Apathy

Joel Dean
Joel Dean, Founder of Joyful

Apathy is a loss of motivation: not caring, not wanting to start, and not feeling much pull toward things that used to matter. It's less a feeling than the absence of one. Joyful's feelings wheel files it under flat, as apathetic, with three more exact words beside it: indifferent, unmotivated and listless.

  • On the wheel: Flat, then apathetic
  • More exact words: Indifferent, unmotivated, listless
  • Nearby: Discouraged, bored, numb
  • Often points to: Motivation that has run low, for many possible reasons

You'd like to want to

From the outside, apathy can look like laziness. From the inside, you'd like to want to, and the wanting won't come.

The three closer words split it by where the pull went missing: indifferent is not minding one way or the other, unmotivated is the task sitting right there while you can't get going, and listless is a day that drifts by without much shape.

"My friends asked if I wanted to come to the game. I used to love going. I said I was busy, then sat on the couch scrolling for three hours, not enjoying any of it."

One word, many roots

The psychiatrist Robert Marin, who defined apathy as a loss of motivation, split it in two: a symptom that comes along with low mood or other conditions, and a syndrome where lost motivation is the main problem.1 Some neurological and psychiatric conditions produce it, he noted.1

That leaves a long list of possible roots: exhaustion, a long stretch of disappointment, burnout, low mood, or a medical cause.

Apathy, boredom or numbness?

FeelingWhat's missingSounds like
ApathyThe wish to act"What's the point?"
BoredomSomething worth your attention"I want to do something, but nothing works."
NumbnessFeeling itself"I don't feel anything."

Boredom still has an itch to it. Apathy doesn't. If the itch is there, read bored. If feeling itself has gone quiet, read numb.

Act first, and let the wanting catch up

Waiting to feel like it is the trap. Behavioral activation, a therapy for depression, turns the order around and starts with small planned actions, and a meta-analysis of 26 trials found it worked better than control conditions, though most of the studies were of low quality.2

You can borrow the order without the therapy:

  1. Shrink the first step. "Put three cups in the sink" is a task. "Clean the kitchen" is a wall. Five minutes counts.
  2. Pick something that used to matter. One message to a friend, one song, one walk around the block. Afterward, check whether anything moved, even a little.
  3. Log what you did. On flat days a list of small actions is easier to see than a feeling: sent one text, walked to the corner, ate lunch sitting down.

What is one thing you cared about recently, even a little, and what would a five-minute version of it look like today?

Answer this with Joy

When to see a doctor about it

Two situations are worth a visit. The first is the depression pattern: loss of interest or pleasure in hobbies and activities is one of its core signs, and it counts when it lasts most of the day, nearly every day, for at least two weeks.3 The second is apathy that comes with memory changes, or follows a brain injury or illness, since neurological conditions can cause it.1

A doctor can look at causes you can't see from the inside.

Questions people ask about apathy

What is an example of apathy?

A student who used to love drawing stops opening the sketchbook. They're not sad about it, exactly. They just can't find a reason to start. Nothing about drawing changed; the pull did.

Is apathy a symptom of depression?

It can be, since loss of interest or pleasure is a core sign of depression.3 It also shows up with some neurological and medical conditions, so on its own it doesn't tell you the cause.1

What is the difference between apathy and anhedonia?

Apathy is about motivation: not wanting to start. Anhedonia is about pleasure: not enjoying things even when you do them. They often come together, and both are worth mentioning to a doctor if they last.

  • Bored: wanting engagement and not finding it.
  • Numb: when feeling itself goes quiet.
  • Disappointment: a common road into "what's the point".

Sources

  1. Marin RS. Apathy: a neuropsychiatric syndrome. Journal of Neuropsychiatry and Clinical Neurosciences, 1991;3(3):243-254. https://doi.org/10.1176/jnp.3.3.243
  2. Ekers D, Webster L, Van Straten A, Cuijpers P, Richards D, Gilbody S. Behavioural activation for depression; an update of meta-analysis of effectiveness and sub group analysis. PLoS ONE, 2014;9(6):e100100. https://doi.org/10.1371/journal.pone.0100100
  3. National Institute of Mental Health. Depression. https://www.nimh.nih.gov/health/publications/depression