Understanding Alexithymia

There’s a name
for it.

Emotional colourblindness.

A trait that affects one in ten people, and goes unrecognised for most of a lifetime. You’re not cold. You’re not broken. You’re not choosing to be distant. You’re wired differently — and once you understand how, everything changes.

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What it is

Like colour blindness,
but for emotion.

Colour blindness

Someone who is colour blind isn’t blind. They see the world clearly — shapes, movement, depth, light. But an entire dimension of visual information that others take for granted simply doesn’t register.

Alexithymia

Your world is real. Your experiences are real. But the internal signal that tells most people what they’re feeling, why they’re feeling it, and what to do with that — either doesn’t arrive, or arrives as static.

Is this you?

You might recognise this.

These experiences are common for people with alexithymia. Read without judgement — you don’t need to identify with every one.

  1. 01 When someone asks how you feel, your honest answer is often “I don’t know” — not evasion, genuine blankness
  2. 02 You describe emotional situations in terms of events and facts, not feelings
  3. 03 Physical sensations — tightness, fatigue, restlessness — arrive without emotional labels attached
  4. 04 Others have called you cold or distant when you were simply at a loss
  5. 05 You can watch your own life with a kind of detached clarity, as if observing rather than participating
  6. 06 You can remember what happened in a significant moment, but not how it felt
You spent years not knowing
there was a name for this.
You don’t have to spend more years
not doing anything about it.

What’s inside

Two guides.
One honest conversation.

Written from the inside — by someone who spent twelve months in weekly sessions with a university research psychologist before they had language for what they’d been living with their entire life.

Guide One

For Those Who Live With It

  • What alexithymia actually is (and isn’t)
  • How to recognise it in yourself
  • The tests that can help you see it clearly
  • What’s happening in your body when emotions won’t surface
  • Practical strategies: emotional vocabulary, journalling, body-first mindfulness
  • How to talk about it — with partners, friends, therapists
  • What progress actually looks like

Guide Two

For Those Who Love Someone Who Does

  • Understanding the three gaps that create most of the pain
  • Why problem-solving is love — just in the wrong language
  • The withdrawal cycle that quietly destroys relationships
  • Communication adjustments that make a real difference
  • The hard questions: can this get better, and what if they won’t get help
  • What to look for in a couples therapist

Lived experience

Written from the inside.

At the movies, in the middle of a scene that had my partner in tears, I made a joke. Not to be cruel — I genuinely did not know what else to do. It was not indifference. It was a deer in headlights.
Written from the inside
I don’t hide it anymore. Honesty about it does more for connection than any amount of trying to perform emotions I don’t have access to. People adjust when they understand.
Written from the inside

Common questions

Before the word, the question.

Most people arrive here without the word — they arrive with a question. These are the questions readers most often type into a search bar before they find the term alexithymia.

  1. Why can't I describe my feelings?
    Because the signal that tells most people what they're feeling, why they're feeling it, and what to do with that either doesn't arrive — or arrives as static. There's a name for this: alexithymia, sometimes called emotional colourblindness. It is a trait, not a disorder, and roughly one in ten people have it. The pillar explainer walks through the structure.
  2. Is there a name for not feeling emotions, or not knowing what you're feeling?
    Yes — alexithymia. It is a stable personality trait (not a mental illness) where the body still produces emotional sensations, but the labels and language for those sensations don't reliably arrive. People often describe it as feeling blank when asked how they feel, or only being able to say "I don't know." If that pattern is familiar, start here.
  3. What's the difference between alexithymia and being emotionally numb or depressed?
    Depression turns the volume of feeling down. Alexithymia leaves the volume where it is — but cuts the readout. Many people live with both, and the texture of the two together is different from either on its own: a low, flat baseline overlaid on a missing translator. Dissociation, by contrast, is stepping back from experience; alexithymia is being fully present but unable to translate what's there.
  4. Why does my partner go blank when I ask how he feels?
    The blank is rarely indifference, withholding, or stonewalling. For someone with alexithymia, the question "how do you feel?" runs an internal lookup that doesn't return a clean answer in real time — and trying to perform one feels like lying. What looks like emotional unavailability from outside is often a structural translation problem inside. The relationships guide covers the scripts that work.
  5. Is alexithymia a disorder, an illness, or a trait?
    A trait. Neither the DSM-5 nor the ICD-11 classifies it as a mental disorder. Most researchers describe it the way they describe introversion: a stable personality dimension that varies along a spectrum, present from childhood, with neurodevelopmental and partly genetic contributions. Secondary alexithymia (a response to trauma, illness, or sustained stress) can ease as the cause resolves; primary alexithymia is the lifelong shape of the inner world.
  6. Can you have alexithymia without being autistic?
    Yes. Roughly half to 85% of autistic adults score above the alexithymia cutoff, but the overlap is partial in both directions — many alexithymic people are not autistic, and many autistic people are not alexithymic. Recent research suggests interoceptive differences often attributed to autism may actually track alexithymia. The autism and ADHD overlap piece goes deeper.
  7. How do I know if I have alexithymia? Is there a test?
    Several. The TAS-20 (Toronto Alexithymia Scale) is the most-cited; the Perth Alexithymia Questionnaire is newer and separates trait from state more cleanly; the OAQ-G2 is the freely available online option. None of them produce a verdict. They produce a position on a spectrum. Compare the four tests here.
  8. Can alexithymia be cured or overcome?
    Not in the medical sense — there is no cure for a trait that is not an illness. The experience can change. Body-first practices that build interoceptive awareness, structured journalling that links sensation to candidate emotion-labels, and slow vocabulary work all make the trait easier to live with. The aim is not to become someone else, but to live with more lights on.

Start this week

One guide for you.
One for the person who loves you.

The guide includes links to four free diagnostic tools — including the Perth Alexithymia Questionnaire and the Toronto Alexithymia Scale — so you can understand where you sit on the spectrum before you do anything else.

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Both written by someone who lived it.