I just put my finger on something that's been bugging me for years: I always feel like I'm choking when I speak.
My son was watching Dora the Explorer (hang on with me here). Although I can't stand watching cartoons, sometimes I'm a trooper for my little boy and I'll occasionally chime in along with the show . Dora says "el tren." So I say "train", then, "el tren"...and I instantly noticed the choking feeling go away when I said it in Spanish.
And when we went to France I felt so free and instantly fluent; it felt so natural...I did not have that choking feeling.
Do I need speech therapy? Or is English a really chokey language? I'm entirely open to the idea that I may need speech therapy.