Even when I’m not actively doing this, my thoughts take the form of conversations.
I wouldn't say her inner dialogue is centered reminiscing or longing, which is what the article mentions in this study about those who are lonely; more so she's constantly running a post mortem on every social interaction she remembers to build a more robust "model" about how people work.
Before she was diagnosed, this tended to veer more towards paranoia and constant second guessing of herself, and often resulted in a feeling of loneliness.
Post diagnosis she is much more comfortable with these thoughts, and has used mindfulness practice as a means to stop herself from obsessing when it goes a little too far.
The thing that has helped me most with this kind of persistent rumination is to vocalise it out loud. I just use the recorder app on my phone as a "rubber duck". I say something out loud, and it's like it's been cleared out. I didn't need to address another person. Then when I do have the conversation, I'm in control of myself: the topics I bring up are more deliberate and purposeful, because I don't have a backlog to clear, and I often have my ideas prepared in articulated form, so I am a more engaging conversation partner.
I’ve had a bit of a different experience on psychedelics though. They’ve tended to explode those fears but vomit them up in a way that makes me reflect on them that I would normally subconsciously suppress. Not a very pleasant experience, but incredibly interesting, but due to other side effects I rarely try it.
That was totally impossible to do. I could speak those things out aloud, but I couldn't really do them inside my head. If someone asked me a question, I couldn't prepare an answer in my mind before speaking. And those existentially depressing places my thoguths sometimes goes to were also not accessible.
I expressed it to those around me as "I can't think", which was obviously not completely true, but I think I was so focused/grounded in the pretty overwhelming experience that my mind couldn't really waste CPU cycles on wandering or evaluating what the best answer was to a question.
Will you have linguistically formulated sentences "coming to you" without pause?
Notably, when I'm my loosest and "most authentic" socially, it just feels like the inner voice is speaking directly out, whereas most times it's more like the inner voice is giving instructions to a much less verbose underling.
I can think without formulating sentences in my head, but that's atypical for me. I'll even 'argue' in my head to help me make decisions!
I've never been in a situation where I couldn't use my inner voice, thought.
The intensity seems to vary based on my mood and wether I'm alone. I went on a week long roadtrip with some friends, and realised after a day or two that I wasn't thinking nearly as much. It was as if I couldn't. Even if I wasn't with them for a few hours. My regular dark hole of "I'll just work for 50 years and then die alone" was not accessible, even if I tried.
I've also had almost the same exact feeling when on a pretty strong acid trip, not being able to hear my inner monologue. That time it was more scary, but also really interesting and relaxing. Microdosing LSD brought most of that feeling back (not sure if placebo though), making me more focused and less sad.
I'm guessing getting to that state is a part of what mediation is all about, but I haven't really figured that out yet.