Alexithymia: the inability to feel

Alexithymia: the inability to feel
Photo by Andre Hunter / Unsplash

Do you know people who find it hard to connect at an emotional level?

Alexithymia is the inability to recognize, describe, or express emotions.

It is not a mental disorder, but a personality trait that affects emotional awareness.

People with alexithymia struggle to differentiate between emotions and physical sensations.

They often have difficulty understanding their own feelings and those of others. This can create challenges in relationships and social interactions.

The term was first introduced by psychiatrist Peter Sifneos in 1973. Research suggests a strong link between alexithymia and autism spectrum disorder (ASD).

Many people with ASD experience difficulty processing emotions, which can lead to alexithymic traits.

It is also commonly associated with post-traumatic stress disorder (PTSD), depression, traumatic brain injuries, and neurodegenerative diseases like Parkinson’s and multiple sclerosis.

People with alexithymia think in a very logical and structured way. Their focus is often external, and they struggle with introspection.

This can make it difficult for them to engage in deep conversations about feelings. In relationships, they may come across as distant or unresponsive. Their partners or friends might feel neglected or unheard.

But these individuals are not indifferent—they simply do not have the tools to express their emotions clearly.

Therapy can be helpful, though it is not a cure. Cognitive-behavioral therapy (CBT) and psychodynamic therapy may improve emotional awareness.

Techniques like journaling, mindfulness, and creative expression can also help individuals become more aware of their emotions.

Although there is no official medical treatment, people with co-occurring conditions like anxiety or depression can benefit from therapy or medication for those issues.

Alexithymia affects people in myriad ways.

It can make social interactions complicated and create difficulties in professional and personal relationships.

However, with self-awareness and support, people with alexithymia can develop better emotional skills and improve their interactions with others​.

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