Vocal twitching may also be caused by neurological factors and does not need to be treated if it does not cause symptoms of hoarseness. Usually try to distract yourself. If you are highly nervous and pay special attention to the area of your voice when you are speaking, you are prone to this condition, and some of them may be caused by muscle spasms in the larynx. If the hoarseness is obvious, you need to go to an otorhinolaryngology clinic for a laryngoscopy to rule out the diagnosis. You should also try to strengthen the protection of your voice. Avoid talking for a long time, avoid shouting loudly, and eat less spicy and stimulating food.