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Unlexi: Developing a Prototype of a Digital Emotion-Focused Therapy Tool for Alexithymia
Kanako Tsubaki1, Samina Abidi1
1Medical Informatics Program, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Studies in Health Technology and Informatics
|May 23, 2026
Summary
This study introduces Unlexi, a digital Emotion-Focused Therapy (EFT) prototype designed to help individuals with alexithymia. The tool offers immediate feedback to aid emotional processing in therapy.
Area of Science:
- Psychiatry and Psychology
- Digital Therapeutics
- Mental Health Technology
Background:
- Alexithymia, characterized by difficulty identifying and expressing emotions, is linked to various psychiatric conditions and impedes therapeutic progress.
- Despite its impact, alexithymia remains a clinical challenge, often under-addressed in traditional therapeutic settings.
Purpose of the Study:
- To develop Unlexi, a clinician-linked digital prototype for Emotion-Focused Therapy (EFT).
- This novel homework-style model aims to integrate technology into emotional processing support.
Main Methods:
- The Unlexi prototype was developed, requiring a TAS-20 score of ≥ 51 and excluding acute psychiatric states.
- It features 12 weekly EFT modules, incorporating felt-sense pauses and a safety "Pause" function.
- Natural Language Processing (NLP) analyzes user text and voice input for real-time sentiment feedback to users and clinicians.
Main Results:
- The Unlexi prototype consists of 129 screens, with 110 dedicated to patients and 23 for clinicians.
- This digital structure facilitates the delivery of structured therapeutic content and feedback mechanisms.
Conclusions:
- The Unlexi prototype has received validation from the originator of EFT, confirming its clinical fidelity.
- The next steps involve app development and feasibility testing to assess its real-world efficacy.
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