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Voice Therapy

Voice therapy is a special treatment designed to help you improve your voice quality and manage any voice problems you might be facing. Whether you’re a singer, teacher, or just want to communicate better, voice therapy can be really helpful. In this guide, we’ll cover what voice therapy is, who can benefit from it, the common techniques used, and what you can expect during the process.

What is Voice Therapy?

Voice therapy includes various exercises and techniques that aim to improve how your voice works and sounds. A speech-language pathologist (SLP) usually leads these sessions. The main goal is to help you develop healthy vocal habits, reduce strain on your vocal cords, and address specific issues with your voice.

Who Can Benefit from Voice Therapy?

Many people can benefit from voice therapy. Professional voice users, such as singers, actors, teachers, and public speakers, can improve their vocal quality and endurance. Those experiencing voice disorders, including hoarseness, vocal fatigue, or breathiness, can find relief and regain normal function. Individuals recovering from surgery on the larynx or vocal cords may also benefit from targeted therapy to aid their recovery. Additionally, people with neurological conditions that impact voice quality and anyone looking to enhance their vocal skills for personal or professional reasons can gain valuable support through voice therapy.

Common Voice Problems Addressed in Therapy

Voice therapy can help with several issues, such as:


  • Vocal Cord Nodules or Polyps: These are growths on the vocal cords that can lead to hoarseness.
  • Laryngitis: This is inflammation of the larynx, often caused by overuse or infection.
  • Vocal Fold Paralysis: When one or both vocal cords don’t work properly.
  • Acid Reflux: This condition can irritate your throat and vocal cords, affecting how you sound.
  • Muscle Tension Dysphonia: This is characterized by excessive tension in the muscles around the larynx, which can lead to a strained or weak voice.
  • Voice Fatigue: Frequent tiredness of the voice, often experienced by those who use their voice extensively, can affect vocal performance and health.
  • Changes in Voice Quality: Sudden changes such as breathiness, raspy sounds, or a loss of range may indicate underlying issues that need to be addressed.

Techniques Used in Voice Therapy

Voice therapy uses different techniques tailored to meet your needs. Some common methods include:


  1. Vocal Exercises: These exercises help strengthen your vocal cords and improve how you use your voice.
  2. Breathing Techniques: You’ll learn how to breathe properly to support your voice and reduce strain.
  3. Resonance Training: This helps make your voice sound fuller and clearer.
  4. Vocal Hygiene Education: You’ll get tips on how to take care of your voice, like staying hydrated and avoiding irritants.
  5. Behavior Modification: You’ll identify and change any harmful habits that could be causing voice problems.

What to Expect During Voice Therapy

If you choose to go through voice therapy, here’s what generally happens:


  1. Initial Assessment: Your SLP will evaluate your voice issues and medical history to understand your goals. This may include examining your throat and vocal cords.
  2. Customized Treatment Plan: Based on your assessment, the SLP will create a personalized treatment plan focusing on techniques that will benefit you most.
  3. Regular Sessions: You’ll attend therapy sessions where you’ll practice different exercises under the SLP’s guidance. The length and frequency of sessions will depend on your needs.
  4. Home Practice: You may be given exercises to practice at home between sessions. Consistent practice is important for progress.
  5. Progress Evaluation: Your SLP will regularly check how you’re doing and adjust the treatment plan as needed.

When Is Voice Therapy Necessary?

Voice therapy may be necessary if you experience sudden voice loss without explanation, persistent hoarseness lasting more than two weeks accompanied by pain or difficulty swallowing, vocal strain or fatigue while speaking or singing, a sudden change in voice quality, any voice issues impacting your work as a singer, actor, teacher, or speaker, injury or trauma to the neck or throat, frequent throat clearing or coughing, or other symptoms such as difficulty breathing, swallowing issues, or unexplained weight loss alongside voice problems.


If you or a loved one is experiencing any of the situations listed, consult a healthcare professional such as an otolaryngologist (ENT specialist) who specializes in ear, nose, and throat conditions. A laryngologist, a subspecialty of otolaryngology focused on the larynx, voice, and related problems, may refer you to a voice therapist based on the specific issue you are facing. They can assess your vocal health and determine if any underlying issues are affecting your voice. Additionally, a speech-language pathologist (SLP) with expertise in voice therapy can evaluate your vocal function and provide treatment recommendations if necessary. It's often beneficial to start with an ENT for a thorough examination before consulting an SLP for therapy.

Medical Reviewers

ENT Care Centers | ENT Health Library


Last Review Date: October 2024


Content Reviewers:

  • Dr. Thomas Higgins, MD, MSPH


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