The current study evaluated the constructs alexithymia and emotional ambivalence, regarding their impact on adjustment to college. Alexithymia is an emotional processing concept which is defined as difficulty identifying and describing feelings, externally oriented thought, and limited imaginal ability. Emotional ambivalence is the ongoing internal conflict about the desire to hide emotions, despite external circumstances that demand disclosure, and/or regret over decisions to disclose feelings. These were both looked at as predictors of college adjustment, with the inclusion of chronic pain and psychiatric distress as physical and mental health components of the transition