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My Friend Withdraws from Reality, I Want to Help Him

21 May, 2026
Q ​I am writing to seek your urgent professional guidance for a close friend of mine who is going through a very deep and complex psychological struggle. He is a highly ethical person who always tries to guide his actions based on 100% good ethics, rather than transactional logic (he helps people based on what is right, not because they did something for him). He does his best to help others and is strictly careful not to harm anyone. However, his internal state is very alarming:

​Severe Emotional Detachment & Apathy: He has completely numbed his emotions. He acts as if nothing matters, even when he knows that a certain situation or responsibility could cause him severe personal harm or consequences. He shows zero care for what people think of him.

​Rejection of Relationships and Attention: He strictly avoids any emotional attachment or relationships. He does not want people to get close to him, and he completely rejects getting any attention. He doesn't want to be ""attention dependent"" in any way.

​Living in an Imaginary World: Most of the time, he retreats into a highly detailed imaginary world. In this world, there is someone who listens to his pain. However, due to his extreme fear of becoming dependent on attention or sympathy, he is even afraid to tell his pain to this imaginary person.

​Fear of Happiness & Embracing Pain: He genuinely fears happiness. He has accepted his pain and suffering as his only form of ""happiness"" or comfort.

​Shutting Down Mind and Heart: He explicitly states that he no longer wants to live with his head (overthinking/worries) or his heart (painful emotions). He says he doesn't want to listen to either of them and just wants to live solely in his ""soul.""

​From both a clinical psychology perspective and an Islamic psychology (Ilm an-Nafs) perspective, what specific condition or level of psychological trauma/dissociation is he experiencing? What practical, free, and private steps can he take to heal his heart and mind, and connect his soul back to reality without feeling weak or dependent on others?

Thank you for your time and guidance."

Answer

In this counseling answer:

  • While a diagnosis may be helpful, especially for treatment direction, symptoms alone cannot fully explain what exactly happened to him.
  • Creating emotionally safe circumstances for him can also help. Supportive talking circles where people can openly discuss shared experiences may also be beneficial.

Assalamualaikum,

Thank you for your question.

You are asking on behalf of a friend whom you describe as a very ethical person, but who at the same time is dealing with psychological symptoms that you have detailed, mashallah. These symptoms seem to center around not wanting to depend on others. As a result, he is withdrawing into his own imaginary inner world and fantasies. He is trying to avoid all kinds of happiness, but also harm.

You would like to know what kind of trauma or psychological issues may be involved in this case.

Sister, may Allah reward your efforts in trying to help your friend. What you are describing is definitely worthy of attention. Yes, he is probably dealing with issues that could be related to past trauma or mental health disorders.

However, I cannot make a diagnosis here, and it would not be appropriate to diagnose someone based only on these symptoms. He would need to seek a proper assessment from a professional.

Furthermore, I want to mention that while a diagnosis may be helpful, symptoms alone cannot fully explain what exactly happened to him.

It is important to explore the root causes — for example, what kind of trauma or experiences he may have suffered. Ideally, this should be explored with someone he feels safe enough to open up to. I can make guesses, but I prefer not to speculate. 

Feeling unsafe

What I can say is that he may be dealing with painful memories and difficult cognitions. Dissociation is often a form of protection used by our nervous system to shield us from overwhelming pain. This coping mechanism may have developed in the past and continued into the present, or it may have developed more recently. It is difficult to give practical advice without understanding his full situation.

If he has experienced past trauma, his nervous system may still be reacting to it, and he may experience flashbacks or emotional reliving of those experiences. What can generally help is grounding in the present moment, helping him realize that those past situations are no longer happening and that the danger may no longer be present. Feeling safe in the present can sometimes help loosen dissociative coping mechanisms because he may now have more control than he did back then.

There may also be emotions that feel unsafe to him or create a sense of anticipated danger. For example, even extreme happiness may feel threatening to him because he unconsciously associates it with the fear that something bad could happen afterward. Of course, I cannot know exactly what is going on internally for him.

These symptoms can be linked to a mental disorder too. Also, if he is dealing with substance misuse, that can further aggravate his situation. To know more, he should visit  a psychiatrist for assessment and treatment. 

What I am sure about is that your unconditional support will be very helpful. Creating emotionally safe circumstances for him can also help. If possible, supportive talking circles or spaces where people can openly discuss shared experiences may also be beneficial.

And of course, some form of trauma recovery support or therapy would likely be very important. If it is possible for him to visit his GP or a mental health professional for a proper assessment, that would be extremely helpful. Once a diagnosis or clearer understanding is established, it becomes much easier to suggest appropriate treatment and support.

I hope this helps.

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About O. Ilham
Orsolya Ilham is a Relational and Psychological Consultant with specialization in CBT- and trauma-informed approaches. Her expertise includes emotional dynamics, conflict resolution, mediation, and communication in intercultural settings, with extensive experience within the Muslim community integrating faith-based framework into her work. https://orsolyailham.com/