Probably the most common way I express distress is by becoming mute. When my anxiety gets so high and I feel incapable of expressing it without having a tantrum, I feel like my vocal folds vanish from my body. Weirdly enough I regain the ability to laugh and sing before communicate before the ability to talk. If I am lucky, I can use my phone to text my thoughts. But it’s as if I just lose my ability to communicate and I am at risk of becoming totally frozen.