Voice Disorders


A voice disorder is any deviation in pitch, intensity, resonance or quality that renders a person’s voice “abnormal” to the listener. It may be secondary to a number of underlying causes including overuse, neurologic disorders, trauma, surgery, cancer, viral and bacterial conditions and psychological difficulties.

Common causes include vocal fold nodules, vocal fold polyps, vocal fold cysts, muscle tension dysphonia, vocal fold paralysis, reflux laryngitis, Reinke’s edema, spasmodic dysphonia, paradoxical vocal fold motion (PVFM), vocal fold bowing and vocal fold atrophy.

Signs and Symptoms

  • Hoarseness
  • Breathiness
  • Volume that is too loud or too soft
  • Pitch that is too high or low for age
  • Changes in pitch
  • Breaks
  • Loss of voice
  • Vocal fatigue when speaking
  • Running out of breath at the ends of sentences
  • Persistent throat clearing or coughing
  • Sore throat
  • Acid taste in the mouth
  • Difficulty swallowing
  • Tension in the neck and jaw


Treatment may include medication, surgery, voice therapy or a combination of these. The goal of voice therapy is to learn new/better patterns of  production and to eliminate poor vocal habits. Components of a voice therapy program often include:

  • Vocal hygiene (ensuring proper hydration, reducing or eliminating caffeine, managing reflux)
  • Identifying and eliminating vocal misuse
  • Learning appropriate breathing patterns
  • Relaxation of the head and neck muscles
  • Vocal relaxation
  • Vocal exercises to balance and strengthen the vocal folds



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Evgenia Stefanaki

Owner and director of All for Speech Center.

"I believe there are three important elements required to be an accomplished and effective Therapist: DESIRE, AWARENESS, and EDUCATION"

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In TREATMENT, we listen to you and support you.

All For Speech Center is committed to children and adults reaching their full potential in speech and language therapy providing high quality, evidence-based, results-driven treatment.

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