I'm never sure about what to say in a face-to-face conversation. Verbalizing my feelings is really no different than verbalizing my political or philosopical viewpoints - if someone honestly wants to know, they're going to have to read them on paper.
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My thoughts don't translate easily to spoken words. ("Translate" is the right word here; trying to get from thoughts to words is like trying to translate between two languages that don't share many concepts.) When I talk, if I can get words out, I often forget words, lose my place in my sentence, or get words the wrong way round.
It doesn't happen when I write.
That is exactly how I would describe it TBH.
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I totally share your struggle. There are many many interesting things that go through my mind all the time, but getting them out the way I am thinking them is quite possibly the hardest challenge I have ever come across. Sometimes even when I try to get something out, my brain just kind of shuts down from going on overload and I can't even form words correctly (totally humiliating!). Most of the time though, I just end up sounding like I don't know what I'm talking about when if fact I had everything in my head, I just couldn't retrieve the correct words to describe what I'm thinking.
This happens to me sometimes also.