Certificate of Alexithymia Signs Bureau of Mental Health
A scrapbook-style flat lay on cream paper: a blank speech bubble, a torn note with a hand-drawn question mark, a smiling face, paper hearts, a blank gift tag, a torn photo, and a blank form with a round stamp, held down with washi tape and paper stars.

Certificate of Alexithymia Signs

to be completed in your own hand

Processing time: 7 min Items: 24

No sign-up. Issued the same day.

This certificate is issued from a 24-item self-report covering five facets of noticing a feeling and putting it into words, and it certifies a classification with supporting notes at the end. Processing time is about 7 minutes, the certificate is generated automatically, and the underlying facet structure comes from published research on this pattern.

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A sharp comment in a meeting leaves something negative sitting in your chest for the rest of the day.
An unread notification sits on the screen while a reaction to it quietly builds. Your response?
The car won't start on a morning already tight on time. Select the closest option.
A friend's short reply stings, and something negative settles in fast. Your course of action?
Spilled coffee and a missed train land within the same ten minutes.
A congratulatory email lands, and something warm rises immediately. Select the closest option.
Sun crosses the pillow on a slow Saturday morning, and the mood starts to lift.
An unexpected gift shows up at the door. Your response?
A friend says something unexpectedly kind over lunch. Your course of action?
Something about the walk home turns unexpectedly light, for no clear reason at all.
Someone asks how the day went, right after a genuinely rough one. Select the closest option.
Your doctor asks directly how you've been feeling lately. Your response?
Writing in a journal at night, one word gets chosen for the whole day.
A friend asks for more detail about a bad mood. Select the closest option.
A counselor asks what's actually going on, in plain terms. Your course of action?
Someone at the table asks why you're smiling like that.
A hard project wraps up, and a colleague asks how it feels. Your response?
A text with genuinely good news arrives in the middle of the afternoon.
A parent on the phone asks why you sound so pleased. Select the closest option.
Something exciting happens at work, and it's time to tell your partner. Your course of action?
A partner asks how you're really doing, mid-way through a packed week.
A neighbor's bass thumps through the shared wall most nights for a week straight.
Dinner is halfway cooked when something upsetting crosses your mind. Your response?
The line at the store barely moves, leaving several idle minutes with nothing to do.

The certificate will be issued in this name. Leave it blank to issue it to the bearer.

About This Certificate

Self-reported ease of noticing and naming positive and negative feelings, and how far attention defaults to external matters instead, across five facets.

Test author Editorial Staff

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Attachments

Attachment 1. Methodology

Five facets make up this test's structure: a pair covering how quickly a feeling is spotted as it happens, a second pair covering how readily it gets put into words once spotted, with each of those two pairs split into its own negative and positive side, and a fifth, single facet measuring how much attention leans toward outside practical concerns instead of what's happening inside.

This scale runs on a continuum: research treats the pattern as something everyone has some amount of, rather than a box a person is either sorted into or excluded from. The result comes from one sitting of self-report, so what it captures is the bearer's own present reading of how they process emotion, not a judgment call made by anyone else. Neither the DSM-5 nor the ICD-11 lists this pattern among recognized mental disorders — the research community studies it as a personality trait, separate from any clinical diagnosis.

Background on the construct is available from the American Psychological Association.

What this test offers is a self-report reading of how a person perceives their own emotional awareness — it does not function as a tool for diagnosis. No determination is made here about alexithymia, or about any condition beyond it. Anyone with concerns about what the results show is better served by a conversation with a licensed professional than by this certificate.

Attachment 2. Frequently Asked Questions

Can this test determine whether someone has alexithymia?

No. This pattern is studied as a trait — the DSM-5 and the ICD-11 both leave it off their lists of diagnosable disorders — so no test, including this one, hands down a clinical verdict on it either way. This certificate reports where the bearer's answers land over the test's five facets; that placement is a self-report reading, not a clinical finding.

Can a person have these signs without realizing it?

It is plausible, and worth saying plainly: a trait that is partly about difficulty reading one's own emotional processing can make that same difficulty harder to notice from the inside. This test cannot settle the question either way — it only reflects what the submitted responses show.

How reliable is a self-report test like this one?

What comes back is a self-rated snapshot — how the bearer currently reads their own reactions — which is useful information but not the same as having someone else independently evaluate it. Self-report carries its usual caveats: mood, memory, and the day itself can all color the answers given in one sitting.

Can this pattern change over time?

Patterns like this one are commonly discussed as capable of shifting across a lifetime, though this test makes no claim about how or why that happens for any particular person. A result here is a reading of the present, not a fixed forecast of what comes next.

Attachment 3. 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