Alexithymia Treatment: Helping Teens Understand Their Emotions

You might imagine mental health difficulties always involve intense or unmanageable emotions, but some people struggle for the opposite reason. They feel cut off from their own emotional lives. This is called alexithymia. It means you find it hard to identify or describe your emotions.

Alexithymia is present in many mental health and neurodevelopmental conditions. It can make life incredibly confusing and cause teens to have emotional difficulties in the future. 

This article will cover:

  • What alexithymia is.
  • The signs and symptoms of alexithymia.
  • Why alexithymia is important to address during adolescence.
  • How alexithymia treatment works.
  • The therapies and approaches that can help with alexithymia in teens.
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Table of Contents

What Is Alexithymia?

Emotions are a fundamental part of the human experience. They: 

  • Act as signals for when something feels safe or dangerous. 
  • Provide guidance for your path in life. 
  • Inspire us to pursue healthy behaviors. 

Emotions support communication in relationships, helping us to distinguish hurtful actions from loving ones.[1] They’re there all the time, whether at a low or intense level, and are important in every aspect of life.

These functions require you to connect with your emotions and understand what you’re feeling and why. This is more difficult for people with alexithymia.[1] 

Alexithymia Symptoms

In short, alexithymia makes it harder to notice, identify, and describe their emotions. It can vary in intensity, but signs of alexithymia include:[1][2][3] 

  • An externally-focused thinking style: Tending to focus on superficial information and avoid internal or emotional thoughts and sensations.
  • Difficulty identifying emotions: Not noticing that an emotional change has occurred or that feelings have increased or decreased in intensity.
  • Difficulty describing feelings: Struggling to use a wide range of words to convey emotional content.
  • Inhibited social and romantic life: Finding it harder to maintain emotional connections with other people.
  • Impoverished fantasy life: Not daydreaming or experiencing much imagination, affecting play and creativity.

A teen with alexithymia might say they feel “weird” or “off,” without being able to say more. Or they might only realize they’re upset once their stomach hurts or their jaw feels tight. It can look like they’re being difficult, but they genuinely can’t find the right words yet.

But just because someone has difficulty being in touch with their emotional state doesn’t mean they’re free from distress. As we’ll explore, alexithymia can increase your risk of mental health conditions and strain your closest relationships.

Alexithymia can complicate psychiatric treatment as so many therapies rely on building emotional intelligence. For this reason, specific alexithymia treatment accounts for this symptom, so teens get the appropriate support.

Who Does Alexithymia Treatment Help?

Alexithymia treatment can help teens with many different conditions as it isn’t tied to one single diagnosis. Whether your teen’s symptoms are connected to depression, anxiety, or autism, alexithymia treatment can help.

Psychosomatic Disorders

The first people diagnosed with alexithymia presented with bodily symptoms of fatigue or pain. Alongside their physical symptoms, these patients described being distressed but struggling to put their emotions into words. 

Teens with psychosomatic conditions are good candidates for alexithymia treatment. Their physical symptoms of distress tend to ease as emotional self-awareness increases.[1] 

Depression

Alexithymia and depression often overlap, though they are separate experiences. Having difficulty identifying emotions may be a risk factor for developing depressive symptoms down the line. As a result, alexithymia treatment could help prevent a teen’s mental well-being from worsening in the future.[1][2] 

Anxiety and Panic Disorder

Those with anxiety, panic, and post-traumatic stress disorders report higher levels of alexithymia. When experiencing the physical symptoms of anxiety, they can struggle to understand and ease them. 

Alexithymia-focused therapy may, therefore, help teens with mapping symptoms to emotions and self-regulation.[1][3] For example, a therapist might help a teen learn that a tight chest and shallow breathing are signs of anxiety, not that something is physically wrong.

Obsessive-Compulsive Disorder (OCD)

Obsessive-compulsive disorder (OCD) is another condition linked to higher rates of alexithymia. However, while teens with other anxiety types tend to struggle identifying and describing emotions, those with OCD tend to predominantly show the externally-focused thinking style.[1] 

Autism Spectrum Disorder (ASD)

Alexithymia shows up often in many neurodevelopmental disorders, including autism. Teens with autism may have impaired emotional awareness and also struggle to recognize and empathize with other people’s emotions. 

Alexithymia is likely to add to anxiety symptoms in teens with autism, and so alexithymia treatment could be of significant help.[1] 

Brain Injury

Some people can develop alexithymia if they’ve suffered a traumatic injury to the brain. Alexithymia treatment can be part of the recovery process, tailored towards the severity of a teen’s specific injury.[1][4][5] 

Alexithymia in Teenagers

Alexithymia treatment may be particularly helpful during adolescence. Teenagers with alexithymia are more likely to experience symptoms of poor mental health. On top of that, high levels of alexithymia at this time are linked with future difficulties with emotional regulation.[6] 

Research finds that alexithymia is a risk factor for developing anxiety and depressive disorders, difficulties with emotional well-being, disordered eating, self-harm, substance use, and suicidality.[6] 

Teenagers already face a lot of academic and social stress. This puts them at risk of psychological difficulties. On top of that, teens are only just beginning to develop emotional regulation skills. If alexithymia is present, it becomes much harder for teens to develop these skills at the same rate as their peers.[6] 

Alexithymia treatment during the teenage years is a real opportunity to build emotional regulation skills that will serve teens well in the future.

