Unfortunately it effects your entire life, the anxiety, the fear the embarrassment and all the other emotional roller coaster we go through on a daily basis.. I've never been able to accept it, I avoid "speaking" and only do it if I have to. I know there are people on here who say just get on with life and don't let it effect you, but I don't see how that's possible, it does impact on the decisions you make, relationships, jobs etc... sorry to be negative, but that's my experience, from a lifetime of this curse