Rest, relaxation, withdrawing mentally, need for peace and quiet, time for reassessment, small vacation, take it easy, enforced rest, physical issues, mental instability, limited pleasures, feeling isolated, nervous exhaustion.
The Four of Swords is a card of inaction. It typically indicates the need to take some time to to relax and recharge.
The Four of Swords often appears after a time of illness or anxiety and reminds you that we all need time to rest and recuperate.
Sometimes this break is needed for you to accurately see all that you have accomplished; there is nothing like a little distance to gain perspective.
The Four of Swords is a message that you need to take a break; if you refuse to listen, your health may suffer for it. It can also suggest that a retreat or a withdrawal from modern appliances and their demands (turn off your cell phones everyone) is just what you need.
When the need for rest indicated by the Four of Swords is ignored, you arrived at the reversed position.
This is the time when illness or anxiety will result in health issues needing a long period for healing. There is no longer the option to choose to rest - the choice has been made for you.
Rather than worry about how this will affect you, accept that it is necessary and let your body, mind and spirit heal. Four of Swords reversed can also refer to a time of social isolation where old friends have lost contact; however this is not permanent and new friends will arrive soon.