DianaYour story is very similar to mine. One day I noticed my voice dropping in and out and had a strangled voice when trying to talk on a conference call. I immediately thought it was just nerves and started to test myself and eventually grow extremely frustrated with my inability to "control" my voice. As my anxiety grew so did my voice problems and then it eventually led to mild depression. I sought out a Therapist to deal with the emotional issues but even as my anxiety lessened and the depression faded away with help I still had the voice issues. Finally I was diagnosed with SD and after a great deal of soul searching decided to give Botox a try. I had my first injections last week. Acceptance seems to be the key in limiting the anxiety. I wouuld highly recommend a book called "Radical Acceptance" by Tara Brach. She leads a mediation group her in DC and while the book is not about SD it does address many of the issues that we are struggling with. Best of luck to you and know that you are not alone.
