Well-lit, bare, white tunnel

Emptiness — a profound sense of inner void, meaninglessness, or emotional numbness — affects millions of people at various points in their lives. While temporary feelings of emptiness are a normal human experience, chronic and persistent emptiness can significantly impact mental health and daily functioning. Research shows that feelings of emptiness are increasingly recognized as an important symptom across multiple mental health conditions and can serve as both a risk factor and consequence of psychological distress.

Recent studies indicate that chronic emptiness is more than just a passing emotion — it represents a complex psychological state involving disconnection from oneself and others, often accompanied by a sense of meaninglessness and emotional numbness that can persist for extended periods. Understanding the nature of emptiness, its causes, and available treatment options is crucial for those experiencing this challenging emotional state and the professionals who support them.

Table of Contents

  • What Is Emptiness?
  • Symptoms and Manifestations
  • Causes of Emptiness
  • Mental Health Conditions Associated with Emptiness
  • Emptiness in Relationships
  • Existential and Spiritual Dimensions
  • Treatment Options and Therapy
  • Frequently Asked Questions
  • How Therapy Can Help

What Is Emptiness?

Emptiness is characterized by a persistent feeling of inner void, emotional numbness, and disconnection from oneself and others. According to recent research, people experiencing chronic emptiness describe it as "a sense of nothingness" or feeling like they're "going through life mechanically, purposelessly and numbly, with a psychological and bodily felt inner void" (Price et al., 2022).

This experience differs from temporary boredom or dissatisfaction. Chronic emptiness involves:

  • A profound sense of disconnection from both self and others
  • Feelings of numbness and nothingness that persist over time
  • A lack of meaning or purpose in daily activities
  • Reduced emotional responsiveness to typically enjoyable experiences
  • A sense of being fundamentally alone or separate from the world

Research distinguishes emptiness from related experiences like depression, loneliness, or boredom. While these states may co-occur, emptiness has unique characteristics that set it apart as a distinct psychological phenomenon requiring specific attention and intervention strategies.

Symptoms and Manifestations

The experience of emptiness manifests in various ways, affecting emotional, cognitive, behavioral, and physical domains. Understanding these manifestations can help individuals and healthcare providers identify when emptiness becomes problematic.

Emotional Symptoms

  • Emotional numbness: Difficulty feeling emotions or experiencing them as muted
  • Anhedonia: Loss of pleasure in activities once enjoyed
  • Chronic sadness: Persistent low mood without clear cause
  • Disconnection: Feeling separate from one's emotions and experiences
  • Lack of fulfillment: Persistent dissatisfaction despite achievements

Cognitive Symptoms

  • Meaninglessness: Persistent thoughts that life lacks purpose
  • Identity confusion: Uncertainty about who one is or what matters
  • Difficulty making decisions: Lack of clear preferences or values
  • Existential questioning: Frequent thoughts about the point of existence
  • Mental fog: Difficulty concentrating or feeling mentally present
An empty bench at the seaside

Behavioral Manifestations

  • Social withdrawal: Avoiding meaningful connections with others
  • Compulsive behaviors: Attempting to fill the void through shopping, eating, or substance use
  • Procrastination: Difficulty engaging with tasks due to lack of motivation
  • Risk-taking behaviors: Seeking intense experiences to feel something
  • Passivity: Going through motions without genuine engagement

Physical Sensations

Many people describe emptiness as having physical components:

  • A hollow feeling in the chest or stomach
  • Sensations of heaviness or lightness
  • Feeling physically disconnected from one's body
  • Fatigue or low energy without clear medical cause

Causes of Emptiness

Emptiness can arise from multiple sources, often involving a complex interaction of psychological, social, and existential factors. Research from 2023-2025 has identified several key contributors:

Life Transitions and Loss

  • Bereavement: The death of a loved one can trigger profound emptiness
  • Relationship changes: Divorce, breakups, or separation
  • Major life transitions: Retirement, graduation, or career changes
  • Loss of identity: Changes in roles or self-perception

