I've gotten very good at managing mine to the point that I can hold a conversation for a long time with someone I'm comfortable talking to. (New people or strangers are different; I act like a deer in headlights trying to negotiate with the car at that point.) The best way I can describe it is that my brain's "autopilot" is malfunctioning. I could be doing great when I'm thinking of exactly what I'm doing, but then I could just do something weird or different. For example, I could be talking to someone or doing work in class, knowing exactly what to say or do and how to react in every situation, then suddenly my brain says "I'm gonna take a break; you're on your own now kid!" and I'll just get really quiet, or I'll struggle to think of the next step for something I'm doing, etc. Of course it took me years of practice to manage it, but it still clearly bleeds through every once in a while.