Well, I don't think my nurse quite knew what she was letting herself in for by asking me to write out my feelings, thoughts and general ramblings when the stress starts to build. I did warn her that I am more articulate in written form than spoken (I'm the kind of person that listens mostly and asks questions to keep other people talking)... But credit where credit is due, she has read the pages I've amassed and picked up on key points.

Transpires that my dr has referred me on for personality disorder assessment due to the history he established from my wife and as I saw on the referral sheet 'dysfunctional coping mechanisms' in reference to cutting and punching walls (think I may have done some proper damage to my hand today, going to ask the nurse to check it out later but something is a bit loose just behind one of my knuckles... High pain fresh hold so doesn't really hurt but yeah better safe than sorry).

Nurse has added to what I must do when I think I'm about to lose the plot - write down my thoughts and hand it to a member of staff without talking to save myself from getting anxious by speaking.