Psychological Factors

  • Attachment difficulties: Early experiences of neglect or inconsistent caregiving
  • Trauma: Past experiences that disrupted sense of self and connection
  • Perfectionism: Chronic dissatisfaction with achievements
  • Emotional suppression: Long-term avoidance of difficult feelings

Social and Environmental Factors

  • Social isolation: Lack of meaningful connections
  • Cultural disconnection: Feeling alienated from one's community or values
  • Technology overuse: Digital connections replacing in-person relationships
  • Work-life imbalance: Overemphasis on achievement at expense of meaning

Existential Concerns

Recent research highlights how existential factors contribute to emptiness:

  • Questions about life's meaning and purpose
  • Awareness of mortality and life's limitations
  • Conflict between personal values and lifestyle
  • Spiritual disconnection or loss of faith

Mental Health Conditions Associated with Emptiness

Chronic emptiness appears as a symptom in several mental health conditions, with recent research providing new insights into these associations:

Major Depressive Disorder

Depression and emptiness are closely linked, with emptiness being one of the core features of depressive experiences. Research from 2024 shows:

  • Emptiness in depression involves both emotional numbness and loss of meaning
  • Anhedonia (inability to experience pleasure) is a key component
  • Emptiness predicts poorer treatment outcomes and longer recovery times
  • Targeted interventions for emptiness may improve overall depression treatment

Borderline Personality Disorder (BPD)

Chronic emptiness is a diagnostic criterion for BPD, with recent studies revealing:

  • Up to 70% of individuals with BPD experience chronic emptiness
  • Emptiness in BPD is associated with identity disturbance and fear of abandonment
  • It differs from depression-related emptiness in its intensity and triggers
  • Emptiness severity predicts treatment outcomes over 24-year follow-ups (Hein et al., 2025)

Schizotypal Personality Disorder

New research from 2024 indicates:

  • Individuals with schizotypal traits often experience existential emptiness
  • This emptiness relates to difficulties forming social connections
  • It may stem from feeling fundamentally different from others
  • Treatment approaches need to address both social and existential aspects

Substance Use Disorders

The relationship between emptiness and substance use is bidirectional:

  • People may use substances to cope with feelings of emptiness
  • Chronic substance use can create or worsen emotional emptiness
  • Recovery often involves addressing underlying emptiness
  • 2024 data shows targeted interventions for emptiness improve recovery rates

Other Associated Conditions

  • Anxiety disorders: Existential anxiety and emptiness often co-occur
  • Eating disorders: Using food behaviors to manage emotional void
  • Post-traumatic stress: Emptiness as emotional numbing response
  • Complicated grief: Persistent emptiness following loss

Emptiness in Relationships

Emptiness can significantly impact intimate relationships, creating challenges for both partners. Research from 2023-2024 identifies several patterns:

Common Relationship Patterns

  • Emotional distance: Partners feeling present physically but absent emotionally
  • Communication breakdown: Difficulty expressing needs and feelings
  • Intimacy avoidance: Fear that closeness won't fill the void
  • Over-dependence: Expecting partners to resolve internal emptiness
  • Conflict avoidance: Lack of engagement even in disagreements

Signs of Relational Emptiness

  • Persistent feelings of loneliness despite being in a relationship
  • Going through relationship motions without genuine connection
  • Loss of physical and emotional intimacy
  • Extended periods of uncomfortable silence
  • Feeling like roommates rather than romantic partners

Contributing Factors

Recent couples therapy research identifies key factors:

  • Unmet emotional needs within the relationship
  • External stressors affecting relationship quality
  • Individual mental health challenges
  • Mismatched expectations about relationships
  • Poor communication skills

Impact on Both Partners

When one partner experiences chronic emptiness:

  • The other partner may feel rejected or inadequate
  • Relationship satisfaction decreases for both individuals
  • Risk of relationship dissolution increases
  • Children may be affected by parental emotional unavailability

Existential and Spiritual Dimensions

The existential aspects of emptiness have received increased attention in recent research, highlighting connections between emptiness and fundamental questions about meaning, purpose, and human existence.

