The most common and most likely answer to this crossword clue is the 3 plus 4 plus 2 letter word OUT WITH IT
I've seen this crossword clue in The Daily Telegraph
O
U
T
W
I
T
H
I
T
Buddy explains!
The straight part
We know that "Say what you’re thinking" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case say what you’re thinking = out with it.The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.