Do you repeat the word in order to get to the next word? Like in your example, "menu" is the word you can say but end up saying it multiple times because the word "today" doesn't come out? If so, I believe it could be solved by letting go of the speech block that is arising before saying the word"today". But reading from your post, you are suffering from panic attacks. Maybe that's a byproduct of the attacks? Sorry, don't mean to confuse you further. Best mental health to you, and do please kindly consult a good doctor/psychiatrist ✌️🙏