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Why Is My Singing Voice Hoarse? – Private Voice Therapy and Vocal Coaching for Singers

Targeted voice therapy for the spoken voice to stabilize and protect it, then we gradually progress into singing exercises. This structured approach helps singers recover, strengthen, and safely expand their voice while reducing the risk of further damage.

women singing with mic

Why Is My Singing Voice Hoarse? – Private Voice Therapy and Vocal Coaching for Singers

If you’re a singer, nothing is more frustrating than your voice not working the way it should. Maybe your high notes feel unreachable, your voice sounds hoarse, or singing is physically uncomfortable. Even small changes can be stressful, affect your performances, and have a real impact on your singing—whether it’s your career or your hobby.

Many singers experience vocal strain, vocal nodules, or muscle tension dysphonia (MTD), and often struggle because they’ve never been taught the techniques to sing safely, maintain vocal health, and prevent damage to their voice.

Our private voice therapy and vocal coaching for singers helps you recover your voice, improve technique, and sing with confidence—with no waiting list.

Why is my singing voice hoarse?

Hoarseness can develop from vocal nodules, muscle tension dysphonia (MTD), or other voice-related conditions. Many singers experience challenges with both their speaking and singing voices, often due to overuse, demanding schedules, or insufficient vocal technique. Seeking help early is essential to prevent long-term damage. We recommend asking your GP for a referral to an ENT specialist for assessment. In the meantime, we are able to support singers while they await their appointment, helping them care for and protect their voices. The waiting lists for NHS voice therapy can be months so its best to start voice therapy as soon as possible to get you on the road to recovery.

Why have I lost my high notes?

When the voice is affected by Muscle Tension Dysphonia (MTD) or Vocal Nodules, the fine adjustments needed for higher pitches become much harder.

  • With Muscle Tension Dysphonia (MTD), excessive muscle tension around the larynx makes the vocal folds stiff and less flexible. High notes require the folds to stretch, thin, and vibrate quickly, but tension prevents this movement, so the upper range often feels strained, tight, or unreachable.

  • With vocal nodules, small swellings develop on the vocal folds from repeated strain or overuse. These prevent the folds from closing and vibrating cleanly, especially on delicate high notes, which may come out breathy, weak, or disappear entirely.

Because high notes rely on precise and efficient vocal fold movement, they are often the first part of the range to be affected when there’s a problem. The good news is that with the right voice therapy and targeted singing exercises, it’s possible to reduce strain, protect your voice, and gradually regain your full upper range.

Why does singing feel painful or tight?

Singing can feel painful or tight when the voice is affected by muscle tension dysphonia (MTD) or vocal nodules. cause excess tension around the larynx makes the vocal folds stiff and less flexible, so producing notes — especially higher ones — requires more effort and can feel uncomfortable. Nodules, small swellings on the vocal folds, interfere with smooth vibration and closure, often causing strain, fatigue, or a tight sensation in the voice.

Straining the voice without professional guidance can make these issues worse, which is why expert therapy is so important.

Through therapy, underlying tension is released, breath support and technique are improved, and vocal stamina is gradually rebuilt. This approach helps singers restore comfort, ease, and confidence in both speaking and singing. With consistent practice and skilled guidance, most singers are able to sing without pain and regain control over their full vocal range.

Can overuse or demanding schedules damage my voice?

Yes. Long rehearsals, consecutive performances, and teaching or recording can strain your voice. Repeated strain makes it harder to sing high notes, maintain stamina, or speak comfortably.

Our private voice therapy and vocal coaching addresses overuse with:

  • Safe vocal techniques

  • Vocal stamina training

  • Recovery strategies between performances

This helps you maintain a strong, resilient voice, even under demanding schedules.

Can a vocal coach help with a damaged voice?

Absolutely. Our private voice therapy and vocal coaching for singing combines clinical expertise with practical singing guidance to address:

  • Technique – ensuring healthy, efficient vocal production

  • Muscle tension – releasing strain that can limit range or cause discomfort

  • Stamina – building endurance for both speaking and singing

  • Performance demands – preparing the voice for real-world singing and speaking situations

We begin with targeted voice therapy for the spoken voice to stabilize and protect it, then gradually progress into singing exercises. This structured approach helps singers recover, strengthen, and safely expand their voice while reducing the risk of further damage.

What does voice therapy involve?

Voice therapy depends on your diagnosis and individual needs. Our UK-based specialist speech and language therapists offer personalised techniques to improve voice quality, stamina, and overall vocal health.

This may include:

  • Improving voice projection and resonance

  • Vocal hygiene and reducing harmful vocal behaviours

  • Releasing muscle tension through relaxation and semi-occluded vocal tract exercises

  • Increasing vocal stamina to prevent fatigue

  • Managing reflux (LPR) affecting vocal health

  • Structured exercises to strengthen and balance your voice

Our private voice therapists are highly qualified and accredited in a range of specialist techniques, including:

Therapy is tailored to help you sing and speak with confidence, comfort, and endurance.

Can I have voice therapy with the NHS?

Yes. An ENT consultant may refer you to a NHS Voice Therapist, but waiting lists can be long. Many singers choose private therapy to start sooner due to work, performance, or income pressures.

Do you have a waiting list?

No. We have no waiting list and can usually book you in within one week of your consultation, so you can start without delay.

Why should I choose The Speech Network for voice therapy and vocal coaching?

  • Expert Voice therapist with stage experience: Our voice therapist is a trained singer who performed for 10 years in the West End, providing insight that bridges therapy and performance.

  • Vocal coaching expertise: Our coach has 17 years of experience with professional and amateur singers, including teaching at prestigious acting schools.

  • Stepwise, performance-focused approach: We begin with speaking voice rehabilitation, then carefully progress into singing exercises to build stamina, range, and control.

  • Immediate access: No waiting list—therapy can start quickly.

This combination ensures singers recover, maintain, and enhance their speaking and singing voice safely and effectively.

Our UK based Private Voice Therapists are Clinical Specialists in Voice with a minimum of 15 years experience Specialising in Voice Therapy.

Book a free
15 minute consultation or email us at thespeechnetwork@hotmail.com to enquire about our reasonable fees for Private Voice Therapy.

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Can stress and anxiety cause hoarseness? Understanding Muscle Tension Dysphonia (MTD).

