Published on 12, July, 2020
Example 1: At my last psych appointment the pdoc said I looked happy. I didn't think I was.
Example 2: Was recently seen at main hospital emergency department because of chest pains. Tests were ok, but BP was higher than normal . Had to go for follow up the next day . Doctor said it had been raised because I was anxious. Apparently my pulse rate was fast. I hadn't noticed I was anxious.
I don't think it happens all the time ie I sometimes know when I'm anxious etc .
Another aspect to this is exemplified by something that happened to me today. Yesterday I was happy - happy enough to make a point of telling my wife about it. Today, from just before lunchtime until about 9:30 in the evening I have had a strange dragging sadness that I couldn't identify the source of. It sapped my energy and enthusiasm and tinged everything with melancholy and wistfulness and regret. And now it's gone again. I have no idea what caused it.
I understand what you mean an alexithymic person has 3 phases.
1.Extremely happy
2.Neutral
3.Badly depressed