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It is like millions of word in head and I have to grab the right ones out of my brain and try to put them together to make a sentence.
Or when I try to speak I don't realize that I am speaking in a whisper half the time and the other half is regular voice.
I have these problems, as well, but I don't think they are as severe as yours.
I think my biggest problem is coming up with a way to phrase my sentence. The idea is usually there, or an image, and at the speed conversation goes, I have a hard time speaking my thoughts in a concise manner. I tend to "meander" with my words, either that, or I become very curt, because I don't want to have to speak any longer than necessary.
I speak rather softly, that's what everyone tells me, anyway. I sound like I am speaking in a normal volume to myself, so I have a hard time remembering I have to speak up.