Alexithymia

Alexithymia is a term used to describe difficulty identifying, understanding and putting emotions into words. Someone with alexithymia may notice physical sensations, such as a tight chest, tiredness or a fast heartbeat, without being sure whether they are feeling anxious, sad, angry or overwhelmed.

For example, I may not realise I am sad until I start crying, and even then I may not know why. I can also struggle to tell whether I am hungry or whether something I have eaten has upset my stomach, as the sensations can feel very similar.

People with alexithymia may find it harder to talk about their feelings, distinguish between emotions and bodily sensations, or understand the emotional experiences of others. However, alexithymia is not a mental health diagnosis in itself, and it does not mean that someone has no emotions or lacks empathy. As an autistic person, I have found that I can be highly empathetic.

Support can include talking therapies, emotional-awareness exercises, journalling, and learning to recognise the links between bodily cues, thoughts and feelings. If difficulties with emotions are affecting relationships, work or wellbeing, speaking with a GP or qualified mental health professional may be helpful.