High-Pitched Adult Voice? Voice Therapy for Puberphonia – Updated 2025

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High-Pitched Adult Voice? Voice Therapy for Puberphonia

Orginally Published in 2022 but updated in 2025 to fully reflect latest information for voice therapy

Do you feel like your voice never fully lowered after puberty? Many adult males struggle with a high-pitched voice that doesn’t match their age. This condition, known as Puberphonia or mutational falsetto, is more common than you might think.

The good news is that online voice therapy is highly effective in treating it, helping you achieve a strong, natural adult voice.

What causes a high-pitched voice in males?

During puberty, the male voice typically breaks and drops about an octave. When a high-pitched voice persists after puberty, it is called Puberphonia (or mutational falsetto).

  • Typically, the vocal folds are healthy and normal upon examination.

  • You may feel your voice never fully broke and lacks power.

  • Speaking can feel effortful or even tiring.

  • You might occasionally produce a deeper voice but cannot sustain it for long periods.

  • Puberphonia is usually functional, meaning your vocal cords are physically capable of producing a normal adult pitch, but habitual speaking patterns keep your voice high.

The good news: Private online voice therapy can retrain your voice so it sounds deeper, helping you feel more confident.

Why is my voice so high?


A high adult voice often results from:

  • Holding your larynx too high due to habitual speaking patterns

  • Anxiety or self-consciousness affecting vocal tension

  • Difficulty adjusting to voice changes during puberty

  • Compensatory habits after throat strain

Private online voice therapy can lower your pitch safely, reduce tension, improve projection, and increase vocal stamina.

What does Puberphonia (mutational falsetto) sound like?

Puberphonia (mutational falsetto) sounds like:

  • A high-pitched voice that doesn’t match your age

  • Pitch breaks or cracking

  • Difficulty projecting your voice

  • Tension in the laryngeal muscles

  • Vocal fatigue or strain after speaking

Many men report feeling like they “sound like a teenager” or are misunderstood on the phone. Therapy helps achieve a deeper voice.

Do I need surgery to fix a high-pitched voice?

Surgery is almost never required for Puberphonia. In most cases, the condition is functional, meaning the vocal cords are physically normal but speaking habits keep the voice high. The most effective treatment is voice therapy, which retrains the voice to produce a deeper, natural pitch, reduces tension in the throat, improves projection, and builds vocal stamina. With consistent therapy, most men achieve lasting results without the risks or recovery time associated with surgery.

Can I do therapy for puberphonia (mutational falsetto) online?

Yes. Private online voice therapy for puberphonia is highly effective and can be done from the comfort and privacy of your own home. Therapists guide you through exercises, monitor your progress, and help you achieve a deeper voice safely and conveniently.

How many sessions are required for Puberphonia (mutational falsetto)?

The results of voice therapy are excellent. Most people require 6–8 weekly sessions following an assessment. Therapy focuses on:

  • Lowering your pitch

  • Reducing tension in the throat and laryngeal muscles

  • Improving projection and vocal stamina

With dedication, most men achieve a deeper voice that boosts confidence in social and professional situations—all while learning online at home.

Do you have a waiting list?

No - you can be seeing within one week of your consultation.

Why Choose The Speech Network?

Our UK-based private voice therapists are all Clinical Specialists in Voice, each with a minimum of 12 years’ experience. They currently work, or have previously worked, as Senior Voice Therapists within the NHS.

All our therapists are fully registered and accredited, including:

  • Health and Care Professionals Council (HCPC)

  • Royal College of Speech and Language Therapists (RCSLT)

  • Association of Speech and Language Therapists in Independent Practice (ASLTIP)

  • Members of the British Voice Association

Our private voice therapy team is highly rated, with outstanding 5-star Google reviews and recognition as a 2024 Quality Business Award winner.

Specialist Training & Accreditation


Our private voice therapists are accredited in:

Our UK based Private Voice Therapists are Clinical Specialists in Voice. Book a free 15 minute consultation or email us at thespeechnetwork@hotmail.com to enquire about our reasonable fees for Voice Therapy.

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