Absolutely. At times I feel a fog come over me and I just hang in and do my best to communicate what I want, need or feel. I have asked and nobody notices like I do, so its not the big deal I make of it in my head. For me most of it comes from an internal critic that is stronger than is helpful to me. To counteract if I choose to use nurturing thoughts at the same time and before and after an intense interaction with others. For me it takes willingness and practice. I really enjoy the process now. The critical thoughts are Ok I cant shut them off like a switch but its awesome to see how quite I can make them with hard work. It very rewarding when I do thing I never would before with or without medicine and see that so much is capable when critical thoughts are countered with kind and nurturing ones.