Services

Areas of specialty

  • Voice disorders, including laryngitis, vocal fold nodules, muscle tension dysphonia, and many other issues

  • Gender affirming voice, and other gender-related voice and communication concerns

  • Professional voice for acting, singing, or other high vocal demand jobs

  • Upper airway issues, such as cough, throat clearing, breathing, and snoring

  • TMJ disorder, including manual therapy

  • Aging effects on voice, speech, and swallowing

  • Stuttering, including obtaining and using the SpeechEasy fluency device

  • Accent modification, including linguistic error analysis in relation to Standard American English

  • Public speaking and confident speaking

  • Neurological illnesses that affect speech, voice, language, and swallowing, such as Parkinson's

Modalities and techniques

  • SOVT exercises

  • LMRVT

  • VFE

  • PhoRTE

  • Estill Voice

  • Voice building

  • Flow phonation exercises

  • LSVT

  • SpeechEasy integration

  • Fluency shaping

  • Comprehensive manual therapy

  • Respiratory retraining / ILO

  • Mindfulness practice

  • Counseling for communication

  • Clinical hypnosis for communication

Education

  • TGNC community outreach

  • Voice workshops to the public

  • Presentations to clinicians

  • Clinician training

  • Publications and press

Evaluation

  • Perceptual-acoustic speech-voice-language evaluation: Assessing skills, obtaining speech samples, and taking state-of-the-art computer measurements

  • Perceptual-acoustic fluency evaluation: Assessing skills and taking speech samples

  • Swallow evaluation: Assessing skills during eating and drinking

Individual and group sessions

  • Individual: Rehabilitative therapy, gender affirming voice training, and professional training

  • Group: Private sessions of 2-3 people

In-office and online sessions

  • In-office: Private therapy suite in a profesional building

  • Online: Regulated by telepractice licensure law; clients located in New York, New Jersey, and Pennsylvania are automatically eligible; some clients located elsewhere may also be eligible. Platforms hosted: Zoom, Doxy.me, Skype, Webex, Facetime; other platforms may be possible if hosted by the client.

Time commitment

  • Depending on the exam, the first consultation is 60-90 minutes and therapy/training sessions are 45 minutes.

  • Therapy/training typically occurs 1x/wk and then less often as you progress. The length of an intervention period varies widely depending on the issue and the individual case.

  • In addition to attending regular sessions, you typically will be expected to practice exercises daily and be mindful of speaking techniques in conversation.

Financial commitment

  • Fees are discussed upon request.

  • All sessions are in-network with Medicare, and out-of-network with Medicare Advantage and all other private insurances. If you do not have Medicare, you would be expected to pay out-of-pocket at the time of each session, and a receipt is provided to you upon request for you to submit to your insurance company for possible reimbursement. If you pay out-of-pocket, you may also request a Good Faith Estimate of the amount of the entire treatment at any time.