Yup - especially when we are talking about more difficult stuff. I've learned to stop myself for a second and just tell T "my brain/mouth filter is set to high right now...I can't get the words to come out."

Being able to say something, even if it's just an acknowledgement that you're struggling to speak, can be very helpful. At least your T knows that you want to talk about it but just can't get the words out.

If I can at least tell T that I have words, they just don't want to come out, she'll help me work through it to the point that I can start to say something. She'll ask me if I can gesture or make a sound that represents what I'm feeling, or even just blurt out a single word. Sometimes I can, sometimes I can't, but at least T knows that I want to and just feel like my words are stuck.