I have the same thing. For me it's an expectation I put on my self to be fluent that exhausts me. Some years ago after migranes, locked jaw and neck pain I reached my limit. I asked myself, who was I doing this for? Not giving a fuck has worked way better than therapy ever did. I have good days and bad ones still of course and I'm condensing alot of my journey but that's the essence of it. When I got home and re-lived the days events, I found I wasn't being myself all day. I acted and talked in a way that was expected of me. I do hope that makes sense.