Chronic hoarseness is often a sign that your body is carrying tension, stress, or anxiety — and your voice is simply showing it. You’re not alone, and experiencing this is completely normal.

grey rop with blue background

Your voice feels hoarse, scratchy, or tired — not just once, but every day, especially in the evenings after a long day of teaching, talking, singing, or leading online meetings on Zoom. Maybe it happens even more when you’re feeling stressed or anxious. It can be frustrating, and it might make everyday conversations feel like hard work.

Chronic hoarseness is often a sign that your body is carrying tension, stress, or anxiety — and your voice is simply showing it. You’re not alone, and experiencing this is completely normal.

What is Muscle Tension Dysphonia (MTD)?

Muscle Tension Dysphonia (MTD) is a voice disorder caused by excessive tension in the muscles around the larynx (voice box), neck, jaw, and shoulders. It can make your voice feel strained, hoarse, or fatigued, and it often worsens with prolonged voice use (Mathieson & Morrison, 2018).

How does stress or anxiety cause Muscle Tension Dysphonia (MTD)?

Stress and anxiety can affect your voice in multiple ways:

  • Muscle tension: Stress naturally tightens the muscles of the throat, neck, jaw, and larynx, making speaking or singing harder and uncomfortable — a hallmark of MTD (Behrman & Epstein, 2001).

  • Breathing changes: Anxiety often causes shallow, upper-chest breathing, raising your shoulders and taking in less air. Over time, this reinforces tension in the throat and neck, contributing to Muscle Tension Dysphonia (MTD) (Verdolini et al., 1994).

  • Vocal fatigue: Chronic stress can make your voice tire more quickly. Even short periods of talking may leave you hoarse, and prolonged use worsens Muscle Tension Dysphonia (MTD) symptoms (Roy et al., 2004).

  • Work-related stress: When Muscle Tension Dysphonia (MTD) affects your voice, it can become unreliable, which is stressful at work. You may worry about straining your voice, performing well, or the financial impact of time off, especially when using your voice heavily for teaching, meetings, or online calls.

  • Emotional signaling: Hoarseness or tightness often reflects the stress or emotions you’re carrying. Your body is signaling it’s overloaded and needs help (Behrman & Epstein, 2001).

How is Muscle Tension Dysphonia (MTD) diagnosed?

Muscle Tension Dysphonia (MTD) is usually diagnosed by a voice specialist or ENT (Ear, Nose, and Throat doctor). During an examination, an ENT may use laryngoscopy or endoscopy to look at your vocal folds. In most cases of MTD, the vocal folds appear normal structurally, even though you experience hoarseness, strain, or vocal fatigue. This is why MTD is often described as a functional voice disorder, meaning the problem is in how the voice is being used, not in the anatomy itself (Mathieson & Morrison, 2018).

What are the symptoms of Muscle Tension Dysphonia (MTD)?

The most common symptoms of muscle tension dysphonia include:

  • Voice that sounds hoarse or strained

  • Voice becomes weaker and more effort the longer your voice is used.

  • Difficulty singing notes that used to be easy.

  • Pain or tension in your throat 

  • Feeling like there is something in your throat that needs to be cleared. 

How common is Muscle Tension Dysphonia (MTD)?

Muscle Tension Dysphonia (MTD) is surprisingly common, especially among people who use their voices a lot:

  • Teachers: About 1 in 5 report work-related voice problems (Roy et al., 2004).

  • Singers: Around 46% notice dysphonia at some point (Roy et al., 2005).

  • Other professional voice users: Actors, broadcasters, and public speakers — nearly 4 in 10 experience similar issues (Roy et al., 2004).

In voice clinics, Muscle Tension Dysphonia (MTD) is one of the most frequently diagnosed voice disorders. Many patients seeking help for chronic hoarseness, strain, or vocal fatigue are found to have Muscle Tension Dysphonia (MTD) as a primary or contributing factor (Mathieson & Morrison, 2018).

Can Muscle Tension Dysphonia (MTD) be treated?

Yes! Voice therapy is the treatment for muscle tension dysphonia.

  • Release tension in the larynx, neck, jaw, and shoulders

  • Improve breath support and posture

  • Teach strategies to manage stress and prevent vocal strain

  • Make your voice more reliable and comfortable for work, teaching, or online meetings (Mathieson & Morrison, 2018)

Do you have a waiting list?

No- most people are seen within one week on the free consultation.

How long does Muscle Tension Dysphonia (MTD) last?

Muscle Tension Dysphonia if untreated can last for months or years for some people. This is because they may be in a high voice use occupation such as a teacher, manager or call center and continue to abuse their voices without treatment. The treatment for Muscle Tension Dysphonia is Voice therapy. Typically people require 6-8 sessions following an assessment.

Why choose The Speech Network for Voice Therapy?

Our UK-based private voice therapists are all Clinical Specialists in Voice, each with a minimum of 15 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)

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

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

References

  • Behrman, A., & Epstein, R. (2001). Effects of stress and anxiety on voice production. Journal of Voice, 15(2), 214–228.

  • Mathieson, L., & Morrison, M. (2018). Muscle Tension Dysphonia: Assessment and Management. Current Opinion in Otolaryngology & Head and Neck Surgery, 26(6), 441–447.

  • Roy, N., Merrill, R. M., Gray, S. D., & Smith, E. M. (2004). Voice disorders in teachers and the general population: Effects on work performance, attendance, and future career choices. Journal of Speech, Language, and Hearing Research, 47(3), 542–551.

  • Roy, N., et al. (2005). Prevalence of voice disorders among singers: A literature review. Journal of Voice, 19(3), 478–493.

  • Verdolini, K., Titze, I. R., & Fennell, A. (1994). Dependence of phonatory effort on respiratory drive. Journal of Speech and Hearing Research, 37(4), 749–756.

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What is Spasmodic Dysphonia?

Private Online Voice Therapy for Spasmodic Dysphonia with UK based Clinical Specialists.

What is Spasmodic Dysphonia?

Spasmodic Dysphonia (also known as Laryngeal Dystonia) is a voice disorder that causes interruptions to to voice (known as voice breaks) and a strained voice quality due to the muscles in the vocal folds go into spasm.

What causes Spasmodic Dysphonia?

The causes is unknown but it is considered to be a Neurological condition involving a part of the brain called the basal ganglia. The basal ganglia helps co-ordinate muscles throughout the body. There may be a family history of Spasmodic Dysphonia. Triggers may include an upper respiratory chest infection, injury to the larynx or psychological stress.

How is Spasmodic Dysphonia diagnosed in the UK?

