SLA Leah Hunter, MAMFT Brain Library · Guide
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Understand

Feelings & Sensations Scale

How Big Is This Feeling? · Where Do I Feel It?

Many neurodivergent people only notice a feeling once it is loud. Knowing the quieter words gives you more time to choose what helps. Find the row, then the column that matches how big it feels right now.

Members can fill this in online and keep their answers in their Library. Come back and edit it any time. Or download the PDF to print.

The guide, as designed. The same content is written out below.

Feelings & Sensations Scale, page 1 of the handout as designed
See page 2
Feelings & Sensations Scale, page 2
01

How Big Is This Feeling?

Feeling family

, then three sizes:

  • Low: A whisper. Easy to miss.
  • Medium: Taking up space. You notice it.
  • High: Loud. Hard to think past it.
Anxious

· fear · worry

  • Low: uneasy · unsettled · on edge. Restless, fidgety, faint flutter in the belly
  • Medium: worried · nervous · anxious. Tight chest, racing thoughts, can't settle
  • High: panicked · terrified · dread. Pounding heart, shallow breath, shaking, urge to run
Angry

· anger · injustice

  • Low: annoyed · bothered · impatient. Jaw tightens, short sighs, eye rolls
  • Medium: frustrated · irritated · resentful. Hot face, tense shoulders, louder voice
  • High: furious · enraged · explosive. Heat surging, clenched fists, words come out fast
Overwhelmed

· sensory · too much

  • Low: crowded · a bit much. Sounds, lights or tags start to bother you
  • Medium: overloaded · frazzled · overstimulated. Everything too loud or bright, hard to think
  • High: flooded · near meltdown. Can't process words, need to get out now
Sad

· loss · longing

  • Low: low · blah · disappointed. Slower, quieter, less energy
  • Medium: sad · hurt · lonely. Heavy limbs, lump in the throat, teary
  • High: grief-stricken · devastated. Crying hard, aching chest, hard to move
Rejected

· shame · rejection sensitivity

  • Low: self-conscious · awkward. Warm cheeks, wanting to look away
  • Medium: embarrassed · left out · not enough. Stomach drops, replaying it, want to hide
  • High: ashamed · humiliated · crushed. Burning, collapsing inside, sure everyone is upset with you
Shut Down

· numb · disconnected

  • Low: spacey · flat · foggy. Zoning out, hunger and thirst go quiet
  • Medium: numb · checked out · distant. Slow, heavy, words hard to find
  • High: shut down · frozen · far away. Can't move or speak, world feels unreal
Drained

· energy · burnout

  • Low: low battery · tired. Yawning, slower to start things
  • Medium: depleted · worn out. Heavy eyes, irritable, everything takes effort
  • High: burned out · empty. Basic care feels impossible, skills stop working
02

Pleasant states have intensity too

High joy or focus can still tip into overwhelm or missed body cues.

Calm

· safe · settled

  • Low: okay · steady. Even breath, nothing pulling at you
  • Medium: relaxed · settled · safe. Loose shoulders, soft belly, slow breath
  • High: peaceful · deeply at ease. Heavy in a good way, sleepy, fully present
Joyful

· happy · excited

  • Low: content · pleased. Small smile, body feels light
  • Medium: happy · excited · playful. Warmth, bounce, happy stims
  • High: elated · giddy · buzzing. Can't sit still, loud laughter, racing energy
Interested

· curiosity · focus

  • Low: curious · open. Leaning in, eyes drawn to it
  • Medium: engaged · absorbed. Time moves fast, focus feels easy
  • High: hyperfocused · locked in. Lose track of time, miss hunger and bathroom cues
Mixed is normal

You can feel two families at once, like excited and anxious before a trip.

No word yet? Start with your body

Pick the sensation that fits, then look across the row. Page 2 can help.

No feeling is wrong

Feelings carry information. The goal is noticing, not fixing or judging.

03

Where Do I Feel It?

Low · Medium · High. Same three sizes as page 1

For many neurodivergent people, a feeling arrives as a body signal before it has a name. Scan from head to toe. Notice where something is happening and how big it is.

Head & Face
  • Low: slight pressure, tired eyes
  • Medium: tension headache, hot or flushed face
  • High: pounding head, face burning, blurry vision
Throat & Voice
  • Low: dry mouth, quieter voice
  • Medium: lump in the throat, voice tight or shaky
  • High: can't get words out, or voice gets very loud
Chest & Breath
  • Low: breath a little shallow or held
  • Medium: tight chest, faster heartbeat
  • High: heart pounding, can't catch your breath
Stomach & Gut
  • Low: faint flutter or knot
  • Medium: churning, queasy, appetite gone
  • High: nausea, cramping, urgent bathroom need
Muscles & Hands
  • Low: fidgety fingers, a bit stiff
  • Medium: clenched jaw, raised shoulders, restless legs
  • High: shaking, fists, body rigid or limp
Skin & Temperature
  • Low: a little warm or chilly
  • Medium: sweaty palms, clothes start to feel scratchy
  • High: hot flash or icy cold, any touch feels like too much
Senses & Thinking
  • Low: noises a bit sharper, focus drifting
  • Medium: lights and sound too much, hard to follow talk
  • High: tunnel vision, words stop making sense
Energy & Movement
  • Low: a little wired, or a little slow
  • Medium: pacing and bouncing, or heavy and sluggish
  • High: can't stop moving, or can't move at all
04

Why start with the body?

~50%

of autistic people show alexithymia, trouble identifying and describing feelings, compared with about 5% of others in the same studies.

Interoception

, the sense of what is happening inside your body, can be quieter, louder or delayed in autism and ADHD. That is why a feeling may show up as a headache, a stomachache or sudden exhaustion first.

Watch for look-alikes.

Hunger, thirst, pain, needing the bathroom and being too hot or cold can feel like irritation or anxiety. Check basic needs too.

05

My check-in

Right now I feel

It feels Pick one

  • Low
  • Medium
  • High
  • Not sure
I notice it in my
It might be telling me
What might help right now

Low is often the easiest time to act. High usually calls for calming the body first, then words.

Educational only, not medical or mental health advice.

Sources and credits. Body cues vary from person to person, and these are common examples, not rules. Draws on interoception and alexithymia research. Sources: Kinnaird, Stewart & Tchanturia, European Psychiatry 2019 (alexithymia in autism meta-analysis); Garfinkel et al., Biological Psychology 2016 (interoception in autism); Mahler, Interoception: The Eighth Sensory System.