"Every time I write a personal blog and I think I’m done learning about myself, I find something else out about myself that I didn’t know about. I used to stare in the mirror as a child, not because I was vain and loved looking at myself, but I couldn't help but notice my facial expressions seemed flat. I didn’t know that was a thing until my CBT therapist mentioned it to me.

The term ‘flat affect’ is used to describe a lack of emotional reactivity, observed in people with autism. It is a failure to express feelings, especially in response to issues or situations, in which we would normally be expected to engage our emotions.

A person with the condition rarely shows expressive facial gestures and/or animation in facial expression, or a change in voice. A person with flat affect has nearly no emotional expression, or no expression at all. My facial expressions are fixed.

Out of necessity, and using my intuition, I have taught myself to read people’s facial expressions and social cues. Through my blog, and I struggle to articulate myself verbally, I write my emotions down.

I can’t believe how much work I have to do on myself, just to function ‘in my own normal’ despite my neurological difficulties, and the fact that at the age of 56, I am only now starting to learn about myself."

Ilana Estelle is a mental health and wellbeing advocate who combines educational insight with her personal experience of living with physical, mental, and emotional disabilities. She holds diplomas in Counselling, Diet and Nutrition, Nutritional Therapy, Psychotherapy and Counselling, and Stress Management. Through her writing, Ilana supports others in navigating their emotional, mental, and physical health challenges. In addition to writing for The CP Diary, her work has appeared in healthy lifestyle magazines. Ilana is also the author of three books: Cerebral Palsy: A Story – Finding the Calm After the Storm, Spirituality, Healing and Me, and Survival: The Covid Years – Time for Change.

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2 comments on “Flat Affect”

  1. It is hard to comprehend how much you were yet to find about yourself following your cerebral palsy diagnosis 9 years ago. I hope this is the last step of your journey.

    All I can say is that the more you discover about the real you, the more peace you will find; as all your experiences throughout your life begin to finally make sense.

    As for those who chose to hide the truth from you, they know what they have done and that they should have done things differently.

    1. Thank you. I think that also. As I said in the last paragraph of my blog, I feel nothing at all. This is because the part of the brain that deals with my emotions is the part that is damaged.

      Having gone through my experiences where I've literally had to fend for myself and work through a diagnosis of a disability I didn't know I had, but I've also had to work through each individual symptom.

      I think feeling nothing in my case is a good thing, because I am being protected from the neglect and abuse that make up my experiences.

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