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Robert F. Kennedy Jr., the distinguished lawyer serving as Trump’s Health and Human Services Secretary, has been grappling with a significant challenge during his confirmation hearing. His vocal difficulties stem from spasmodic dysphonia, an uncommon neurological condition causing involuntary muscle contractions in his vocal cords, resulting in strained or strangled speech.
At 71, Kennedy has long managed this condition, famously stating how it impacted his early speaking career. “I could speak to large halls without amplification, but at 42, I was struck with this disease,” he admitted, noting the strain it places on both listening and speaking abilities.
Spasmodic dysphonia is a subset of dystonia, affecting up to 50,000 North Americans. This condition impacts various body parts through muscle contractions, often disrupting professional areas like speech and music. Notably, individuals with the disorder experience emotional challenges and physical limitations, impacting their careers and social lives.
Treatments include medications aimed at distracting the brain and deep-brain stimulation for more severe cases. However, recovery is often long-term or permanent. A small percentage of affected individuals may spontaneously recover without treatment, though the reasons remain unclear.
For those whose condition affects speech, such as Diane Rehm and musicians, it creates unique challenges in conveying their talents. Despite significant medical advances, much about this condition remains unexplained, highlighting the need for further research into its causes and treatments.
Source: https://edition.cnn.com/2025/01/29/health/rfk-jr-voice-spasmodic-dysphonia-wellness/index.html