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Lots of video games.

…Does it have to be a healthy coping mechanism?

Embrace it. Find comfort in yourself.

I picked up a sport this year. People are surprisingly friendly.

I endure, painfully.

Poorly.

I pretend to have imaginary friends in my head until it seems like real enough and the day passes.

There is a singular niche community that I involve myself with where I pop in and make highly desired items to give away for free.

It makes me feel like people care about me for a while. For now, that’s good enough for me.

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I recognize that everyone that has abandoned me will at some point lose everyone and everything that has ever mattered to them.

Though my lizard brain demands me to be around other people, most of the things that bring me genuine life satisfaction are just easier to do solo. When I’m at purely social events I also get this sense of dread that I could be making better use of my time.

The voice in my head is making contradictory demands, so I’ve learned to not feel bad for circumventing it. I have my own goals in life, instincts be damned.

I find that listening to people casually talking is usually enough to satisfy the lizard brain, so I listen to a lot of stuff in the background: YouTube video essays, Twitch Just Chatting streamers, etc. When it gets particularly demanding I’ll try engaging with the people, but usually I just let my subconscious listen while I’m focusing on more important stuff.

I focus on spending time with friends and family when I can. And video games when I can’t. I stopped pushing myself to do things I didn’t want to do also, that helped a lot with being disappointed in what I achieve. BG3 is nice therapy these days for me.

Sit through it

Distract

I don’t know if you’ve seen this before, but I recommend the Kurzgesagt video on loneliness.
It hit me quite deep, first time I saw it.