"It's hard to talk when you want to kill
yourself.
That's above and beyond everything else, and it's not a
mental complaint-it's a physical thing, like it's
physically hard to open your mouth and make the words come out.
They don't come out smooth and in conjunction with your brain
the way normal words do; they come out in chunks as if from a
crushed ice dispencer; you stumble on them as they gather behind
yuour lower lip. So you just keep quiet."