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Alexithymia Explained: How It Works, How It Feels, and How to Get Support
Most people have likely had moments when they struggled to put emotions to words, or couldn't quite put their finger on how they were feeling internally, but when is it more than just a moment?
If feeling detached from your emotions is common for you, you could have alexithymia.
Alexithymia is defined as the challenge of naming, recognizing, and expressing emotions, at some point in one's life. Alexithymia may also manifest as difficulty or differences in identifying emotions vs. bodily sensations, such as thirst, instead construing it as anger or irritability.
I am autistic, and I often struggle with difficulty identifying my emotions and bodily states. For example, it is very difficult for me to identify when I’m hungry. If I wait too long to eat or fail to recognize the signs, I can grow frustrated and foggy, and often need the help of a checklist to identify the issue.
Many autistic individuals struggle with alexithymia. But autistic people aren’t the only ones who tangle with emotional difficulty: individuals with depression can struggle with recognizing their emotions, as can people with anxiety. Those with trauma–both physical and emotional–can also exhibit alexithymia. Alexithymia is also common among those with other neurodivergences, like ADHD.
In this article, we will explain what alexithymia is, its common characteristics, and how to develop strategies to both identify and ameliorate the condition.
How to Regulate Your Nervous System: A Guide for Autistic Adults
For me, nervous system dysregulation begins at the center of my body: a quaking, liquid feeling that leaves me unsettled. I have episodes of verbal shutdown, and may engage more in stimming: rocking back and forth, humming to myself, and bouts of anger that have no outlet. It’s in times like these that I try and re-center myself through deep breathing, reducing sensory input, and leaning on my support systems.
Autistic people often experience heightened nervous system responses, which can lead to dysregulation, especially in overwhelming environments. This can lead to chronic stress, shutdowns, meltdowns, and sensory overwhelm. Addressing dysregulation can improve quality of life, positively impacting physical health, emotional regulation, sensory processing, and mental health over all.
In this article, we’ll discuss tools to help autistic adults shift out of dysregulation and offer strategy suggestions to become more regulated and maintain equilibrium. However, as always, it’s best to consult with a healthcare professional before starting any new therapeutic techniques.
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Understanding Autism in Adult Women: Why It’s Often Missed and What It Really Looks Like
When I was a little girl in the early 2000s, autism was seen as a disorder that only boys had. My evaluators misdiagnosed my autism as ADHD, and mistreated my symptoms (my stims, masking, and social anxiety). Luckily, awareness around the rainbow of autistic presentations is growing, and things are starting to change. As an AFAB person who now identifies as non-binary, I was able to seek re-diagnosis and affirmation that I'm autistic—something I suspected for the majority of my life.
According to a recent study published in JAMA, autism diagnosis is increasing fastest among women between the ages of 26 and 34. And among those, women sought diagnosis a whopping 3 times more than men. This comes as no surprise, as autism is actually underdiagnosed in women because of biases in testing. The research behind these tests predominantly focused on the experiences of men and boys, so clinicians have trouble catching the varied autistic traits in women and AFAB folks.
This article will focus mainly on the experience of autistic adult women because the medical research is only just starting to catch up with AFAB experience. However, it’s worth noting the ways autism presents in nonbinary people.
Transgender and nonbinary people are around five times more likely to be autistic compared to cisgender people. The Autistic Women and Nonbinary Network’s website is a good place to start if you’d like to find autistic nonbinary people writing about their experiences.
Autism manifests in very specific ways in adult women that have been ignored until now. If you’re a woman or AFAB person wondering if you might be autistic, support is available. Read on to learn more.
