For a long time, if you had asked me how I was feeling in the moment, I would have frozen. I could talk about ideas, theories, other people’s emotions, even write a long essay about my inner world, but in real time, I often had no words for what was happening inside me. This showed up most starkly in therapy. I’ve spent years sitting across from well‑meaning therapists asking, “How are you feeling right now?” or “Where do you feel that in your body?”and feeling a sudden surge of irritation and shame. The same thing happens with friendly check‑ins from family or the casual “How are you?” that most people seem to answer on autopilot. Few questions stump me as quickly, or make me feel as incompetent, as that simple one. I now know that this isn’t “being bad at feelings” or resisting the work. It’s alexithymia: a very common trait among Autistic and ADHD people where emotional and body signals show up more like static than a clear radio station. The signals are there, but the translation layer is foggier. In this article, we’ll explore what alexithymia is, why it’s so common for Autistic and ADHD people, and how it can shape everything from therapy to day‑to‑day life. What Is Alexithymia? Alexithymia literally means “without words for emotion.” It’s a term coined in the early 1970s by psychiatrist Peter Sifneos to describe people who struggled to notice and put words to their internal emotional states. Alexithymia itself is not a formal medical diagnosis. It’s usually described as a trait — a fairly stable pattern in how a person takes in and works with emotional information. Like most traits, it exists on a spectrum from mild to more pronounced. At its core, alexithymia is about having a hard time noticing and naming emotions. People with alexithymia often struggle to tell the difference between an emotion and a body sensation: is this anxiety or low blood sugar, sadness or fatigue, fear or just too much coffee.