That feeling that you are a liar who is always lying to yourself and you are both untrustworthy for lying to yourself and gullible for believing yourself. And little things like failing to get the ten competing but complementary and codependent thoughts out of your head in a way that others understand further reinforces the feeling that you are being deceptive even though you are trying really hard to be as complete and thorough and accurate as possible.

Stimulants and a reliable support network do help.