How to Get Diagnosed With Aphantasia

Aphantasia refers to the inability to voluntarily create mental images. Though first described in 1880, the concept gained renewed scientific interest and its current name in 2015 by neurologist Adam Zeman. This article guides individuals through recognizing indicators of aphantasia and exploring pathways for professional assessment.

Understanding Aphantasia

Aphantasia is understood as a variation in how the brain processes information, rather than a medical disorder or disability. It exists on a spectrum, from a complete absence of mental imagery to very dim or vague images. While often discussed in terms of visual imagination, aphantasia can extend to other sensory modalities, such as the inability to imagine sounds, smells, tastes, or tactile sensations. This broader absence is sometimes referred to as multisensory aphantasia.

Individuals with aphantasia often describe their experience as “knowing” or conceptualizing information rather than “seeing” it. For example, when asked to imagine an apple, they understand the concept and its properties but do not form a visual picture. Many people with congenital aphantasia are unaware their experience differs from others until adulthood. This is because they have never known another way of thinking and assume everyone processes information similarly.

Recognizing Personal Indicators

Identifying personal indicators of aphantasia often begins with introspection and comparing one’s internal experience. A common informal test involves attempting to visualize an apple; if one sees only darkness or nothing at all, despite knowing they are thinking of an apple, it suggests aphantasia. Many individuals realize they might have aphantasia when others describe vivid mental imagery, such as seeing scenes play out like a movie while reading a book, which they cannot do.

People with aphantasia may find it challenging to visually recall faces of loved ones or detailed scenes from past events, though they can remember facts and emotions associated with them. They might rely on factual memory rather than experiential memory. Difficulty with tasks involving visualization, like mentally rotating objects or planning a route without external aids, can also be indicators. However, some individuals with aphantasia develop alternative strategies, such as relying more on verbal or conceptual thinking for memory and problem-solving.

Professional Assessment Pathways

Currently, no single standardized medical test definitively diagnoses aphantasia. Assessment primarily relies on subjective reporting through detailed questionnaires and cognitive evaluations. Neurologists, cognitive psychologists, and researchers are typically the professionals involved in assessing aphantasia. These experts use tools like the Vividness of Visual Imagery Questionnaire (VVIQ), which asks individuals to rate the vividness of various mental images on a five-point scale. A score of 32 or less on the VVIQ often indicates aphantasia.

Beyond self-report questionnaires, objective measures are emerging in research settings to assess mental imagery. These include measuring pupil responses to imagined bright or dark stimuli, as pupil size can correlate with imagery vividness. Another method is the binocular rivalry test, which examines how the brain processes competing visual inputs and can indicate the strength of mental imagery. While functional magnetic resonance imaging (fMRI) can show brain activity during attempted visualization, it is primarily a research tool and not a routine diagnostic test. A comprehensive assessment would consider a person’s self-reported experiences alongside any objective findings, ensuring other cognitive impairments are not the cause of the imagery absence.

Living with Aphantasia

Discovering one has aphantasia often leads to a deeper understanding of one’s own cognitive processes. Aphantasia is not classified as a disorder or disability requiring treatment. Instead, it is considered a natural variation in human experience. Many individuals with aphantasia lead successful and fulfilling lives, developing alternative strategies for tasks that typically involve visualization. For example, they might excel in abstract thinking or rely on verbal and logical reasoning.

Understanding aphantasia can foster self-acceptance and help individuals connect with others who share similar experiences. Online communities and support groups provide platforms for sharing coping mechanisms and insights. While there is no “cure” for aphantasia, ongoing research continues to shed light on its neurological underpinnings and its impact on various cognitive functions like memory and dreaming. This growing knowledge helps to normalize the experience and highlight the diverse ways human minds can operate.