Our expert says:
COuld very well be linked to social phobia, as well as lack of practice. A tumour would surely have declared itself in other unmistakable ways, as well, over this period of time. Do See amd discuss this with your psychiatrist, and I suspect that CBT style counselling could help you overcome the social anxiety disorder much better than drugs alone, and could also include some exercises and practice in speaking comfortasbly and fluently in front of others.
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