I suffer from SCA and the most embarrassing part of my condition is the decline in my speech. I'm waiting to see a Speech Therapist, but might be six feet under by that time. Canadian Health System is not the best right now, like many others in the world.My best tip to help with speech decline, is to go to Tongue Twisters online. Practice some of them daily (out loud) and try not to laugh too much. They are hilarious, and after all, laughter is supposed to be the best medicine.
I wish you all well who are reading this.