Spasmodic Dysphonia is diagnosed by a referral via your GP to Ear, Nose and Throat (ENT). ENT will use a camera to look at your voice box. This is not a painful procedure and has very few risks. A Voice Therapist will also be involved in the assessment of your voice. It is sometimes misdiagnosed as Muscle Tension Dysphonia which is why assessment by a specialist voice therapist is advised to determine appropriate treatment.

What are the types of Spasmodic Dysphonia?

Adductor Spasmodic Dysphonia is the most common type with around 87% of people being affected. The sudden involuntary movements cause the vocal folds to come together and stiffen. The voice may sound strained, and words might be cut off because of the spasms. Stress can make the muscle spasms more severe.

Abductor Spasmodic Dysphonia : The spasms cause the vocal folds to remain open. The vocal folds cannot vibrate when they are open. The voice may sound weak or breathy.

Mixed Spasmodic Dysphonia: This is a very rare form of Spasmodic Dysphonia and is a combination of the two types listed above.

Who treats Spasmodic Dysphonia in the UK?

There is no cure for Spasmodic Dysphonia. Voice Therapy alongside botox injections to reduce voice strain. Botox reduces the muscle spasms by weakening the muscles. It improves the voice for 3-4 months and the voice symptoms are likely to return. Surgery may be considered but the evidence of effectiveness is limited.

Can Spasmodic Dysphonia be treated with the NHS in the UK?

ENT will typically refer to an NHS voice Therapist. However, the wait for NHS voice therapy in some areas can be substantial. Due to the impact Spasmodic Dysphonia can have on people, we see clients privately while they wait NHS therapy.

Can I have Online Voice Therapy for Spasmodic Dysphonia in the UK?

Online Voice therapy is shown to be as effective as face to face therapy. We are very experienced at providing online voice therapy in the UK and internationally.

Does Spasmodic Dysphonia ever go away?

Spasmodic Dysphonia does not go away but can be improved with treatment such as botox and Voice Therapy specificially for Spasmodic Dysphonia.

Our UK based Private Voice Therapists are Clinical Specialists in Voice with a minimum of 15 years experience Specialising in Voice Therapy. 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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How do I take care of my voice?

picture of blue water

How do you protect your voice when speaking?

Some people think that they should whisper to protect their voice. However, when we whisper we squeeze out vocal folds together causing more strain. Avoid shouting as this can damage your vocal folds. Try to talk at a normal volume. Rest your voice if you are unwell with acute laryngitus, or if your voice is becoming hoarse.

Be aware of the effect that your work has on your voice. In a job that involves a lot of talking and raising your voice - such as teachers, singers, actors or broadcasters. Try to allow yourself to have frequent voice breaks. Our voice therapists can work with you to teach you voice techniques, such as projection, so that your voice does not fatigue.

If you have developed a hoarse voice or have had recent voice changes you would benefit from your GP referring you to an Ear, Nose and Throat (ENT) Specialist for an examination.

Be aware of hobbies that might cause you to lose your voice such as karaoke or yelling at sports matches. Keep this to a minimum to let your voice recover.

What is the best thing to drink for your voice?

water in glass

Its important to keep the vocal folds hydrated. Drinking 2 litres of water a day will be adequate. Water thins out the mucous on your vocal folds, and helps them vibrate smoothly. Try to avoid caffeinated drinks such as tea or coffee as these dry out the vocal folds - try decaffenated tea or coffee instead. Cut down on alcohol or balance drinks out with drinking water. Some medications can such as those for colds or allergies. Discuss any changes with your doctor beforehand.

Can foods affect the voice?

Foods that are high in fats, salts or spice can cause laryngo-pharngeal reflux (LPR). These might be include curries, fried food or fast food. These foods can cause stomach acid to move into the throat or oesophagus, causing heartburn or reflux. If you do experience reflux, talk to your GP about possible medications. Try not to eat within two hours of going to bed at night. Watery foods that dilute stomach acid such as melon, celery or cucumber are helpful for reflux.

How does smoking affect your voice?

Smoking dehydrates and irritates the vocal folds, becoming dry and inflamed. They do not vibrate as they should. Smoking can also increase laryngo-pharyngeal reflux which can affect the voice. It lowers voice pitch and causes vocal fatigue. As smoking affects lung function, you may have reduced breath support for your voice, and feel like you are running out of breath when you talk.

There is a voice condition directly related to smoking called Reinke’s odema which causes a gravelly low-pitched voice. This is a result of the swelling of the vocal folds. Smoking can also increase your risks of vocal cord cancer. You should either stop smoking or cut down. Have a chat with your GP about advice to stop smoking.

Stop smoking. If you can’t give up, cut down. Smoking irritates and damages the vocal folds. Talk to your GP about advice to support stopping smoking.

Why do I feel like I need to clear my throat?

Throat clearing is very common when people have a voice disorder such as muscle tension dysphonia due to the tension they feel in their throat. Many people feel like they have mucous in their throat. There are many reasons, including reflux and post nasal drip that our voice therapists can support you in identifying these difficulties and providing yiou with strategies to reduce this habit. Try not to clear your throat unnecessarily. It can create excessive mucous and lead to a further need to clear your throat. Try drinking water instead or swallowing, or try steam inhalation.

In summary:

  • Stop smoking (or cut down)

  • Drink 2 litres of water a day

  • Reduce caffine - try caffine free drinks

  • Avoid spicy and greasy foods

  • Do not whisper or shout

  • Rest your voice if you are sick

  • Avoid dry and dusty enviroment.


Our Speech and Language Therapists are Clinical Specialists in Voice. Feel free to book a free consultation or email us for more information regarding our reasonable fees.

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Why Do I Lose My Voice So Often as a Teacher?

Up to 70% of teachers can experience voice disorders. This tends to occur due to overuse or misuse of your voice. You may be experiencing throat discomfort, vocal fatigue and hoarseness. In some cases teachers experience vocal nodules. Prolonged voice loss should be investigated and you can request a referral to ENT via your GP. Voice loss can affect your job performance and may cause you to be sick or absent from work as you are unable to teach.

You're in the middle of a lesson. Your voice feels tight, raspy, and unreliable. By the end of the day, you're hoarse, exhausted, or even in pain.

If this sounds familiar, you’re not alone—and it may be more than just “overuse.” Many teachers experiencing these symptoms are unknowingly dealing with a voice condition called Muscle Tension Dysphonia (MTD). Voice rest is not enough - and you keep losing your voice frequently and its affecting your work.

