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Symptoms of spasmodic dysphonia can come on suddenly or gradually appear over the span of years. They can come and go for hours or even weeks at a time, or remain consistent. Gradual onset can begin with the manifestation of a hoarse voice quality, which may later transform into a voice quality described as strained with breaks in phonation. [6]
MTD is a unifying diagnosis for a previously poorly categorized disease process. It allows for the diagnosis of dysphonia caused by many different etiologies and can be confirmed by history, physical exam, laryngoscopy and videostroboscopy, a technique that allows for the direct visualization of the larynx, vocal cords, and vocal cord motion.
The term "telephone apprehension" refers to a lower degree of telephone phobia, in which sufferers experience anxiety about the use of telephones, but to a less severe degree than that of an actual phobia. [5] Sufferers may have no problem communicating face to face, but have difficulty doing so over the telephone.
Stage fright or performance anxiety is the anxiety, fear, or persistent phobia that may be aroused in an individual by the requirement to perform in front of an audience, real or imagined, whether actually or potentially (for example, when performing before a camera). Performing in front of an unknown audience can cause significantly more ...
Even with this being the case, middle adults are still better at coping with intrusive thoughts than early adults, although processing an intrusive thought takes middle adults longer. [37] Older adults tend to see the intrusive thought more as a cognitive failure rather than a moral failure in opposition to young adults. [ 38 ]
Pressure of speech (or pressured speech) is a speech fast and frenetic (i.e., mainly without pauses), including some irregularities in loudness and rhythm or some degrees of circumstantiality; it is hard to interpret and expresses a feeling/affect of emergency.