I would rather make a joke at the detriment of getting respect or trust, than stay silent or say the obvious.

I would rather fill the air with blether than sit bored with the usual run of the mill talk.

I talk in emotive terms and exaggerate to make myself understood.

This is not an illness, it's just a way of thinking that I seem to have cultivated. The down side is that I'm a bit of a dick. The up side is that I really try to hold the community of people I work with together with a fun way of expressing ourselves. When it works it's fun. I realise that a few people who are accustomed to presenting their ideas to me will have some adjusting to do when they come to work with others.

The downside is when I can't get the message across. When the communication style is not working, when the common language isn't there, when I can't get what I expect... Then I'm useless.

That's the next frontier. Either learn to appeal more broadly, or accept a broader range of contributions from other, or filter whom I work with more carefully.

Right now, everything's working just fine.