Do you guys think adhd and ocd can be a factor on why it’s difficult to verbally communicate

Do you guys think adhd and ocd can be a factor on why it’s difficult to verbally communicate I’ve never been diagnosed due to my environment never prioritizing mental health but I’m postive that I have a hyperactive brain, things that include fidgeting, always feeling like I’m on the edge, impulsive nail biting which I think is a coping mechanism for my anxiety, constantly searching for dopamine although it can be harmful, reactive towards 90% of my interactions which I hate bc things like unintentional people pleasing come into play. When I try to communicate sometimes my mind tells me I have to express this perfectly or else I won’t be taken seriously, and then usually I fail at that and I replay the situation over and over again or if I have a thought that emotionally impacts me whether good or bad I’d do that same thing. Thankfully I’ve been a lot more patient with myself about it and that helps me not getting turn the frustration towards myself but it feels like I have no control over this and I remember having these traits before my stutter but somewhere around 7th grade that’s when the obsessive thinking got to the way I speak and write and yea I’ve always been observant of these things but I could never make any real progress just tons of masking to make sure no one really notices it, but I don’t want these traits coming into my adult life so I’m debating if I should get on meds, sorry for the long writes but anyones opinions would be appreciated on this. Thanks