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I have trouble with volume one-on-one also, tho I can boost it up when speaking in public. (I did have what some would call a panic attack but was more like a p--sed attack when I had to substitute for one of my oversleeping workers and introduce a speaker whom I wanted to impress; I was so mad, I had a difficult time getting enough breath to utter a sound. Stress will do it!) I also have trouble with articulation of certain sounds, i.e. double esses, ells and p's-- the word "particularly" wraps my tongue in a knot. My speech deteriorates as the day goes on; by 9pm I'm often hoarse and a bit mumbly. Meds don't seem to matter. I have not had any speech therapy but I do practice the exercises in the APDA booklet on speech problems--when I remember to--and sing every chance I get. Kathy Kunz, 61/d94/sym92