Existential Emptiness

Research from 2023-2024 characterizes existential emptiness as:

  • A confrontation with life's inherent meaninglessness
  • Awareness of personal mortality and limitations
  • Disconnection from sources of meaning and purpose
  • Feeling fundamentally alone in existence

Protective Factors

Studies identify factors that protect against existential emptiness:

  • Curiosity behaviors: Active engagement with life and learning
  • Meaning-making activities: Creating personal significance
  • Social connection: Deep, authentic relationships
  • Creative expression: Art, writing, music as meaning sources
  • Spiritual practices: Connection to something greater than self

Cultural and Spiritual Perspectives

Different traditions offer varying approaches to emptiness:

  • Buddhist perspective: Emptiness (Śūnyatā) as liberation from ego
  • Existential therapy: Creating meaning despite life's absurdity
  • Religious frameworks: Finding purpose through faith and community
  • Humanistic approaches: Self-actualization and personal growth

Modern Challenges

Contemporary factors contributing to existential emptiness:

  • Information overload and constant connectivity
  • Erosion of traditional meaning structures
  • Climate anxiety and global uncertainty
  • Social media comparison culture
  • Work cultures emphasizing productivity over purpose

Treatment Options and Therapy

Recent advances in treatment offer hope for those struggling with chronic emptiness. Evidence-based approaches from 2023-2025 show promising results:

Individual Therapy Approaches

Cognitive-Behavioral Therapy (CBT)

  • Identifies thought patterns maintaining emptiness
  • Develops behavioral activation strategies
  • Challenges beliefs about meaninglessness
  • Recent studies show moderate effectiveness for emptiness

Dialectical Behavior Therapy (DBT)

  • Particularly effective for BPD-related emptiness
  • Teaches distress tolerance and emotion regulation
  • Includes mindfulness components
  • Addresses identity disturbance

Acceptance and Commitment Therapy (ACT)

  • Focuses on values clarification
  • Promotes psychological flexibility
  • Helps create meaningful life direction
  • Shows promise for existential emptiness

Existential and Humanistic Therapies

  • Logotherapy: Finding meaning through life challenges
  • Person-centered therapy: Developing authentic self-connection
  • Gestalt therapy: Increasing present-moment awareness
  • Research supports effectiveness for meaning-related emptiness

Innovative Approaches

Moving to Emptiness Technique (MET)

  • Integrates Eastern philosophy with Western psychology
  • Guides clients to psychological emptiness for relief
  • Shows rapid symptom reduction in 2024 studies
  • Particularly effective for grief-related emptiness

Internet-Based Interventions

  • Online CBT programs show effectiveness
  • Increased accessibility during pandemic
  • Apps supporting mindfulness and meaning-making
  • Digital tools for tracking emotional states

Pharmacological Considerations

While medication doesn't directly treat emptiness, it may help with:

  • Associated depression or anxiety symptoms
  • Emotional regulation difficulties
  • Sleep and appetite disturbances
  • Creating stability for therapy engagement

Recent research on novel antidepressants (2024-2025) shows:

  • Ketamine derivatives may rapidly reduce anhedonia
  • New medications targeting reward systems
  • Importance of combining medication with therapy
  • Need for treatments specifically addressing emptiness

Couples and Family Therapy

When emptiness affects relationships, specialized approaches help:

  • Emotionally Focused Therapy (EFT): Rebuilding emotional connection
  • Gottman Method: Addressing relationship patterns maintaining emptiness
  • Narrative therapy: Rewriting relationship stories
  • Integrative approaches: Combining individual and couples work

Frequently Asked Questions

Is feeling empty the same as depression? While emptiness can be a symptom of depression, they are not identical. Emptiness specifically involves feelings of inner void and meaninglessness, while depression includes a broader range of symptoms. Someone can experience emptiness without meeting criteria for depression, and not everyone with depression experiences profound emptiness.

