Can't say if I really know but I wonder if drugs and therapy would help. Drugs might calm down the images in your head. Group therapy might help you practice focussing on what others say and responding to what they said. Responding to peoples posts on here might also give you practice with your communication skills. I have some days where when I respond to posts, I feel like I said something that connects while other days, I have given TMI or go off on tangents that are more about me than the Poster! However, responding to posts does give us social practice IMO. It's like training anonymously here where we are slightley safer than IRL. I think we can improve our communication skills through practice and study. I hope you keep posting and trying!!