1) find another word or phrase (that you can say) that means something equal or similar to the word you are experiencing a block on. 2) sometimes I find it helpful if people who know me and know my problem briefly interrupt and say a word they know I'm stuck on... just to make things flow better and save time. Being stuck on a sound just to power through it after almost 38 years of this is so tiresome now tbh. But sometimes people constantly interrupting is annoying asf. It just depends, I guess.