If I am going to deliver a speech, it is essential that my meds are on. I actually over-medicate myself before speaking. I also warm-up my voice because to public speak, I need more energy in my voice. Often I think I am talking too loud but I am not--so I am always aware of that. On stage, I like to have a high chair or something to lean against –this helps with my tremor and balance. Then I just go!