I've always relied on being coherent as a weapon against the diagnosis. I don't know. It's not the best strategy for an ESL speaker Even worse, I live in a country where learning other languages is not really a "thing", so nobody really understands how your mind works when you speak other languages. AND I speak four of them, and when I get stressed I mix them up really badly. One time a psychiatrist was asking me if I was suicidal and I was like, 'No, I never think about "autoktonising",' which is some bizarre Greek portmaneau of a Canadian French word for suicide. It didn't support my argument that i'm not nuts and don't need drugs.

Sometimes I hear voices in my other languages and so when a "real" person talks to me, I respond in the language of the voice I'm hearing because my brain is in that mode. They don't really get it here.

Also, accent is really highly valued in certain parts of this country. All the psychiatrists have the received pronunciation, Oxbridge posh accent, like the Queen speaks. They look down on you if you speak any other way, and in English I happen to sound Scottish FOR REASONS I WILL NEVER UNDERSTAND?!?!