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Alexithymia

Perth Alexithymia Questionnaire (PAQ) — difficulty identifying & describing emotions

The Perth Alexithymia Questionnaire (PAQ; Preece, Becerra, Robinson, Dandy & Allan, 2018) is a modern 24-item self-report measure of alexithymia — the difficulty of identifying and describing one's feelings, together with a tendency to focus attention on external events rather than on the inner emotional world. It is free for non-commercial, research, and educational use, without permission. Alexithymia is not the absence of emotion; it is difficulty accessing feelings and translating them into words. It is often an old form of protection — from a time when feeling was once too dangerous, or there was no one to help you name what you felt. In existential and relational psychotherapy, reconnecting with emotion happens slowly, within a relationship of safety. The PAQ stands out because it assesses negative and positive emotions separately and yields three dimensions: Difficulty Identifying Feelings (DIF), Difficulty Describing Feelings (DDF), and Externally Oriented Thinking (EOT). Instruction: “Read each statement and choose how much you agree that it describes you, in general (1 = Strongly disagree, 7 = Strongly agree).” The translation was made for educational use; it is not a standardized Greek version. A self-observation tool, not a diagnosis.

These questionnaires are self-observation tools and are not a substitute for clinical diagnosis by a psychiatrist or another mental health professional.

Perth Alexithymia Questionnaire (PAQ) — difficulty identifying & describing emotions

How easily you recognize, name, and describe what you feel — and how much you tend to turn your attention outward, away from emotions.

1/24
When I'm feeling bad (feeling an unpleasant emotion), I can't find the right words to describe those feelings.

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