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54m here who is neurodivergent.
Yes, I can have a conversation with a stranger, but that was not always the case. It took years of practice to get to the point where I could be in a group or one on one and actually contribute.
The issue is, it takes SO much out of me. Where the people I'm interacting with have nice processing centers in their brains doing the bulk of the work for them in carrying the conversation. The processing centers that deal with social interaction are inactive in my brain and I have to actually think about everything going on. Which is a lot of energy to spend on conversations that really have no actual merit, other than just being social.
Think of it this way, do you remember how much energy you had to expend thinking on the last difficult test you took at school? That's how I feel after social interactions. Because I have to do virtually the same amount of thinking in that setting, that most people use on a Physics exam.
Even with my wife and kids, I have to take breaks from them. While the years have given me habits and known behaviors that I don't have to think about with them and keep our relationships healthy. I still have to do a lot of active processing to interact with them.
It sucks, but it is the way I am and always will be.