Do you have discussions with people in your head?

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Yes.
I talk to myself in my head, I practice conversations with people in my head beforehand.
I also each day have vivid discussions (well, more like raging arguments really) with people where I try to make clear to them that their actions and behaviour are selfish and anti-social. This used to be a problem as my heart rate and adrenaline levels went sky high but it's calmed down a bit. Something to do with my APD I was told.
My voice is always exactly my voice and their voice is always exactly their voice.