Why do teachers lose their voice?

Teachers use their voices a lot. Voice loss tends to occur due to overuse or misuse of your voice. But it’s not just the hours of speaking—it’s how, where, and under what pressure. Classrooms are often noisy, acoustically challenging spaces. Add in stress, lack of voice training, and few breaks, and it’s no wonder that around 50–70% of teachers experience voice problems at some point.

Our UK Voice therapists will help you identify the causal factors and put together a bespoke plan to support you in improving your voice, and prevent voice loss.

When should I worry about losing my voice?

Prolonged voice loss and Voice changes should be investigated and you can request a referral to ENT via your GP. Voice loss can affect your job performance and may cause you to be sick or absent from work as you are unable to teach. Teachers may resign due to voice issues. Your voice is your an important tool and you may need to either have voice therapy to restore your voice or improve your vocal techniques.

How can voice therapy help?

The recommended treatment for frequent and ongoing voice loss is voice therapy. Typically in 4-6 sessions we can improve your voice. We can support you with preventative techniques so that you do not lose your voice, feel strain or discomfort - so you can confidently teach without worrying about your voice.

How can I stop losing my voice as a teacher?

Speak less - take regular breaks.

Use non-verbal techniques to gain attention rather than shouting

Use audio-visual aids where possible

Use amplification where possible

Vocal hygiene to look after your voice.

Can voice coaching help me stop losing my voice as a teacher?

Our therapists are both voice therapists and voice coaches - the perfect combination to improve your voice and provide you with preventative techniques for using your voice in the classroom.

We can also support you with finding your voice as a teacher - to free your voice and speech of habits that impact on your self confidence such as speaking too fast, mumbling, speaking too quietly or unclear pronunciation. Habits are hard to break but Voice & Speech Coaching UK can provide you with strategies to change the way you communicate to be your true self.

Can I have voice therapy with the NHS?

The referral from GP to ENT can be a quick process. Unfortunatly, the wait for NHS voice therapy may take months, which could impact on your work. Our voice therapists are able to see you while you wait for NHS therapy. Voice coaching is not available in the NHS - our Voice Coaches are unique as they are also Clinical Voice Specialists.

Our UK based Private Voice Therapists are Clinical Specialists in Voice with a minimum of 15 years experience Specialising in Voice Therapy. 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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Why have I had a hoarse voice for months?

Muscle Tension Dysphonia (MTD) produces vocal symptoms without any physical damage. Muscle Tension Dysphonia (MTD) is a change in the sound of your voice due to excessive muscle tension in and around the larynx (voice box). It is very common, particularly in professional voice users such as teachers or lawyers that use their voice throughout the day to communicate.

If you have had a hoarse voice that continues for that lasts more than 3 weeks, it is recommended that you discuss this with your GP. A hoarse Voice can be caused by laryngitis but it also can be a symptom of laryngeal cancer. Therefore, your GP may refer you to an Ear, Nose and Throat doctor (ENT) who will use a camera up your nose to look at your vocal folds. This is not a painful procedure.

What can cause voice loss (also known as Dysphonia)?

Dysphonia is a change in your voice that might make it sound hoarse, breathy, strained, and weak. It may be very effortful to speak and you may experience complete loss of voice. Dysphonia may be caused by vocal fold palsy, nodules (or nodes), or Muscle Tension Dysphonia.

Why do ENT say my vocal folds look normal but I still have hoarseness?

The good news is that ENT did not find any damage to your vocal cords. However, many people are left wondering why they have a hoarse voice. Muscle Tension Dysphonia (MTD) produces vocal symptoms without any physical damage. Muscle Tension Dysphonia (MTD) is a change in the sound of your voice due to excessive muscle tension in and around the larynx (voice box). It is very common, particularly in professional voice users such as teachers or lawyers that use their voice throughout the day to communicate.

What are the symptoms of Muscle Tension Dysphonia (MTD)?

The most common symptoms of muscle tension dysphonia include:

  • Voice that sounds hoarse or strained

  • Voice becomes weaker and more effort the longer your voice is used.

  • Difficulty singing notes that used to be easy.

  • Pain or tension in your throat 

  • Feeling like there is something in your throat that needs to be cleared. 

Why do I have a hoarse voice and a feeling of a lump in my throat?

The tightness of the muscles in your throat due to Muscle Tension Dysphonia (MTD) causes people to feel that they have a lump in their throat, tightness or tension. The medical word for this feeling is ‘Globus’ and it is very common. It can be caused by main factors including anxiety, stress and reflux. It can be very effortful you to speak when they feel tension. Through Voice therapy we examine the factors that are causing you to have this sensation and aim to reduce the tension in this area.

Why do I have a hoarse voice, mucus in my throat and feel like I need to throat clear or cough?

As a result of tension people feel in their throat due to Muscle Tension Dysphonia (MTD) or Globus, people feel that they need to throat clear. Throat clearing often results in a habit of frequently throat clearing which produces more mucous. Throat Clearing is multi-factorial and we aim to reduce throat clearing through a thorough case history and voice therapy strategies.

Is a hoarse voice a symptom of anxiety or stress?

A hoarse voice as a result of Muscle Tension Dysphonia (MTD) may be linked with stress or anxiety. We all feel stress in different parts of our body and some people of vulnerable to holding tension within their laryngeal area. Our Voice Therapists have counselling skills that can support you to understand the emotional causes of your voice problem. If a voice problem is affecting your work, this can be an additional financial stress. Through voice therapy we can support you to improve your voice through vocal techniques to help you feel more relaxed.

How long does Muscle Tension Dysphonia (MTD) last?

Muscle Tension Dysphonia if untreated can last for months or years for some people. This is because they may be in a high voice use occupation such as a teacher, manager or call center and continue to abuse their voices without treatment. The treatment for Muscle Tension Dysphonia is Voice therapy. Typically people require 6-8 sessions following an assessment.

Why do i have a hoarse voice at the end of the day?

You may be losing your voice towards the end of the day due to using your voice ineffectively throughout the day. Our voice therapists will analyse the ways in which you use your voice, change your vocal behaviours to reduce strain in the laryngeal area so that you will be able to sustain your voice throughout the day.

How do I have Muscle Tension Dysphonia treatment at home?

Online Voice Therapy is as effective as face to face. This means that you can have Muscle Tension Dysphonia treatment at home.

