Speech is the ability to convey our thoughts and requirements to others. We usually don’t experience speaking difficulty – and therefore, if sometimes it happens, we take it for granted. However, you should be very careful if you notice any changes in your speaking pattern – such as  difficulty in getting proper words or talking in an unusual manner or when you want to say something, but utters something else. Speech problems can come on suddenly out of the blue – which may or may not be temporary. Which means, you could have lasting impact. Your speaking difficulty can be attributed to any of the following factors or may be due to something else.

Anxiousness or Stress

Tiredness, weakness or fatigue can disturb your speech – which means you may not be able to say correct words. The effect can be seen as usage of improper words, inability to think of using proper words, speaking with low pitch of sound or jumbling words while talking. In some embarrassing situations, you may find it difficult to use correct words – owing to nagging worry or fear about being adjudged as shy person by others. In a nutshell, certain social situations that make you completely out of sorts can make you struggle to talk as well.

Have you ever noticed why you do not speak properly especially when you are nervous – in situations where you have to speak in front of a huge number of people or crowd. In such situations, anxiety leads to panic attacks during which the mouth becomes dry, hands shake and becomes cold and words do not come properly. Getting nervous is natural, but feeling troubled, anxious and worrying too much in a certain unexpected situation can make you stumble and thus hinder your speaking ability. In such situations, just follow a simple rule – don’t try to become a perfectionist rather be natural, remove the pressure and take deep breathe. If you do so words start flowing. Once you get into the groove, your speech becomes eloquent.


Excessive alcohol consumption leads to slowing down of your brain and your speaking abilities as well. Your brain becomes less responsive to what you are saying due to presence of alcohol in the blood as a small percentage of alcohol breaks down in the liver and major percentage remains in the bloodstream. The effects are quite prominent and become long-term in heavy drinkers.


There are certain prominent signs and symptoms of stroke – among which slurred speech in one. The other major signs of stroke include numbness and weakness in arms or legs or weakness in one side of the body (one arm and one leg) and drooping face. Stroke occurs when the oxygen supply to the brain gets cut of due to a blood clot in the blood vessel carrying blood to the brain. The other symptoms apart from slurred speech may include, difficulty understanding and inability to talk. In some cases, stroke may lead to permanent language problems (aphasia).


Migraines, especially when they are severe, can also cause language problems. However, the effect is temporary. It is known as transient aphasia. Certain peculiar symptoms that are associated with migraines in some people especially before migraine are known as auras – appearance of bind spots or flashing lights, blurred vision and confusion. Trouble speaking, delirium, sensitivity to light, smell and sound and dizziness are the other symptoms of migraines that may or may not be associated with auras.