“When I am in a situation where I feel uncomfortable about speaking but it is necessary for me to speak, or if I feel 'put on the spot' my voice sounds strained, really weird, and it feels as if I have no control over how I sound in these situations. Sometimes then my voice is barely audible and I am frequently asked to repeat myself. Attempts at speaking are often embarrassing, shaming experiences for me. I sound quite different when speaking with someone I am more relaxed with, but I don't like the way my voice sounds at the best of times; I was horrified when I heard a recording of myself. Because of this inhibition about speaking, I have never learned to project my voice or to use it effectively. I often feel that I could no more use my vocal cords to break a silence, to get somebody's attention or to initiate an interaction than I could run through fire or do something dangerous in my life.”