That was a big fear with me too speaking on the dissociative identity disorder dx....I thought I was going to shut down cry get interfered with often at that time that is all what was happening....My God no hearing ....I was panicking with just the thought of it. I think all of that matters the interference the shut down it will show them at what stage your in.....I have no experience with hearing I got approved the first try so I'm not sure what to tell you ...I think the best thing to do is just talk and whatever comes out comes out in the way it comes out be prepared to repeat have alters explain either incomplete what ever word comes out that doesn't make sense is what has to happen. Good luck