What does voice therapy for Muscle Tension Dysphonia involve?

Voice therapy involves

  • Vocal hygiene advice

  • Bespoke voice exercises 

  • Exercises to reduce laryngeal tension

  • Improving breath support for speech

  • Reducing harmful behaviours

  • Increase vocal stamina 

  • Improving pitch and volume

  • Improving voice amplification 

Our UK based Private Voice Therapists are Clinical Specialists in Voice with a minimum of 15 years experience Specialising in Voice Therapy. 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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What are Vocal Fold Nodules?

Vocal fold nodules develop due to trauma of the vocal folds. When you use your voice incorrectly over time, the vocal folds might become swollen. These swollen areas then become nodules that are sometimes called ‘soft nodules’ but as they progress they can be called ‘hard nodules’ and be harder to treat.

karaoke image in japanese

What are vocal fold nodules?

Vocal fold nodules develop due to trauma of the vocal folds. When you use your voice incorrectly over time, the vocal folds might become swollen. These swollen areas then become nodules that are sometimes called ‘soft nodules’ but as they progress they can be called ‘hard nodules’ and be harder to treat. They usually form a pair – opposite each other on each vocal cord. Occasionally a diagnosis of a nodule on one vocal cord is made, with only some slight swelling on the opposite vocal cord.

What causes vocal fold nodules?

Vocal fold nodules are typically caused by voice misuse. This may include shouting, screaming, singing or excessive use of voice over long periods of time.

When we use our voice ineffectively and develop habits that use too much force with our voices, this puts strain on the vocal folds. Nodules are common whose work involves using their voice for long periods of time. Typical jobs might be singers, teachers or actors.  Due to the importance of communication in these jobs, a nodule affecting the voice can have a big impact on sustaining voice throughout the day. This can be very stressful when our voices are essential to our work and income.

What are the symptoms of vocal fold nodules?

You will notice voice changes such as a gradual onset of hoarseness, breathiness and an effortful voice with breaks.

When producing normal voice, the vocal folds meet fully together. When there is a nodule, this causes a gap between the vocal folds, resulting in air escape through this gap, and a subsequently breathy voice.

You may also have a lower pitch, experience throat discomfort and throat clearing. You may additionally feel some soreness in your larynx after using your voice for long periods.

How are vocal fold nodules diagnosed?

Typically an Ear, Nose and Throat Consultant puts a camera up your nose, called an endoscopy, to gain a view of your vocal folds. They will inform you of your diagnosis in this examination.

Can vocal fold nodules go away on their own?

In the acute stages, vocal nodules may resolve with voice rest alone. However, if it is due to repetitive vocal misuse, then Voice Therapy treatment will be required. Voice Therapy is first choice rather than surgery. If surgery is required, Voice Therapy following surgery to prevent reoccurrance is recommended. Online Voice Therapy for Voice is effective for treating nodules.

Can I have Voice Therapy with the NHS?

The ENT consultant will often refer you to a NHS Voice Therapist. We see people who have seen an ENT consultant privately due to a long NHS wait, or those that are waiting for an NHS appointment but are keen to get started due to the impact on their income.

How can I look after my voice?

Vocal hygiene is very important to look after your voice when you have vocal nodules.

Our UK based Private Voice Therapists are Clinical Specialists in Voice with a minimum of 15 years experience Specialising in Voice Therapy. 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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Why has my voice changed?

Voice Therapy will explore the reasons in greater depth that you lose your voice frequently. This may be due to the ways in which you use your voice ineffectively, tension within the larynx, reflux or not taking care of your voice in the best way. Voice Therapy the recommended treatment for voice disorders.

Why has my voice changed?

If your voice has suddenly changed, the most common reason for this is Laryngitis, which is a loss of voice, often alongside a cough and/or sore throat. It typically lasts 1-2 weeks. Drinking fluids and voice rest is recommended.

When should I worry about Voice changes?

If you have a hoarse voice that has lasted longer than 6 weeks, its advisable to request your doctor refer you to an Ear, Nose and Throat Consultant (ENT) for an examination of your Larynx (Voice box). A camera is put up your nose to examine your voice box. This procedure is not painful and is safe. ENT will confirm the reason for your voice changes.

What causes Voice changes?

There are many reasons that cause changes in voice. One of the reasons most people are worried about is laryngeal cancer. The earlier it is diagnosed, the easier it is to treat it, and for treatment to be successful.

There are many other reasons that you may experience voice changes. There are many other reasons that you may experience voice changes. These might be due to Muscle Tension Dysphonia (MTD) , Vocal cord Nodules or a Vocal fold palsy.

  • Muscle Tension Dysphonia (MTD) : A voice disorder characterised by a hoarse voice due to excessive muscle tension in the Larynx. It produces voice symptoms without any physical damage.

  • Vocal cord Nodules: Swollen areas on the vocal folds caused by using your voice incorrectly over a long period of time. Nodules are typically seen in children or women. People with jobs who use their voice excessively are often affected such as singers, actors and teachers.

  • Vocal cord Paralysis: Typically, one vocal cord not moving as a result of an infection or damage to the nerve due to surgery results in a breathy, hoarse and weak voice.

  • Spasmodic Dysphonia: A Neurological Disorder than affects the voice.

Following assessment by ENT, Voice Therapy is recommended for the treatment of Muscle Tension Dysphonia (MTD), Vocal cord Nodules, Vocal cord Paralysis and Spasmodic Dysphonia.

Why do I keep losing my voice?

Voice loss is ‘multi-factorial’. This means there is often not one reason. It is important that ENT diagnose the reason you are losing your voice. Voice Therapy will explore the reasons in greater depth that you lose your voice frequently. This may be due to the ways in which you use your voice ineffectively, tension within the larynx, reflux or not taking care of your voice in the best way. Voice Therapy the recommended treatment for voice disorders.

Why do I have a muscle tightness in my throat?

Voice disorders such as Muscle Tension Dysphonia (MTD) or Vocal Nodules can cause excessive tension in the larynx (the throat area) which results in a sensation of muscle tightness. Sometimes people complain about tension in their laryngeal area with no vocal symptoms or changes in voice.

People may describe an ache, constriction, or a lump in their throat. A sensation of a lump in the throat, where no lump exists, is known as ‘Globus’. You may experience a sensation that you want to clear your throat regularly. These unpleasant changes in sensation can make talking feel very effortful and tiring.

