Forgetting words mid sentence

Has anyone here such issue? I struggle with it for at least 20 years (I'm in my late thirties) and it happens consistently,  that I forget words that I already know. It happens in all foreign languages I speak (English,  German and Russian) and also in my first language. 

It causes me a lot of stress frustration and anxiety, that I will forget the word again. I tried to research on it, because I got afraid that I may have developing Alzheimer, but it seems to not be the case. This is what I found in Google: 

  • Passive vs. active vocabulary: You may understand a word when reading or listening (passive vocabulary) but struggle to recall it on the spot for speaking (active vocabulary).

I don't experience any other memory changes over the years, I have brilliant biographical memory (I remember events like movies with unusual precision and details, also events that occurred and places I visited as a toddler). I seem to relate to this piece of information above. Does anyone else experience this? How to deal? I remember a situation before my B2 German exam, I prepared speeches in various topics, given in advance. But I really struggled to recall some words and they were quite trivial words. One of them was Spedition.  This is an international word, that sounds similar in all the languages I speak. And still I had to repeat this word before the exam because I noticed I tend to forget it frequently in speech. And as a result I forgot this exact word during the exam. I got maximum points anyway. I have good linguistic skills but this problem made it impossible for me to become a translator (once my dream). 

Does anyone here relate to this? How to deal? I recall once I saw a video of a youtuber Orion Kelly, he mentioned this issue and it was supposed to relate to autism. It was just one youtuber and maybe the information is fals. I tried to check but couldn't find anything else about it.

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  • I do get this quite a lot and like you have looked into the possibility of it being dementia or anomic aphasia - luckily both were discounted as the cause.

    It does seem related to a weaker mental connection to the word we are trying to recall so the technique I use is to either substitute another word or to pivot the sentence I am talking about to something else to avoid stalling there.

    So if I was talking to someone about this thread and I couldn't recall the word dementia I would either use:

    "AlienOn3ath said that they had checked for ... (the word dementia isn't coming to me) other mental issues around this and"

    or to pivot

    "AlienOn3ath said that they had checked for ... (the word dementia isn't coming to me), you know what, they checked all the normal stuff and drew a blank.

    Both save embarrasment and still get the point across.

    Being autistic we probably have a drive to complete the sentence properly and this was the tough thing to let go of for me.

  • Being autistic we probably have a drive to complete the sentence properly and this was the tough thing to let go of for me.

    Absolutely,  I always prepare it in my head and it must be perfect as I want it. Or i get frustrated with myself. Thank you for your response. 

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