What it means if you can’t hear your ‘inner voice’, according to a psychologist

Self-talk – or having a conversation with oneself – is a near-universal human experience. However, there is a condition called anauralia, often described as a “silent mind”, where that internal dialogue is completely absent. 

This can have a profound impact on cognitive processes like problem-solving, memory or decision making. As psychologist Sandra Sánchez puts it: “Anauralia is essentially the lack of an inner voice, or what we might call a person’s inner world.”

Our inner landscape is the foundation of who we are, playing a vital role in our personal growth. 

“Whether it’s replaying a favourite song in your head, recalling a chat with a friend or daydreaming about the future, these mental echoes enrich our thoughts and feelings,” says the expert. 

But what happens when that internal soundtrack goes mute? We dive into the causes behind a silent mind and the impact it has on daily life.

Understanding anauralia: What science says about the silent mind

Anauralia is the inability to hear an internal monologue, or “play back” sounds in your head. People with this condition can’t mentally “hear” a catchy tune or rehearse their words before they speak. “Lacking this internal soundscape can sometimes limit our ability to form preferences, explore creativity or weigh up decisions,” Sánchez points out.

One example: for most of us, hearing a voice on the phone automatically triggers a mental image of the person. “When we hear someone on the phone and then see them in person, there is often a distinct sense of satisfaction when the face matches the voice we’ve been imagining. For those with anauralia, that mental link simply isn’t there,” the psychologist explains.

The root causes: Why some people lack an internal monologue

The exact origins of anauralia are still being mapped out, but some experts believe it may be due to neurological differences in brain development. “If a person has never experienced an inner voice, it’s likely they are simply part of the small minority of the population who lack this innate ability,” says Sánchez.

However, in cases where it appears suddenly, it can be a red flag for physical changes, such as a head injury, an infection or even a brain tumour. There is also evidence that certain medications, including antipsychotics, antidepressants and anti-anxiety drugs, can temporarily dampen or ‘mute’ a person’s access to their internal monologue.

Personality and identity: How living without an inner voice shapes you

Anauralia doesn’t discriminate; it can affect anyone regardless of their background. However, research suggests that living without an internal monologue can influence how a person’s personality develops. “Without that inner sounding board, some individuals may find it more challenging to establish personal values, hit social milestones or fully weigh up the consequences of their actions,” warns Sánchez.

That said, anauralia shouldn’t be confused with conditions that involve auditory hallucinations. While hallucinations are involuntary perceptual experiences of things that aren’t there, anauralia is simply the absence of a mental tool – not the presence of a medical disorder.

Key signs & symptoms of a “silent mind”

People living with anauralia may experience the following:

• An inability to “play back” songs, familiar voices, or sounds within the mind.
• Difficulty recalling key life events or “episodes” in rich, sensory detail.
• Lack of connection with their inner world, an internal “sounding board”, which can make the decision-making process feel more abstract.
• Finding it harder to “rehearse” or anticipate future scenarios.
• Struggles with resolving internal conflicts, as they lack the ability to “talk themselves through” to process a problem.

Is anauralia permanent? Neuroplasticity and the brain’s potential

For the majority, anauralia is a lifelong trait rather than a temporary state. That said, when it is triggered by a physical injury, there is a chance that the brain’s neuroplasticity might allow for some recovery. “Even individuals who have been hearing-impaired from birth can develop a form of talking to themselves, which shows that the brain can find functional workarounds,” says Sánchez.

Lifestyle factors that influence your inner world

Maintaining a healthy lifestyle is essential for optimal cognitive function. Prioritising nutrition, sleep hygiene, and avoiding mind-altering substances can help the brain function at its best. “Alcohol and drug use can interfere with neural pathways, potentially dulling the development or clarity of one’s inner world,” the psychologist warns.

How is anauralia diagnosed – and can it be treated?

Diagnosis typically involves the Varieties of Inner Speech Questionnaire (VISQ), a clinical tool used to measure the depth and nature of a person’s internal dialogue. While there isn’t a standard ‘cure’, some treatments can help improve the situation. “In adults, cognitive rehabilitation training can show promise, but it usually relies on the brain’s neuroplasticity to find alternative pathways if original ones have been damaged,” explains the expert. 

Sánchez notes that the window for developing an internal monologue usually occurs in early childhood. “If it hasn’t appeared by adulthood, the chances of developing one from scratch are relatively slim – though not entirely impossible.”

Expert-approved therapies for managing a “silent mind”

There are several ways to help the brain develop or recover internal dialogue:

• Cognitive exercises: Specific brain-training tasks can help stimulate the mind to form new internal associations.
• Role-play and group therapy: These sessions are excellent for encouraging self-reflection and improving decision-making skills.
• Sensory stimulation: Immersing yourself in diverse music, intricate art or guided meditation can help “spark” the creation of mental connections.
• Neurological rehabilitation: For those whose anauralia was caused by an injury, specialist neuropsychological support is the most effective path for “rewiring” the brain.

Early years development: Can stimulating environments prevent anauralia?

The most effective way to safeguard against anauralia is to ensure a child’s environment is rich and engaging from day one. “Creative play is absolutely vital for building that internal monologue. Exposure to music, vibrant colours and early problem-solving is key,” Sánchez emphasises. 

Children who grow up without this level of engagement may find their “inner landscape” feels more sparse or stunted in adulthood.

About the expert:

Sandra Sánchez is a psychologist with over 27 years of experience and a degree from the Autonomous University of Barcelona. Specialising in Cognitive Behavioural Therapy (CBT), she currently practises with Siquia online therapy in Spain.