Voice Therapy can help reduce this discomfort minimising the effort you feel when speaking.

Why do I feel like I am straining my voice when I speak?

Voice Disorders can result in excessive tension in the laryngeal area. Often the voice is being used ineffectively, which causes additional strain on the larynx (voice box). You may not be projecting effectively resulting in poor amplification of sound. This is known as resonance. Resonance is how your voice is shaped by your voice box, nose and mouth. You may need to learn how to use your breath more effectively to reduce strain.

You may also need to improve your breath support for Speech so that you can use your voice effectively. Often people with Voice disorders use only the upper part of their chest to breathe. Breathing from the diaphragm provides effective breath for speech and reduces tension in the laryngeal area.

Voice Therapy can help reduce strain and discomfort when speaking, to free your voice and improve your confidence.

Can I have NHS voice Therapy?

Yes - we often see people when they are waiting for NHS voice therapy or there is no service in their area.

How can I look after my voice?

Vocal Hygiene is very important for looking after you voice.

Our UK based Private Voice Therapists are Clinical Specialists in Voice with a minimum of 15 years experience Specialising in Voice Therapy. 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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What is Muscle Tension Dysphonia?

In most cases, Muscle Tension Dysphonia produces vocal symptoms without any actual physical damage. However, if the voice continues to be used ineffectively, it can cause changes to the vocal folds. Voice Therapy is an effective treatment for Muscle Tension Dysphonia.

red larynx to show soreness caused by muscle tension dysphonia

What is Muscle Tension Dysphonia (MTD)?

Muscle Tension Dysphonia (MTD) is a change in the sound of your voice due to excessive muscle tension in and around the larynx (voice box). Muscle Tension Dysphonia produces vocal symptoms without any physical damage. Commonly, people will have had their Larynx examined by a Ear, Nose and Throat Specialist and have been told that there is no observable physical damage. 

Muscle tension dysphonia may be caused by longterm ineffective voice use, voice overuse, irritants (such as Laryngopharyngeal Reflux) , infection or emotional stress. While the initial cause may go away, the voice changes remain because of the ineffective habitual voice use.

How can my job cause Muscle Tension Dysphonia?

Jobs that require lots of talking and projection may result in voice overuse and voice abuse. Professions such as teachers,  actors and singers may lose their voices. This can have an impact financially and can feel stressful. Our UK Voice therapists will help you identify the causal factors and put together a bespoke plan to support you in improving your voice.

What are the symptoms of muscle tension dysphonia?

The most common symptoms of muscle tension dysphonia include:

  • Voice that sounds hoarse or strained

  • Voice becomes weaker and more effort the longer your voice is used.

  • Difficulty singing notes that used to be easy.

  • Pain or tension in your throat 

  • Feeling like there is something in your throat that needs to be cleared. 

How is Muscle Tension Dysphonia (MTD) diagnosed in the UK?

Typically, if you are experiencing voice difficulties, your GP will refer you to an Ear, Nose and Throat Specialist (ENT) for an assessment of your voice. Muscle Tension Dysphonia is diagnosed through the evaluation of your larynx using a camera in your nose to view your vocal folds. 

What is the Treatment for Muscle Tension Dysphonia (MTD) in the UK?

The treatment for muscle tension dysphonia is voice therapy to reduce muscle tension and focus on effective voice use. You are likely to require 6-8 sessions of voice therapy to improve your voice. 

What does Voice Therapy in the UK involve for Muscle Tension Dysphonia (MTD)?

Voice therapy for Muscle Tension Dysphonia in the UK involves:

  • Vocal hygiene advice

  • Bespoke voice exercises 

  • Exercises to reduce laryngeal tension

  • Improving breath support for speech

  • Reducing harmful behaviours

  • Increase vocal stamina 

  • Improving pitch and volume

  • Improving voice amplification 

How long does it take for Muscle Tension Dysphonia (MTD) to go away?

Most people require 6-8 sessions that they typically book weekly. It is very important that you follow the advice and complete the exercises given by the Voice Therapist outside of sessions to assist in your recovery from Muscle Tension Dysphonia. 

Why do I have a hoarse voice and a feeling of a lump in my throat?

The tightness of the muscles in your throat due to Muscle Tension Dysphonia (MTD) causes people to feel that they have a lump in their throat, tightness or tension. The medical word for this feeling is ‘Globus’ and it is very common. It can be caused by main factors including anxiety, stress and reflux. It can be very effortful you to speak when they feel tension. Through Voice therapy we examine the factors that are causing you to have this sensation and aim to reduce the tension in this area.

Why do I have a hoarse voice, mucus in my throat and feel like I need to throat clear or cough?

As a result of tension people feel in their throat due to Muscle Tension Dysphonia (MTD) or Globus, people feel that they need to throat clear. Throat clearing often results in a habit of frequently throat clearing which produces more mucous. Throat Clearing is multi-factorial and we aim to reduce throat clearing through a thorough case history and voice therapy strategies.

Is a hoarse voice a symptom of anxiety or stress?

A hoarse voice as a result of Muscle Tension Dysphonia (MTD) may be linked with stress or anxiety. We all feel stress in different parts of our body and some people of vulnerable to holding tension within their laryngeal area. Our Voice Therapists have counselling skills that can support you to understand the emotional causes of your voice problem. If a voice problem is affecting your work, this can be an additional financial stress. Through voice therapy we can support you to improve your voice through vocal techniques to help you feel more relaxed.

Can I have Voice Therapy with the NHS in the UK?

The referral from GP to ENT can be a quick process. Unfortunatly, the wait for NHS voice therapy may take months, which could impact on your work. Our voice therapists are able to see you while you wait for NHS therapy. Voice coaching is not available in the NHS - our Voice Coaches are unique as they are also Clinical Voice Specialists.

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

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What is Inducible Laryngeal Obstruction (ILO) or Vocal Cord Dysfunction (VCD)

fabric to show air moving in waves for ILO and VCD

Whats is Inducible Laryngeal Obstruction?

Inducible laryngeal obstruction (ILO) or Vocal Fold Dysfunction (VCD) is the abnormal closure of the vocal folds during respiration, most commonly when breathing in, in response to a trigger. When the trigger is due to exercise, it is called Exercise Inducible Laryngeal Obstruction (EILO). It is often mistaken for Asthma or other illnesses related to respiratory conditions.

What are the symptoms of Inducible Laryngeal Obstruction (ILO/VCD)?

