By having questions in activities where clients can respond using an emoji images or star rating etc. over words means they can connect to their emotions in a different way and it might be a felt sense instead. Alexithymia. means a difficulty with "no words for feelings," where a person struggles to identify, understand, and describe their own emotions. It's thought 10% of the population have Alexithymia. Though prevalence varies, with significantly higher rates (around 30-50%) found in clinical populations and individuals with conditions like autism, depression, and PTSD.