This has been happening so often lately, and I'm so mad at myself!! I struggle to speak, and often have pauses and hesitations, or I stumble over words. If this isn't frustrating enough, sometimes a completely erroneous word will come out. For instance, I was trying to say something about "breakfast" today and the word "birthday" came out. It's not a big deal when I'm with family as they know a little bit about the speech issues, but I'm an office manager and have to talk to both my employees and clients. I need to be able to communicate clearly without sounding ridiculous.
Help! Is there anything I can do for this?
Help! Is there anything I can do for this?

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