The symptoms tend to vary between people. You may present have sudden breathlessness that comes on quickly which may be due to a certain trigger. You may have a wheeze on your in-breath. You may experience throat symptoms of discomfort and voice changes. There may also be a chronic cough, a sensation of swallowing difficulties and a choking sensation.

What are the causes of Inducible laryngeal obstruction ?

There any many causes that have been identified such as post-nasal drip, reflux, irritants and temperature changes (ILO). When it is triggered by exercises this is called EILO.

Who treats Inducible Laryngeal Obstruction ?

Diagnosis is typically managed by a team. This team might include respiratory consultants, ENT, Physiotherapists, Speech and Language Therapists with a specialist interest in airways, Pulmonologists and Psychologists

How can a Private Online Speech Therapist help Induced Laryngeal Obstruction?

The gold standard treatment for ILO is Speech and Language Therapy. Clinical Specialist Speech Therapists play a crucial role in the management of Induced Laryngeal Obstruction. Speech Therapists can teach you how to identify your ‘triggers’ which may be environmental or situational. They can teach you how to control ILO and teach you rescue breathing strategies, throat and upper airway relaxation, throat care advice for a healthy larynx and behaviour change techniques.

Our Clinical Specialists Therapists are Clinical Specialists Induced laryngeal Obstruction with a Specialist Interest in Airway Disorders. Book a free 15 minute consultation or email us at thespeechnetwork@hotmail.com to enquire about our reasonable fees for ILO Private Speech Therapy.

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How can reflux affect the Voice?

Muscle Tension dysphonia (MTD) and laryngo-pharyngeal reflux often co-occur. We see clients that may have not responded to medications. Voice therapy can boost the recovery period and is essential to reduce discomfort and overcome damaging behaviours

lemons to show acid reflux causing muscle tension dysphonia

How does reflux affect the voice ?

Laryngo-pharyngeal reflux (LPR) is also known as ‘silent reflux’ because many people do not show any symptoms such as heartburn commonly associated with reflux.

What is laryngo-pharyngeal reflux (LPR)?

Stomach juices are made up of digestive acids. Some of these juices can travel up the oesophagus, spill into the throat, affecting the voice. This is called laryngo-pharyngeal reflux (LPR). This causes hoarseness. Additional symptoms are throat clearing, a sore dry throat, an unpleasant taste in the mouth, a feeling of phlegm in the throat, chronic cough or excessive burping. A lump in the throat sensation called ‘Globus’ is a common symptom.

How is laryngo-pharyngeal reflux (LPR) diagnosed?

An Ear, Nose and Throat doctor uses a small thin camera that is passed through your nose, to view your larynx or voice box. This is called an endoscopy. Our Voice therapist will ask you about your symptoms and often use a short questionnaire to identify your symptoms.

How is Laryngo-pharyngeal reflux (LPR) treated?

It can be treated by medications to treat stomach acid, through dietary changes working with our team of Voice Therapists, and occasionally surgery.

How can a Speech Therapist help with reflux?

Muscle Tension dysphonia (MTD) and laryngo-pharyngeal reflux (LPR) often co-occur. We see clients that may have not responded to medications, and alleviate symptoms often attributed to LPR. Voice therapy can boost the recovery period and is essential to reduce discomfort and overcome damaging behaviours

Our 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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What is a vocal fold paralysis?

Frequently asked questions about vocal fold palsy

pink microphone

What is a vocal cord paralysis?

A vocal fold palsy or vocal fold paralysis is when one or both of the vocal folds do not open or close properly. In most cases, only one vocal fold is affected. Paralysis of both vocal folds is a rare and serious condition.

The vocal folds are two elastic bands of muscle tissue located in the voice box directly above the windpipe. When you use your voice, air from the lungs causes your vocal folds to vibrate between open and closed positions. If you have a vocal fold paralysis, the paralysed fold may remain open. The voice then becomes weak and breathy.

 

What causes a vocal fold paralysis?  

The most common cause is a viral infection. It can be as a result of nerve damage due to surgery, injury or certain cancers. Neurological conditions such as Parkinson’s disease of multiple sclerosis can also lead to a vocal fold paralysis.

What are the symptoms of vocal fold paralysis?

Symptoms of a vocal fold paralysis are changes to a person’s voice. A breathy, hoarse or weak voice is common. Some people report difficulties swallowing and a swallowing assessment may be required by a Specialist Speech and Language Therapist in Dysphagia. Sometimes people become more breathless with exercise or find it hard to life heavy items.

Can vocal fold paralysis be cured?

Typically, damage is temporary and will improve over several weeks. However, the majority of people will require Voice Therapy by an experienced Speech and Language Therapist to improve their voice. Treatment is available via the NHS for free. We often treat people when there is no voice therapist available or they are waiting for NHS therapy. Online Speech Therapy for Voice is effective.

Our 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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How do you feminise your Voice ? It's not all about pitch.

Sometimes the assumption of sounding more feminine is to focus on a higher pitched voice. However, a women’s voice is not only a higher-pitched version of a man’s voice. If we only focus on pitch, it is unlikely that you will be satisfied with the results of your therapy.

trans flag

Its not all about pitch

Sometimes the assumption of sounding more feminine is to focus on a higher pitched voice. However, a women’s voice is not only a higher-pitched version of a man’s voice. If we only focus on pitch, it is unlikely that you will be satisfied with the results of your therapy. In order to raise your pitch, we also need to change other aspects of your voice and speech. For natural-sounding speech we need to focus upon your intonation, resonance and other aspects to achieve a natural higher pitch. It’s important that you are able to use a flexible feminine voice that matches your personality and lifestyle, in a variety of situations.

What will happen in Voice Feminisation sessions?

Aside from pitch, we will be focusing upon:

Stress and intonation: Stress is often conveyed by using a higher pitch or louder intensity. Intonation patterns are pitch changes at the sentence level. Subtle differences in intonation patterns might hint at the speakers gender so its important to work on these aspects.

Resonance: Resonance amplifies sound and is often referred as projection in voice. We want to diminish the ‘chest’ sound that is often identified with the male voice.

Articulation: we focus on patterns for vowels and consonants that females produce that can be imitated in MTF voice training.

Volume: We might focus on reducing the loudness of your voice

Therapy is like building blocks – we build your voice together gradually. It takes practice and you will be given bespoke exercises after your sessions. The more you practice, the more natural it will feel.

How much does Voice Feminisation Therapy cost?

