Hello,
I haven't been able to speak normally for over five years now, since I was 17. I've smoked regularly in those five years, and drank for most of them, which hasn't helped -- but those can't be the only operative factors. Before age 17, I either hadn't been able to or hadn't been in the habit of projecting my voice beyond a low shout. Now, my voice quality is horrible and my ability to project is nil; every conversation I have is compromised, no matter the environment.
I understand that chronic voice problems like mine can be elusive of diagnosis and treatment. I haven't had myself checked (why?? I don't know). If anyone has any thoughts, I'd appreciate anything.