Yes, we're not alone in this, but we may at times feel like we're the only ones dealing with this because everyone around us may seem to be perfect (language fluency). I feel bad for not being able to speak my mind. The emotional stress reflects on the body too, making me feel exhausted even after a small conversation. Substituting words, struggling to get some of the words out, appearing to be fine until a block happens. This is so stressful, yes.