How long do feelings of emptiness typically last? Temporary emptiness may last days to weeks, often resolving as life circumstances change. Chronic emptiness, however, persists for months or years and typically requires professional intervention. Research shows that without treatment, chronic emptiness tends to remain stable or worsen over time.

Can emptiness be a positive experience? In some spiritual and philosophical traditions, emptiness represents openness and freedom from ego. This differs from the distressing psychological emptiness discussed here. Some people report that working through painful emptiness led to personal growth and deeper life meaning.

What's the difference between emptiness and loneliness? Loneliness involves wanting but lacking social connection, while emptiness encompasses a broader sense of inner void. People can feel empty even when surrounded by others, and addressing loneliness doesn't always resolve emptiness. Recent research shows they are related but distinct experiences.

Are certain people more prone to experiencing emptiness? Yes, research identifies several risk factors including:

  • History of trauma or neglect
  • Insecure attachment styles
  • Perfectionistic personality traits
  • Family history of mental health conditions
  • Major life transitions or losses

When should I seek professional help for emptiness? Consider therapy when emptiness:

  • Persists for more than a few weeks
  • Interferes with work, relationships, or daily life
  • Leads to self-harm thoughts or behaviors
  • Doesn't improve with self-help strategies
  • Accompanies other mental health symptoms

Find a Therapist

If you're struggling with persistent feelings of emptiness, professional support can make a significant difference. The right therapist can help you explore underlying causes, develop coping strategies, and rediscover meaning and connection in your life.

GoodTherapy's directory connects you with qualified mental health professionals who understand the complexity of emptiness and can provide evidence-based treatment approaches. Whether you're dealing with emptiness related to depression, personality concerns, relationship issues, or existential questions, compassionate help is available.

[Search for a therapist near you](https://www.goodtherapy.org/find-therapist.html) who specializes in:

  • Depression and mood disorders
  • Personality disorders
  • Existential and humanistic therapy
  • Couples and relationship counseling
  • Grief and loss
  • Meaning and purpose in life

Remember, seeking help is a sign of strength, not weakness. Many people who felt consumed by emptiness have found their way to a more fulfilling, connected life through therapy. You don't have to navigate this challenging experience alone.

References:

