Headset cellular phones which may be worn continually and use voice recognition/speech activation for dialing telephone numbers and controlling other aspects of operation. Cell phones according to the present invention can include a microphone and preferably include both internal and external speakers to allow the user to communicate unobtrusively, check voice mail and conduct other activities while at the same time being able to hear ambient noise in the environment. Voice recognition/speech command functionally may also be used to generate and send touch tone or DTMF tones such as in response to call trees or voice recognition/speech activation functionality used by airlines, credit card companies, voice mail systems, and other applications.