Alexithymia is another fancy term for weakness in recognizing social cues and expressing emotion.

Flat affect ( inability to express emotion) is very common with mTBI. The struggle to recognize social cues is also common.

I have had to sort of mechanize my responses to others. I feel fake about this behavior but know that my relationships need this.

It can be practiced when you are alone so you have memorized responses rather than waiting for your emotions to cause you to express feelings.

I can see how women can have more struggle to overcome this lack of emotional response. Some time with a counselor to help for those who struggle.

I was taught to acknowledge all expressions of others feelings, even when they don't make sense. Acknowledge the feeling then discuss the issue. If you feel like the issue is over-whelming you, back away and take some time to settle down and regroup your thoughts.

This one area is the toughest on family and friends.

I lost all of my friends when I suffered an mTBI in 4th grade.

My best to you all as you try to deal with this symptom.