Voice disorders

Many people develop a voice problem related to an upper respiratory infection, other laryngeal changes, or phonotraumatic behaviors, such as yelling or speaking for long periods. Online meetings or speaking over noise also pose particular challenges. It is important to see an laryngologist if you notice changes in your voice to rule out any physical pathology that may be contributing to your voice problem. I address unwanted vocal behaviors that have developed due to challenges from speaking demands and/or vocal pathology or illness. Some include:

• Vocal fold masses or growths, such as nodules, polyps, or cysts

• Laryngopharyngeal reflux

• Paresis, paralysis, or vocal fold bowing

• Muscle tension dysphonia

• Vocal aging

• Scarring or sulcus vocalis

• Puberphonia (pitch that never lowered enough with puberty)

• Spasmodic dysphonia

• Inducible laryngeal obstruction (ILO, aka paradoxical vocal fold motion), which can manifest as a cough, breathing difficulty, or a choking sensation

• Neuropathic throat pain

• Please refer to the neurological disorders page for other conditions

With a perceptual-acoustic speech-voice evaluation, I can determine whether the way you speak is a cause or an effect of the voice problem (or both), and whether therapy is a good treatment option for you. You likely will also need a videostroboscopy exam by a laryngologist to visualize the larynx to rule out any anatomic or physiologic problem. Some areas to work on in therapy include vocal hygiene, resonance, breath support, breath control, and relaxation of the tongue, jaw, face, neck, and shoulders during speech. In addition to vocal exercises, I may employ hands-on manual therapy (in a chair or on a massage table) to address chronic tension in the larynx, hyoid, tongue, face, and jaw. Yet another tool I utilize, if you are interested, is clinical hypnosis. This can be a useful way to address chronic pain, breathing problems, or upper airway sensitivity through somatic perception (tuning into your body and shifting sensations). To learn more, check out the clinical hypnosis page of this website.

I coordinate your therapy with other relevant interventions that you may be receiving, such as medicine, surgery, or physical therapy. Should you be in need of voice surgery, my therapy can serve as a rehabilitative supplement to surgery as a way of quickening and maximizing the results, and avoiding recurrence of the problem.

If you are a professional voice user (singer, actor, teacher, or professional whose voice is a vital part of your job), please refer to the professional voice page of this website for more information.