Breaking through the everything is hard. The priority shifts from "getting things said in a way that sounds right" to just "getting things said". It's not us that you need to justify yourself to, though. We know what it's like to be here, paralyzed by the everything.

As for what helps, I think that the most useful thing I've found has just been talking to people. Even if I end up talking about the same thing to a different person (or sometimes even the same person) each night for a week or so, it helps.

You're not alone...