Thank you, Jody, for bringing up this important symptom!
Substituting the wrong word, anomic aphasia, embarrasses and frightens me when speaking to another, because I am afraid they will think I am crazy or demented--that is, more demented than I am. What I am having is "technical difficulties"! I try to correct my mistake quickly, to move on quickly--
In general, being slow now to retrieve and express thoughts, I am not operating at the same speed as most others. What I find is that others are apt to react impatiently and to try to spur me on (as if I were a slow, lazy horse). But I can't go faster, and the pressure, plus my attempts to speed up, take away from the communication in various ways.
I find I speak, in these circumstances, with canned thoughts and expressions. Trying to go faster than I can, a whole conversation can pass inauthentically like this. At the end, I am drained for hours, and yet nothing of value, in my view, has been communicated.
My conversations, I should explain, are not with people I see all the time as I live alone, but with friends or relatives I only see very occasionally. So these people haven't been around me that much and therefore, haven't been "trained"!
I will have to try to explain my condition, this part of it anyway, better than I have. I seldom try since my experience is that people either don't get it, or if they seem to, don't adjust their own style to work with mine. I think I need to persist!
Thank you for this recognition of a significant difficulty. It helps to put it on the social map. From here it is easier to act. This is empowering.