Hi,
I went to speech therapy with a Dr. who is familiar with working with ataxia patients. We did a lot of tongue-twisters and worked on adapting my speech style to my new needs. I am a public speaker/educator and I often do large public presentations that I was starting to get reluctant to do. We talked about things like using a microphone at all times (I never did), only booking talks for the times of day when I was least tired, sitting on a stool instead of standing up and moving around and changing my presentations to be more interactive and relieving me of all of the pressure. It seemed that most of the suggestions were how to change my style to fit my new (lack of) speech abilities and less of working with my speech to prevent any further decline. She felt that I should come back in a year or so if I felt that I needed more help, but I still feel like I have to concentrate very hard on choosing my words and speaking slower. Sometimes I feel like I have a mouth full of marbles...