Clinical Rotation Lesson #387: Dictating is a lot like talking to yourself. At first, you only do it when you're alone. And if you can't be alone, it makes you uncomfortable and self-conscious so you do it quickly and quietly. I've been told that eventually you become completely oblivious to others and you don't care who hears you.
This is one situation in which I wish I were a bit more like the psych patients right now.