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Hi Nicholas,
Many thanks for getting back to me so quickly.
I’ve known this friend for about 3 years now - we have become very close and have been speaking very candidly about mental health.
That being said, he has always struggled to articulate how he is feeling. He says that it is only in the last few years that he has attributed his low feelings to depression and anxiety, having learned a lot more about mental health issues recently. However, even now, if I ask him what is wrong, he isn’t able to express what it is (either physically sensations of his low mood/stress or his mental state) - all he can often say is that it “isn’t right”.
We had a long sit-down a few weeks ago and, whilst he had never spoken about it before for fear of being labeled psychotic, he explained that he had never understood emotions like other people seemed to, struggled to understand other people’s emotions, and struggled to be empathetic.
I have been doing a lot of research into the area since then and came across the term ‘Alexithymia’. Sharing some of the resources I have found with him, he has been saying things like, “that’s exactly like me” and “I do things like that”. He has since said how happy he is to find other people with similar experiences to him.
He is anxious to find some professional help (he is currently signed off work because his depression) but is pessimistic about finding a professional who he could work with, due to his past experiences of therapy.
In the past, he has had counseling for Anxiety when he was younger (4 weeks of sessions) and CBT for Anxiety and Depression last year (another 4 weeks). He said that neither helped and that it felt like he was just telling the therapists what they wanted to hear. Last year, the therapist commented (after the third week) that he tended to railroad her with his answers to avoid discussing emotions. Similarly, he also had couples therapy about 10 years ago because of what he says was his inability to discuss emotional parts of his relationship. After several sessions, he describes telling his partner what he felt they wanted to hear. His partner considered the process to be a success but it didn’t really have any effect on my friend’s own wellbeing.
He’s keen to connect with someone who might understand how this aspect of his personality impacts on his depression/anxiety and we both hope that finding the right person might lead to more successful outcomes this time around. As such, I’ve offered to help him gather more information about potential next steps as indeed I am doing now.
Hope that all makes sense. Any advice or information would be very much appreciated.
All the best,
Chris
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