How do I take care of my voice?

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?

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.

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:

• Voicecraft®

• Estill Voice Training®

• Myofascial Release manual therapy

• PhoRTE ®

• Lee Silverman Voice Treatment (LSVT LOUD®)

• Advanced Laryngeal Manipulation
  

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.

What is Muscle Tension Dysphonia?

What is Muscle Tension Dysphonia (MTD)?

Muscle Tension Dysphonia (MTD) is a voice disorder caused by excessive muscle tension in and around the larynx resulting in a hoarse of strained voice. Muscle Tension Dysphonia produces vocal symptoms without any physical damage to the larynx. It can be caused due to multiple factors including longterm ineffective voice use, voice overuse, laryngo-pharyngeal reflux and emotional stress. It is typically seen in people who use their voices for work - such as teachers, actors and singers.

While the initial cause may go away, the voice changes remain because of the ineffective habitual voice use.

Why do I lose my voice when talking a lot?

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 (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 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. This is not a painful procedure.

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 3-6 sessions of voice therapy to improve your voice. 

Do I need Voice therapy for Muscle Tension Dysphonia?

Yes. Voice therapy is the recommended and most effective treatment for Muscle Tension Dysphonia. While some people may notice temporary improvement when they rest their voice or reduce stress, the underlying habitual tension patterns in the throat usually remain. Because MTD is caused by inefficient voice use and excessive laryngeal muscle tension, the problem typically returns as soon as the voice is used again in the same way.

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 to protect your voice

• Bespoke voice exercises tailored to your needs

• Techniques to reduce laryngeal tension

• Improving breath support for speech

• Eliminating harmful vocal behaviours

• Enhancing pitch, volume, and vocal amplification

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

Most people require 3-6 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.

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 promptly within one week of the consultation.

Is online voice therapy as effective as face- to-face?

Yes. The research shows it is as effective. It is also likely to be cheaper. Many people now choose online voice therapy, which allows you to work with a highly experienced clinical voice specialist regardless of where you live.

At The Speech Network, our UK-based private voice therapists offer nationwide appointments and can typically see you within one week of the initial consultation. We have no waiting list. This means you can access specialist support without needing to travel, and you can choose appointment times that fit around work and family life.

Why Choose The Speech Network for private voice therapy?

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

• Specialist training and accreditation in voice therapy techniques.

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:

• Voicecraft®

• Estill Voice Training®

• Myofascial Release manual therapy

• PhoRTE ®

• Lee Silverman Voice Treatment (LSVT LOUD®)

• Advanced Laryngeal Manipulation

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.

Can Voice Feminisation harm my voice?

Can voice feminisation training harm my voice?

If you are thinking about starting voice training or experiencing loss of voice following training, you may have seen this question or peoples experiences of voice loss following training - but what harm can actually be caused by voice training on your own?

There are lots of great resources for people to practice independently on youtube and through apps, but sometimes people experience voice difficulties following training.

Sometimes, by practicing independently, inappropriate voice use may strain or cause tension leading to voice damage known as Muscle Tension Dysphonia.  In some research studies, up to 30% of Male to female Transgender Voice clients had a voice disorder in their initial assessment caused by trauma to the voice box (larynx). Muscle Tension Dysphonia can be caused by excessive effort used when training your voice.

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.

Muscle Tension Dysphonia in voice training can be caused by :

• Excessive elevation of the larynx

• Poor vocal hygiene ( see below ways to improve vocal hygiene)

• Excessive muscle tension in the larynx

• Inappropriate pitch level

• Excessive breathiness also leads to excessive tension in the larynx. 

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. 

If muscle tension dysphonia or hoarseness does not resolve after 3 weeks, it would be best to speak to your GP about a referral to ENT. They will perform an endoscopy (a camera up your nose - it is not painful) to examine your larynx. Voice therapy is the recommended treatment for muscle tension dysphonia.

What can I do to look after my voice whilst voice training?

The best way to prevent harm is to build strong vocal hygiene habits. These support your vocal folds, reduce strain, and help you get the most from your training.

Stop smoking. If you can’t give up, cut down. Smoking irritates and damages the vocal folds.

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.

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.

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.

Try steaming to keep the vocal folds hydrated - just water adding no menthol.

How can a Specialist Speech Therapist in transgender voice training prevent harm?

Working with a Speech and Language Therapist who specialises in transgender voice can make a huge difference.

All our therapists at The Speech Network have expertise in both transgender voice training and voice therapy for Muscle Tension Dysphonia. Through therapy, you will learn how to:

• Raise your pitch safely, using resonance rather than throat tension

• Build breath support and reduce neck strain

• Develop a voice that feels authentic, comfortable, and sustainable

• Build confidence in your voice with positive feedback and bespoke exercises.

Research consistently shows that gender-affirming voice training is safe and effective when guided by an Speech therapist with specialist training improving satisfaction, perceived femininity, overall vocal health and confidence.

Can you do transgender voice training online?

Yes - all our therapists are experienced in providing effective therapy online in the comfort of you own 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. They are active members of the National Trans Voice and Communication Clinical Excellence Network.

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.

GOOGLE REVIEWS FOR THE SPEECH NETWORK TEAM FOR TRANSGENDER VOICE TRAINING

*****

‘Having now come to the end of my sessions with Katy I can hand on heart say she has transformed my life. She has enabled me to find my true voice and given me the confidence to truly own it. Katy is such a fun, loving and caring therapist, and every session was a joy, and the exercises were fun and engaging. I owe her so much, and would recommend her in an instant. Thank you Katy!’ Paula

*****

‘Julie and the Speech Network were exactly what I needed.. Julie was wonderfully patient, knowledgable and encouraging’  Sebrina 

*****

'Katy is really nice person who is easy to get along with and you will enjoy speech Therapy with Katy. She is supportive and listens to your needs and concerns. She also listens to your voice and can precisely and constructively pinpoint areas which will benefit from some improvement, you will learn what makes a voice is more complex than you ever imagined. Katy will deconstruct this complexity into simple to digest steps and will coach you very well to bring your voice up to the next level, providing you with the tools, exercises and guidance to assist you. I really appreciate that we can have some light hearted fun at the same time as I'm taking on board the learning activities’ Karen.

Our UK based Private Voice Therapists are Clinical Specialists in Transgender Voice Training, with 5 * google reviews. Book a free 15 minute consultation or email us at thespeechnetwork@hotmail.com to enquire about our reasonable fees for Voice Training.

How can I train my voice to sound feminine?

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.