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How Alexithymia Treatment Works

Like any specialized psychological treatment, therapy for alexithymia starts with a deep understanding of the symptoms. There are many therapeutic approaches, and each can be tailored to a teenager with alexithymia.

Alexithymia Treatment Aims

Depending on the therapist’s approach, work usually begins with exploring the cause of your alexithymia. It may be a stable personality trait or a neurodevelopmental difference. It may also be a defence mechanism in response to trauma, adverse experiences, and attachment difficulties in childhood.[3][7]

Identifying a potential cause can then help determine what kind of therapy is used. The aims of alexithymia treatment include:[1][7]

  • Increasing psychosomatic awareness and inward attention: By getting teens in touch with their bodily sensations, alexithymia treatment can help them identify what’s going on inside and what those signals might mean. For example, a racing heart may point to fear and sluggishness to low mood.
  • Deepening emotional vocabulary: When it’s difficult for a teen to describe their feelings, it can help to grow their emotional vocabulary. It might start with describing physical sensations, with words like numb, hollow, or heavy, before moving onto emotional terms like devastated or furious. The next aim helps with this too.
  • Using imagination: Alexithymia therapies may use a teen’s imagination to explore their emotional life. For example, linking emotions to images or metaphors like I’m looking over the edge of a cliff or I’m frozen like a statue. These images can open up questions about feelings, wishes, and fears.
  • Learning emotional regulation: At the heart of alexithymia treatment is emotional regulation. It begins with aims already covered, such as noticing and describing feelings. But emotional regulation is also about what we do with those feelings.

Therapy explores ways to express emotions, such as through exercise, crying, and self-soothing. It also explores ways to deepen relationships to address any difficulties with emotional intimacy and co-regulation.

Types of Therapy for Alexithymia

Every approach shares an understanding of alexithymia and the aims above. But each one uses different techniques for recognizing and processing. Here are some options that research finds can significantly reduce symptoms:[5][7]

  • Acceptance and commitment therapy (ACT): Centered around mindfulness, body awareness, and challenging avoidance, ACT is an expert-recommended mental health treatment for people with alexithymia.[7]
  • Cognitive behavioral therapy (CBT): Compared to other therapies, CBT tends to give a lot of practical support for people with alexithymia. It may involve activities, journaling, and emotion wheels to build emotional awareness.Related approaches, like dialectical behavior therapy (DBT), use similar tools, such as emotion regulation worksheets. The work may encourage daily behaviors that help you get in touch with your feelings.
  • Mindfulness-based therapies: Mindfulness-based alexithymia treatments focus on increasing body awareness. Their non-judgmental approach can help people with an externally-focused thinking style.
  • Compassion-focused therapy (CFT): CFT helps people feel less shame and self-criticism towards their inner states. It then helps cultivate gentle and compassionate thoughts and attitudes towards emotions, allowing effective regulation techniques to take place.
  • Schema therapy: Sometimes used as a type of trauma therapy, schema therapy supports emotional well-being by addressing childhood wounds and unmet needs. It can help explain why unhelpful coping strategies, like disconnecting from your feelings, were once necessary.From there, schema therapists can help you open up to vulnerability and build a healthy internal voice that validates and cares for your emotions as they arise.
  • Training to Reconnect with Emotional Awareness Therapy (TREAT): TREAT is a specialized, effective alexithymia treatment for people who have suffered traumatic brain injuries.[5] Its method involves increasing emotional vocabulary, identifying bodily sensations that may indicate emotions, and separating thoughts from feelings.

Find Mental Health Treatment Programs

Mission Prep provides treatment for teens experiencing various mental health conditions. Mental Health support is a phone call away – call 866-901-4047 to learn about your treatment options.

See our residences in Southern California’s Los Angeles & San Diego areas.

View our facilities in Loudoun County, VA within the DC metro area.

Start Alexithymia Treatment for Teens at Mission Prep Teen Treatment

If you’re a teen who feels disconnected from your emotions, or a parent who’s worried about their child, counseling and psychotherapy may help. At Mission Prep Teen Treatment, we use evidence-based therapeutic approaches and innovative interventions to foster sustainable change for adolescents and their families.

To best serve each teen, we offer tailored treatment programs at various levels, including residential and outpatient mental health programs. We build a plan around each person’s symptoms and goals. That might mean individual therapy, family sessions, or a mix of support.

Our facilities are an important part of the treatment process at Mission Prep Teen Treatment. We believe it’s critical for teens to have a safe and welcoming environment to build the tools they need to facilitate healing. We maintain modern and welcoming homes to provide stability to adolescents throughout treatment. 

Mission Prep Teen Treatment accepts insurance and is in-network with most major providers. We are happy to help you check your insurance coverage for mental health care.

To explore the different treatment options for adolescent alexithymia, or to ask any questions you have, get in touch with us today. Contact us online or call 866-901-4047 to speak with a caring member of our team. Reach out for a free, no-obligation conversation.

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