  1. [Search for a therapist near you](https://www.goodtherapy.org/find-therapist.html) who specializes in:
  2. Borsini, A., Wallis, A. S. J., Zunszain, P., Pariante, C. M., & Kempton, M. J. (2020). Characterizing anhedonia: A systematic review of neuroimaging across the subtypes of reward processing deficits in depression. Cognitive, Affective and Behavioral Neuroscience, 20(4), 816–841. https://doi.org/10.3758/s13415-020-00804-6
  3. Centers for Disease Control and Prevention. (2024). Treatment of substance use disorders. Retrieved from https://www.cdc.gov/overdose-prevention/treatment/index.html
  4. Dyer, A., & Borgmann, E. (2023). The effect of therapists' enactment interventions in promoting vulnerability sharing in emotion focused couple therapy. Psychotherapy Research, 33(6), 748-759. https://doi.org/10.1080/10503307.2023.2245961
  5. Fahy, A. E., Kremen, W. S., Franz, C. E., Logue, M. W., Lyons, M. J., & Tsuang, M. T. (2024). The genetic epidemiology of schizotypal personality disorder. Psychological Medicine, 54(10), 2519-2528. https://doi.org/10.1017/S0033291724000436
  6. Francois, Z., & Torrico, T. J. (2024). Schizotypal personality disorder. In: StatPearls. StatPearls Publishing. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK603720/
  7. Hein, K. E., Glass, I. V., Frankenburg, F. R., Fitzmaurice, G. M., & Zanarini, M. C. (2025). Emptiness in patients with borderline personality disorder: Severity and predictors of outcome over 24 years of prospective follow-up. Journal of Affective Disorders, 372, 234-240. https://doi.org/10.1016/j.jad.2024.11.075
  8. Jagtiani, A. (2024). Novel treatments of depression: Bridging the gap in current therapeutic approaches. Exploration in Neuroscience, 3, 272–286. https://doi.org/10.37349/en.2024.00049
  9. Jørgensen, M. S., Storebø, O. J., Stoffers-Winterling, J. M., Faltinsen, E., Todorovac, A., & Simonsen, E. (2021). Psychological therapies for borderline personality disorder: A systematic review and meta-analysis of randomized controlled trials. Journal of Personality Disorders, 35(2), 149-167. https://doi.org/10.1521/pedi_2019_33_438
  10. Kalfas, M., Tsapekos, D., Butler, M., Schmidt, Y., Schmidt, U., Plessen, C. Y.,... & Henssler, J. (2025). Comparison of antidepressant deprescribing strategies in individuals with clinically remitted depression: A systematic review and network meta-analysis. The Lancet Psychiatry, 12(1), 45-58. https://doi.org/10.1016/S2215-0366(25)00330-X
  11. Liao, Y., Tang, J., Liu, T., Chen, X., & Hao, W. (2023). Psychological interventions for substance use disorders in the 21st century: A systematic review and meta-analysis. Journal of Substance Abuse Treatment, 145, 108943. https://doi.org/10.1016/j.jsat.2022.108943
  12. Liu, J., Feng, P., Zhang, Y., & Lu, S. (2025). The characteristics of anhedonia in depression: A review from a clinically oriented perspective. Translational Psychiatry, 15(1), 106. https://doi.org/10.1038/s41398-025-03310-w
  13. McKenna-Plumley, P. E., Turner, R. N., Yang, K., & Groarke, J. M. (2023). "It's a feeling of complete disconnection": Experiences of existential loneliness from youth to older adulthood. BMC Psychology, 11, 408. https://doi.org/10.1186/s40359-023-01452-w
  14. McKenna-Plumley, P. E., Turner, R. N., Yang, K., & Groarke, J. M. (2024). The brief scale of existential loneliness: Scale development and psychometric evaluation. Current Psychology, 43, 29159–29175. https://doi.org/10.1007/s12144-024-06828-2
  15. Meek, J., Austin, J., Robinson, J., & Duffy, J. (2025). Evaluating the efficacy of psychotherapeutic and pharmacological treatments for depression on anhedonia: A systematic review and meta-analysis. Journal of Affective Disorders, 368, 495-509. https://doi.org/10.1016/j.jad.2024.09.127
  16. Meyer, N. A., Hein, K. E., Lynam, D. R., Widiger, T. A., & Mullins-Sweatt, S. N. (2024). The development of the Five-Factor Schizoid Inventory. Assessment, 31(6), 1204-1217. https://doi.org/10.1177/10731911231209289
  17. Miller, C. E., Lewis, K. L., Huxley, E., Townsend, M. L., & Grenyer, B. F. S. (2021). Understanding chronic feelings of emptiness in borderline personality disorder: A qualitative study. Borderline Personality Disorder and Emotion Dysregulation, 8(1), 24. https://doi.org/10.1186/s40479-021-00164-8
