I think it very well may depend on the subject and matter.. while I do agree it's your mouth and your tongue.... in a severe manic state I can't control exactly how my mind and mouth want to go to work.. that sounds wrong I know... but when people trigger you and continously trigger you over and over in a short period of time... I lose my wits and go off... it's gotten ten times better but it's not perfect.... I don't understand it.. it's just hard.. I see two therapists as well and this is the stuff we discuss... I did great for 3 months.. but i always end up stumbling. . And unfortunately that's not good enough for some people.... someone