For me it is like leaving on Audible while turning the dial on an old radio while talking to a therapist (but the therapist is me), while hearing ridiculous criticism and judgment of myself and everything around me. It is never quiet. 

There is a moment, maybe 45 seconds after I wake up that I hear them all slowly turn on to make the horrible cacophonous sound I wrestle with all day and I feel my stomach drop. Not again.