yes, it does, at times.

I had a year straight, every day, back in the old days.

I was frightened and scared most of the time that someone would 'encounter' me (in a group therapy session, someone I feared, and I'd lose my voice, and not say anything). Those were very difficult times. It affected me for a long time.
It took me years to find my own voice again. This was not a successful outcome.
I had to make it one, eventually.

Thankfully, there was one-on-one psychotherapy also, which wasn't nearly as bad.

I think we have to get past the hard part, just do it, be honest, and hope for the best. No matter what it feels like today, there is hope - because feelings change, sometimes in 15 minutes or is that cravings? lol

Anyway, hang in there. It will improve and you will be enlightened.

For all I went through, enlightenment is the prize!!!!

Truly!

love and enlightenment,
night