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Mental Health

Alexithymia Test

Questions: 22Time: ≈ 5 min

Read each of the 22 situations and pick the answer closest to your own experience; your first reaction is the one to go with. It takes ≈5 minutes, and at the end you see your level of alexithymia signs, from minimal to marked, with a short write-up.

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A person sitting cross-legged on a rug at night, looking at a glowing iridescent orb held in both hands, with a moonlit window behind
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Once a rough moment is over, how clearly can you say what you felt during it?
When two unpleasant feelings arrive together, can you tell which is which?
Does a mild version of an unpleasant feeling get a different name from a strong one?
When your mood sours hours after something happened, can you link it to what set it off?
As an unpleasant feeling starts, how fast does its exact name arrive?
When two good feelings arrive together, can you tell them apart?
How early do you notice a good feeling while it is building?
When a good feeling is only just forming, how early do you name it?
When you feel good for no obvious reason, do you recognize it as a feeling?
When you tell someone how a bad moment felt, how specific are your words?
When someone asks what you feel, do you answer with a feeling or with a sensation in your body?
After you pick a word for a bad feeling, how well does it fit?
When someone asks you to say more about a bad feeling, how much more is there?
How readily do you put a bad feeling into specific words for another person?
When you feel good, can you say more than fine?
When you feel good, how quickly does a catch-all word like happy push out the exact one?
When you feel something specific and good, how readily does the exact word replace a catch-all one?
When someone asks what exactly is good about a good feeling, how far can you take it?
When someone asks how you feel about something, where does your answer go?
How strong does a reaction have to be before you notice it?
When a feeling shows up in the middle of a task, what do you do with it?
When nothing forces the choice, does your attention go to practical matters or to how you feel?

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How this test works

Methodology

This test is built on the way researchers break alexithymia into parts. Two parts concern recognizing what you feel and two concern putting it into words; in each pair, one covers unpleasant feelings and the other pleasant ones. A fifth part looks at where your attention goes by default, toward practical matters outside you or toward what is happening inside.

Your 22 answers add up to one score on a single scale. Alexithymia is described as a trait that varies continuously, so everyone sits somewhere along it, and the six levels are our own cut of that range. It is a trait, and the major classification manuals do not list it as a mental disorder. The APA Dictionary of Psychology entry gives the standard definition.

Everything here rests on self-report. The result shows how you see your own emotional life today, which is not the same thing as an assessment by someone else.

Treat this as a tool for reflecting on how aware you are of your own emotions. It does not diagnose alexithymia or any other condition, and it does not replace a professional. If your result leaves you concerned, a conversation with a qualified specialist is the place to take it.

Frequently Asked Questions

Can an alexithymia test tell me whether I have alexithymia?

No. Alexithymia is something researchers study as a trait, and the standard diagnostic systems do not treat it as a diagnosis, so no test, this one included, can confirm or rule it out in a clinical sense. What you get here is a self-reported level across the areas the trait is studied through, and nothing more official than that. If the result worries you, a licensed mental health professional is the person to talk it over with.

Can you have signs of alexithymia and not realize it?

It is possible. Noticing your own emotional processing relies on the very skills involved, so a person who struggles with them may be the last to spot it. Nobody can promise either way, and a result on a page like this proves nothing in either direction.

How accurate is an online self-report alexithymia test?

It captures how you see your emotional life right now, which is useful as a prompt for reflection. Your mood on the day, how you read each situation, even the picture of yourself you would like to give can shift the answers. It is a snapshot of self-perception, not an outside assessment.

Can signs of alexithymia change over time?

Patterns like these are talked about as something that can shift over the years, so today’s result is one snapshot rather than a permanent label. This test says nothing about how or why such changes happen. If you take it again later, you will simply see where you stand then.

References

  1. Preece, D., Becerra, R., Robinson, K., Dandy, J., & Allan, A. (2018). The psychometric assessment of alexithymia: Development and validation of the Perth Alexithymia Questionnaire. Personality and Individual Differences, 132, 32–44. doi:10.1016/j.paid.2018.05.011
  2. Preece, D., Becerra, R., Allan, A., Robinson, K., & Dandy, J. (2017). Establishing the theoretical components of alexithymia via factor analysis: Introduction and validation of the attention-appraisal model of alexithymia. Personality and Individual Differences, 119, 341–352. doi:10.1016/j.paid.2017.08.003
  3. Bagby, R. M., Parker, J. D. A., & Taylor, G. J. (1994). The twenty-item Toronto Alexithymia Scale—I. Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research, 38(1), 23–32. doi:10.1016/0022-3999(94)90005-1
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