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For really difficult mental tasks, I'll actually talk to myself or write things down so that they are less chaotic since the feelings/impulses in my brain may not line up. Kind of like a buffer filling up.
Now what really bothers my wife is when we talk about how we have conversations with others. I don't necessarily think about what I'm going to say verbatim when I'm talking to someone. It's impulses like I mention above where things kind of "flash" into my brain the moment before I say it. The best way that I can think of it is that it's similar to playing a sport where you have moments to change your trajectory and movement to accomplish what you want. I know thematically what I want to say, but I don't actually build the sentence in my brain.
Hope that helps!