasthenia, depressive mood disorders, hypothyroidism, or other reasons. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under a doctor's guidance. A detailed analysis is as follows:
1. Neurotransmitter Imbalance: Reduced secretion of serotonin and dopamine affects emotional regulation, leading to low mood and decreased speech. Maintain regular sleep patterns and avoid staying up late; consume more protein-rich foods and take a 20-minute outdoor walk daily to support neurotransmitter production.
2. Impact of Stressful Events: Experiencing negative life events such as job loss or the death of loved ones can psychologically shock an individual, often resulting in quietness and reduced communication. Sharing feelings with trusted individuals or journaling emotions can help; professional psychological support should be sought when necessary.
3. Neurasthenia: Prolonged mental stress can lead to nervous system dysfunction, manifesting as low mood and diminished interest. Patients may follow medical advice to use medications such as oryzanol tablets, vitamin B1 tablets, and diazepam tablets, along with relaxation training to improve their condition.
4. Depressive Mood Disorder: Characterized primarily by persistent low mood, accompanied by symptoms such as slowed thinking and unwillingness to communicate. Treatment typically involves antidepressants like sertraline hydrochloride tablets, fluoxetine hydrochloride capsules, and fluvoxamine maleate tablets, combined with psychotherapy as prescribed.
5. Hypothyroidism: Insufficient thyroid hormone secretion slows metabolism, causing symptoms such as low mood, fatigue, and reduced speech. Medications such as levothyroxine sodium tablets, thyroid tablets, and oryzanol tablets may be used under medical supervision to supplement hormones and regulate metabolism.
In daily life, create a warm and comfortable living environment and avoid excessive rumination on negative emotions when alone. Develop simple and sustainable hobbies, such as growing indoor plants or listening to music, to gradually enhance emotional well-being. Maintain a light and balanced diet, avoiding excessive intake of high-sugar and high-fat foods.