If you send us an email we can send your further information about number of sessions required and costs.

We are Clinical Specialists in Voice, Voice Feminisation and Voice Coaching. Feel free to book a free consultation or email us for more information.

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What is Speak out! What is Lee Silverman Voice Treatment (LSVT LOUD)?

Speak out and LSVT Loud are intensive Speech Therapy treatments for Parkinsons disease focusing on improving voice and volume. They both have a strong evidence that they are effective treatments.

sound meter

What is Speak Out! ® & Lee Silverman Voice Treatment (LSVT LOUD) loud for Parkinson’s Disease?

Speak out ! ® and Lee Silverman Voice Treatment (LSVT Loud) ® are intensive Speech Therapy treatments for Parkinson’s disease focusing on improving voice and volume. They both have a strong evidence that they are effective treatments. Both are seen as the best Speech Therapy for Parkinson’s Disease. Certification is provided to Speech and Language Therapists following a training program. Our Speech and Language Therapists are certified in both treatment Techniques and have experience of providing these treatments online with effective results.

How can Parkinson’s Disease affect speech?

Parkinson’s disease can cause people to talk quietly, have reduced variation in pitch and a hoarse voice. People with Parkinson’s Disease are often not aware that they are talking quietly - we need to work with you to recaliberate your sensory feedback to raise your awareness of your loudness, improve voice projection and reduce effort in conversation.

What is Lee Silverman Voice Treatment (LSVT loud)® for Parkinson’s Disease ?

LSVT loud ® stands for Lee Silverman Voice Technique. It is a technique that improves loudness for people with Parkinson’s disease. Studies have shown it can also be used in a variety of neurological conditions to improve Speech.

Lee Silverman Voice Treatment ® (LSVT Loud) focuses on increasing loudness. Research has also shown improvements in swallowing and articulation. LSVT requires an assessment session, and 12 therapy sessions, at 60 minutes each.

What is Speak Out® for Parkinson’s Disease ?

Speak out! was developed by the Parkinson’s Disease Project. It focuses on producing a stronger, clearer voice. It focuses on the concept of intent and strengthens the muscles used for speaking. Speak out! ® requires 8-10 sessions, at 45 minutes each. It can be easier for people to fit Speak out! ® into their daily life, and it can reduce overall cost of treatment. Speak out! provided a free training workbook for clients.

Once treatment is complete, the Parkinson’s Disease project hold LOUD crowd groups and free Facebook practice sessions. This is important in maintaining the gains in therapy.

We offer both SPEAK OUT!® and LSVT loud ® with certified clinicians

Click on the contact us button to arrange a free consultation or send us an email for more information regarding our reasonable fees for Speech Therapy for Parkinson’s Disease.

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

High pitch voice after puberty in males is called Puberphonia. Typically, the vocal folds are normal upon examination with a camera (endoscopy) that views the larynx. You may feel that you voice has never broken and lacks power. Your voice may feel effortful and sometimes painful.

piano keyboard

Orgiinally 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 high pitch voice in males?

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

  • Typically, the vocal folds are normal upon examination with an endoscopy.

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

  • Speaking may feel effortful or even painful.

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

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

Why is my voice so high?

A high adult voice often results from:

  • Larynx held 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

The good news: Puberphonia (mutational falsetto) can be treated effectively with voice therapy. Therapy helps lower your pitch safely, reduce tension, improve projection, and increase vocal stamina.

What does Puberphonia (mutational falsetto) sound like?

Signs of Puberphonia include:

  • High-pitched voice that does not match your age

  • Pitch breaks

  • Difficulty projecting your voice

  • Laryngeal muscle tension

  • Vocal fatigue or strain after speaking

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

Rarely - Voice therapy is the treatment for Puberphonia (mutational falsetto).

Can I do therapy online?

Absolutely. Online voice therapy has been shown to be as effective as in-person sessions for most individuals.

How do I get a deep voice?

The results of Online Voice Therapy for Puberphonia are excellent. Puberphonia Treatment is shown to be successful in achieving a deep voice if you have the desire to change your voice. Most people require 6-8 once weekly sessions following an assessment. Voice Therapy for Puberphonia focusing on lowering your pitch, reducing tension and improving projection and stamina.

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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How can I train my voice to sound feminine?

Trans* Voice - Tips for learning and exploring your voice

trans flag in chalk on pavement

Trans* Voice - Tips for learning and exploring your voice

In therapy you will be exploring your voice. Repetition outside the clinic room is important to change. It is comparable to going to the gym for your voice. You are developing flexibility and freedom for your voice. When learning and exploring try to:

 

Be Playful – try out new things

Be Mindful – notice without judging

Be Curious – use all of your sense to explore your voice

Be Imaginative – find your own images, hand gestures to support exercises

Be Positive

Be Regular – Be creative about when and where you practice – little and often.

Be Patient – Let things develop and transfer to situations that are easiest first

Be Reflective – record your voice, keep a diary

Be Sociable – try to step out of solo practice into getting support from others

 

Adapted from The Voice Book for Trans and Non-Binary People – Matthew Mills and Gillie Stoneham

For more information about Voice Feminisation Therapy click here

We are Clinical Specialists in Voice, Voice feminisation and Voice Coaching. Send us an email or book a free consultation for more information.

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What can I do to look after my Voice?

Advice on how to look after your voice to keep it healthy.

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  • Stop smoking. If you can’t give up, cut down. Smoking irritates and damages the vocal folds. Talk to your GP about advice to support stopping smoking.

  • Avoid eating spicy foods. Spicy foods can cause stomach acid to move into the throat or oesophagus, causing heartburn or reflux. If you do experience reflux, talk to your GP about possible medications.

  • Avoid too much coffee, fizzy drinks and alcohol. These can dry out the vocal cords. Try drinking decaffeinated tea or coffee or follow an alcoholic drink with a soft drink.

  • Avoid shouting and whispering

  • If your voice feels tired or strained then rest it. This is your bodys way of telling you to rest your voice

  • Try not to clear your throat unnecessarily. It can create excessive mucous and lead to a further need to clear your throat. Try drinking water instead or swallowing.

  • Avoid dry and dusty atmospheres as they may dry out the vocal cords. Wear a mask in a dusty environment.

  • Try to drink 2 litres (3 ½ pints) of liquid a day (not including coffee, alcohol or fizzy drinks). This will prevent dehydration of the vocal cords.

  • Try steaming to keep the vocal folds hydrated

Our 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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