Chronic pain is an illness that depletes you of energy every day. There are occasional good days which you spend in a flurry of joy. These good days allow for hope, happy memories, and sustain you through new ailments and agonies.
Somehow it happens that you become more introverted. This must be because you now recognize that you are very affected by the energy around you. While emotionally it feels as though you are hyper-aware to the point of anxiousness, physically parts of you don’t work at all, as though they were turned off.
More simply put, there seems to be no room for negative exchanges, it is a waste of precious time. Some people may feel dismissed, discarded or excluded, but no apology is necessary. Perhaps, they should be relieved you haven’t shouted “Off with their heads!”