
Ever feel like you just don’t ‘get’ your own emotions? Like everyone else has a feeling guidebook you missed? You might be dealing with something called alexithymia. It’s not a disease, but it can make life confusing. Let’s break down what it means, why it happens, and how to find your emotional compass.
Alexithymia (say: a-lex-i-THIGH-me-uh) is a fancy word for trouble identifying and describing your feelings. People with alexithymia don’t just have trouble sharing their feelings; they often have trouble even knowing what they feel. It’s like having a colorblindness for emotions (which is emotional blindness). They might feel physical sensations, but they can’t connect them to specific feelings like sadness, anger, or joy.
What is Alexithymia?
Alexithymia also called “emotional blindness“ is a condition where a person has difficulty recognizing, understanding, and expressing emotions. People with alexithymia may struggle to describe how they feel, making it hard to connect with others emotionally.
Alexithymia is not officially recognized as a mental health disorder in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). However, it is a common symptom that mental health experts often observe. It is linked to conditions like autism, depression and anxiety, difficult childhood experiences, and physical health issues such as traumatic brain injuries and Parkinson’s disease.
People with alexithymia struggle to:
✅ Understand their own thoughts and emotions.
✅ Recognize physical feelings linked to emotions.
✅ Express their emotions to others.
This condition can make it hard to connect with feelings and communicate effectively.
Symptoms of Alexithymia
People with this emotional blindness may experience:
- Difficulty identifying feelings: You struggle to name your emotions.
- Difficulty describing feelings: Even if you recognize a feeling, you can’t put it into words.
- Limited imagination: You might have trouble with daydreaming or creative thinking.
- Focus on external events: You tend to focus more on what’s happening around you than on your inner world.
- Trouble with relationships: It can be hard to connect with others emotionally.
- Seeming distant or cold: Others might see you as emotionally unavailable.
- Physical symptoms: You might experience physical symptoms like headaches or stomach aches when you’re stressed, without realizing it’s linked to your emotions.
- People with emotional blindness often feel unhappy with life because they struggle to understand and express their emotions. Since they have difficulty recognizing their own feelings, they may feel empty or disconnected from others. This can lead to stress, anxiety, and relationship problems, making life feel less enjoyable.
Without the ability to process emotions properly, they may also find it hard to enjoy positive experiences or connect deeply with loved ones. Over time, this can lower their overall life satisfaction and make daily life feel dull or unfulfilling.
Causes of Alexithymia
The exact cause is unknown, but several factors can contribute to its development:
- Brain Differences: Some studies suggest that brain areas responsible for processing emotions may function differently.
- Genetics: Alexithymia may run in families, meaning some people are born with a higher risk.
- Trauma or Stress: Childhood trauma, neglect, or emotional abuse can lead to difficulty expressing emotions later in life.
- Mental Health Conditions: Conditions like depression, PTSD, autism, and anxiety disorders are often linked to it.
How is Alexithymia Diagnosed?
There is no single medical test for alexithymia. Doctors and psychologists diagnose it by:
- Asking about emotional experiences and communication difficulties
- Using questionnaires like the Toronto Alexithymia Scale (TAS-20)
- Assessing underlying mental health conditions that might be contributing to symptoms
Treatment for Alexithymia
There is no specific cure for alexithymia, but treatment can help people manage their symptoms and improve emotional awareness. Options include:
- Therapy: Talk therapy can help you learn to identify and express your feelings.
- Mindfulness: Practicing mindfulness can help you become more aware of your body and emotions.
- Expressive arts: Activities like painting, music, or writing can help you connect with your emotions.
- Learning about emotions: Reading books or articles about emotions can help you build your emotional vocabulary.
- Building healthy relationships: Practicing healthy communication can help you connect with others.
Can Alexithymia Be Prevented?

Since some cases of alexithymia are linked to genetics, it may not always be preventable.
However, there are ways to reduce the risk:
- Encouraging emotional expression in childhood
- Seeking support for trauma or stress early on
- Practicing self-awareness and emotional reflection
- Engaging in activities that build emotional intelligence, such as reading literature or participating in therapy
- Engage in creative activities such as, music, drawing, or writing can help you express feelings in a non-verbal way.
Final Thoughts
Alexithymia can make it difficult for people to connect with their emotions and others, but with the right support, they can learn to improve emotional awareness. Therapy, mindfulness, and communication training can help manage symptoms and improve relationships.