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Understanding Alexithymia

Do you struggle in recognizing and expressing emotions?


Do you get confused when a friend asks "How are you?"


Do you feel uncomfortable if others are processing emotions?

Do you prefer to "live in your head?"

If you answer is "I think so" to most of these you are probably in the right place.

Alexithymia and Autism


The relationship between alexithymia and autism spectrum disorder (ASD) has been studied, and there is some overlap between the two conditions. However, it's important to note that not everyone with alexithymia has autism, and not everyone with autism has alexithymia.

Some studies have suggested a higher prevalence of alexithymia in individuals with ASD compared to the general population. The prevalence of alexithymia in the general population is estimated to be around 10%. In individuals with ASD, the prevalence of alexithymia appears to be higher, with estimates ranging from 50% to 85% in some studies.

We would like to help you explore:

  • what alexithymia is,

  • identify seven signs that may suggest its presence,

  • online screening tests for alexithymia, and

  • discuss how our therapists approach working with individuals struggling with alexithymia.

What is Alexithymia?

Alexithymia is a condition characterized by challenges in identifying, understanding, and expressing emotions. Individuals with alexithymia may find it difficult to recognize their own feelings or the feelings of others. This can lead to challenges in forming and maintaining relationships, as well as navigating various social situations. Our counseling group recognizes the unique needs of individuals with alexithymia and offers specialized support to help them navigate their emotional experiences.

7 Signs of Alexithymia

  1. Difficulty Identifying Emotions: 
    Individuals with alexithymia may struggle to label and identify their own emotions accurately. This can make it challenging to communicate their feelings to others.

  2. Limited Emotional Vocabulary:
    A restricted emotional vocabulary is a common sign of alexithymia. Expressing nuanced or complex emotions may be particularly challenging for individuals with this condition.

  3. Physical Symptoms in Response to Emotions: 
    Some individuals with alexithymia may experience physical symptoms, such as headaches or stomach aches, in response to emotions because they may struggle to recognize and process them cognitively.

  4. Difficulty Describing Emotional Experiences: 
    Describing emotional experiences in detail can be challenging for those with alexithymia. They may find it hard to articulate the subtle nuances of their feelings.

  5. Difficulty Distinguishing Between Emotions and Bodily Sensations: 
    Alexithymic individuals may have difficulty distinguishing between emotional experiences and bodily sensations, leading to confusion about the source of their feelings.

  6. Limited Imaginative Processes Involving Feelings: 
    Creativity and imaginative processes related to emotions may be limited in individuals with alexithymia. This can affect their ability to engage in activities that involve emotional expression.

  7. Difficulty Understanding Social Cues: 
    Alexithymia can contribute to challenges in understanding and responding to social cues, making it harder for individuals to navigate social interactions effectively.

Alexithymia Screening Tests

Online alexithymia tests are tools designed to provide an initial assessment of one's level of alexithymia. It's important to note that online tests cannot replace a thorough evaluation by one of our team members.


Here are two widely used online alexithymia tests that you can start with:

Toronto Alexithymia Scale (TAS-20)

  • Highly reliable

  • Measures feeling identification, feeling description and externally-oriented thinking

Online Alexithymia Test

  • 15 minutes to take test

  • Provides visual results in 7 areas

After taking these tests, write down your scores (including subscales - you can take a screen shot) and share them with us.

Therapeutic Approach to Alexithymia

At our counseling group, our therapists adopt a compassionate and individualized approach to working with clients experiencing alexithymia. We understand that each person's journey is unique, and our goal is to create a supportive environment that fosters emotional exploration and growth.

We employ a range of therapeutic techniques tailored to the needs of individuals with alexithymia, including:


  1. Emotion Identification Exercises: 
    Therapists work collaboratively with clients to develop strategies for identifying and labeling emotions. This may involve using visual aids, journaling, or other creative methods.

  2. Mindfulness and Body Awareness: 
    Building awareness of bodily sensations and mindfulness practices can help individuals with alexithymia connect with their emotional experiences on a physical level, fostering a deeper understanding of emotions.

  3. Narrative Therapy: 
    Through narrative therapy, individuals can explore and articulate their emotional experiences through storytelling. This approach allows for a more comprehensive understanding of personal narratives and emotional landscapes.

  4. Social Skills Training: 
    Therapists may incorporate social skills training to help clients enhance their ability to recognize and respond to social cues, improving their interpersonal relationships.

Next Step


If you are navigating the challenges of alexithymia, we are here to provide support and guidance. Embracing the diversity of emotional experiences, our clinicians are dedicated to helping individuals with alexithymia cultivate a deeper understanding of their emotions and enhance their overall well-being.


Contact us today to begin your journey toward a more connected and fulfilled life.

Alexithymia Wheel
Next Step
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