Funny you say that because I think I get the same thing. A lot of my job is over the phone or video call and this happens quite a bit. Makes me look really unprofessional and can tell it really annoys people. Could be related to slurring and yeah brain fog not being able to verbalise things. Attempts to try and control this just causes more fatigue. I think when communicating in this way there is more of a demand on the nervous system which doesn’t help and harder to read social cues.

Hi James, that's really interesting, I hadn't properly thought about how this could cause further fatigue, but I think you're right. I tend to get into the situation where I realise I've interrupted someone, it looks bad, then I try to put it right and overcompensate and l think I make it look worse. This kind of loop is definitely tiring. I guess this is like what you are saying about feeling unprofessional. Sorry that you feel like that. I hope you have a good support system in your job. To a degree, it might be that we have to open and honest with people about these difficulties when we communicate (we started the podcast because we found that really difficult) although it's not always possible, especially in work environments. One thing I'm really trying to do is be kinder to myself. That we can try and do. I'm not hugely succeeding, but I'm aware of it and I can laugh at myself and hopefully I can continue to improve from there!