Jokes aside, yeah, I have no internal dialogue, I at best have an internal monologue if I'm specifically trying to express something in language (e.g. to write it down like now).
I wouldn't say I think in "symbols and visual elements" as I also have aphantasia, which means y'all literally seeing pictures (or even being able to place imagined objects in your perception of the physical space around you) in your head feels equally weird to me as the voices.
I find it hard to imagine my future selves ("Where do you see yourself ten years from now?" is hard to answer for me because I literally can't) and feel detached from my past selves (memories are somewhat abstract because of my aphantasia), but I've read that this may be related to my autism. I can anticipate changes/events but it's more like seeing a cartoon sketch than directly interpolating the present and the predicted outcome.
My thinking is definitely spatial though. If I work on anything that requires focus, I sense concepts I work on persisting outside my "peripheral vision" much like you'd perceive a faint directional noise.
I also have terrible memory when it comes to names and dates or mathematical formulas (or chemicals for that matter). I find it easier to memorize processes (if they have a logical flow), which is probably how I ended up in programming.
Oh, and I am terrible at perceiving things like hunger or needing to pee until it's urgent, but that again seems to be an autism (or ADHD) thing.
Language is more like a tool than an innate part of me.