That's the best way to describe it. It's like I'm gone in my head all the fucking time. Thinking, ruminating. And feeling conflicted, guilty, and confused. And when I'm thinking it's like I can speak normally, but when I talk everything comes out stupid. I noticed people are starting to tell me I don't make any sense. It's like I can't form coherent sentences in the moment, since I have to concentrate very hard, and I can't make a story work. I have no motivation to go to therapy or even go to the doctor. I havent showered in weeks. I still take my meds but they're not actually working. Does anyone understand? Can you give me some kind of advice? Even a "Go to the doctor you retard" will suffice 
I'm on abilify 20 mg and paxil 30 mg I think and I've been on them for a year off and on