  18. Miller, C. E., Townsend, M. L., Day, N. J. S., & Grenyer, B. F. S. (2020). Measuring the shadows: A systematic review of chronic emptiness in borderline personality disorder. PLOS One, 15(7), e0233970. https://doi.org/10.1371/journal.pone.0233970
  19. Mohajerin, B., Bakhtiyar, M., Olesnycky, O. S., Dolatshahi, B., & Motabi, F. (2024). Existential concerns in psychopathology: A transdiagnostic network analysis. European Journal of Psychotraumatology, 15(1), 2306702. https://doi.org/10.1080/20008066.2024.2306702
  20. National Association for Alcoholism and Drug Abuse Counselors (NAADAC). (2024). Understanding the role of toxic shame in substance use disorders. Retrieved from https://www.naadac.org/annualconference
  21. National Institute of Mental Health. (2024). Borderline personality disorder. StatPearls Publishing. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK430883/
  22. Price, C., Sani, F., Herron, S., & Milroy, F. (2022). Understanding the typical presentation of emptiness: A study of lived-experience. Journal of Mental Health, 31(3), 349-356. https://doi.org/10.1080/09638237.2021.1922637
  23. Raja, S. M., Guptill, J. T., Mack, M., Peterson, M., Byard, S., Twieg, R., Jordan, L., Rich, N., Castledine, R., Bourne, S., Wilmshurst, M., Oxendine, S., Avula, S. G. C., Zuleta, H., Quigley, P., Lawson, S., McQuaker, S. J., Ahmadkhaniha, R., Appelbaum, L. G., & Thomas, C. J. (2024). A Phase 1 assessment of the safety, tolerability, pharmacokinetics and pharmacodynamics of (2R,6R)-hydroxynorketamine in healthy volunteers. Clinical Pharmacology & Therapeutics, 116(5), 1314–1324. https://doi.org/10.1002/cpt.3391
  24. Singh, R., & Volner, K. (2023). Depression. In: StatPearls. StatPearls Publishing. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK430847/
  25. Substance Abuse and Mental Health Services Administration. (2024). Key substance use and mental health indicators in the United States: Results from the 2023 National Survey on Drug Use and Health (HHS Publication No. PEP24-07-01-006, NSDUH Series H-59). Retrieved from https://www.samhsa.gov/data/report/2023-nsduh-annual-national-report
  26. Świtaj, P., Sokół-Szawłowska, M., & Tyburski, E. (2024). The protective role of curiosity behaviors in coping with existential vacuum. International Journal of Environmental Research and Public Health, 21(5), 622. https://doi.org/10.3390/ijerph21050622
  27. Taghizadeh, M. (2023). Investigating the effect of existential therapy on feelings of helplessness and failure, feelings of old age and emptiness, and feelings of confusion and conflict in retired teachers. Novelty in Clinical Medicine, 2(1), 56-61. https://doi.org/10.21203/jpm.v2i1.16653
  28. Voderholzer, U., Barton, B. B., Favreau, M., Zisler, E. M., Rief, W., Wilhelm, M., & Schramm, E. (2024). Enduring effects of psychotherapy, antidepressants and their combination for depression: A systematic review and meta-analysis. Frontiers in Psychiatry, 15, 1415905. https://doi.org/10.3389/fpsyt.2024.1415905
  29. Wang, Y., Zhang, L., Kong, X., Hong, Y., Cheon, B., & Liu, J. (2022). The effectiveness of the moving to emptiness technique on clients who need help during the COVID-19 pandemic: A real-world study. Frontiers in Psychology, 13, 813546. https://doi.org/10.3389/fpsyg.2022.813546
  30. Wong, S., Le, G. H., Phan, L., Rhee, T. G., Ho, R., Meshkat, S., Teopiz, K. M., Kwan, A. T. H., Mansur, R. B., Rosenblat, J. D., & McIntyre, R. S. (2024). Effects of anhedonia on health-related quality of life and functional outcomes in major depressive disorder: A systematic review and meta-analysis. Journal of Affective Disorders, 356, 684-698. https://doi.org/10.1016/j.jad.2024.04.086
  31. Wongpakaran, T., Wongpakaran, N., Siritipa, C., Sirirak, T., Pinyopornpanish, K., Arunrasameesopa, S., Thongpookdee, S., Chutha, W., Lerttrakarnnon, P., & Jiraniramai, S. (2024). The relationship between feelings of emptiness and self-harm among Thai patients exhibiting borderline personality disorder symptoms: The mediating role of the inner strengths. Medicina, 60(11), 1858. https://doi.org/10.3390/medicina60111858