She seems to have gotten somewhat better about it, it's just that streaming makes her happy and is her dream job. People like that don't like taking breaks. Her being sick, the stress, not getting good sleep, and every other thing is probably just compounding and making her problem worse than it actually is. She has talked about putting on like a deep voice way back before Pippa when talking to family and others. I wonder if she still does that but for streaming and everything else if so it probably doesn't help with her throat problems.