I have always been anxious &amp; my anxiety has effected my speech : crackling voice, unable to get words out, generally pitchy voice.
In the past I have mostly had social anxiety— and can remember only a few times where I’ve had a full blown panic attack and all were in stressful social situations. 

However, the woman I sat next to at work just died and I was very close with her. I have gone to grief counseling as suggested by my employer but 3 months later I’m not sure I’ve improved. I have been having panic attacks shortly after leaving my office. Her desk has been removed but I still walk past her area every time I go to mine and it tears me up. I recently had a panic attack and had to leave a yoga class after work because I couldn’t control myself and couldn’t stop crying. 

 I am planning to see a psychiatrist and am hoping she can give me something that will help and improve my speech at the same time.