A person with an imbalanced heart charka may become depressed as they tend to isolate themselves from society. They feel a great sense lonliness due to fear of intimacy and not being able to relate to others. There is a lack of empathy for others, even to the point of being judgmental and ultimately intolerant of other people. Maintaining romantic relationships can be tricky as fear of losing the partner may result in codependency, jealousy, overly sacraficing, or inability to set healthy boundaries.

It is not uncommon for emotionally stressful life situations to cause the heart chakra to become blocked such as verbal or physical abuse, infidelity, divorce, or death.

A closed heart chakra may manifest into physical illnesses such as chronic fatigue, breathing issues, chest pain, high blood pressure, or poor circulation.