SpeechPathology.comPhone: 800-242-5183

Progressus Therapy
 

Teen Male with High Pitched Voice

Janet Skotko M.Ed., CCC-SLP

January 16, 2006


Question

A 17 year old male student has been referred to me for a very high pitched voice. He has been home schooled until this year and has not received therapy in the past. He is able to achieve a lower pitch, but says he cannot maintain it and it is painful. I

Answer

I'm sure for an 17 yr old male having a high pitched voice feels just 'wrong' if not feeling 'wronged' by mother nature! As you know, pain is the warning sign of the vocal folds and MUST be acknowledged. The referral to an ENT is the only first good responsible move; a 2nd might be to offer him support during the wait and to help HIM understand that 1st knowing the 'why' is invaluable. I think that too often in our need to do something we forget the basic premise in the health fields: FIRST DO NO HARM. To do anything right now that permits this young man to feel laryngeal pain is quite possibly to actually do harm! More often than not, when this is explained, client and parents, etc., understand and support you. Just as there are places for silence and pauses in speaking and in life, there are times in therapy to proceed carefully, which may seem like a pause or silence to you. To those who read this,I want to remind us all before proceeding with treatments: FIRST DO NO HARM.

Janet Y. Skotko is the sole proprietor of The Voice Institute in Tampa, Florida and has been an SLP for over 25 years. She is also one of the inaugural cadre of Board Recognized Fluency Specialists. Janet can be reached at Voice580@aol.com. Her website is: www.thevoiceinstitute.com .

Related Courses

Clinical Uses of the Cognitive Linguistic Quick Test [Video Course]

Presenter

Nancy Helm-Estabrooks, Sc.D, CCC-SLP
Course: #3991
CEUs/Hours Offered: ASHA/0.1; Kansas DHE, LTS-S1370/1.0; SAC/1.0
This course is included in $99 CEU Total Access, Learn More
Course Details

This Course is included in CEU Total Access.

Only $99/yr

Buy Now

Language and Auditory Processing: EBP Interventions [Video Course]

Presenter

Martha Coen-Cummings, Ph.D., CCC-SLP
Course: #5094
CEUs/Hours Offered: ASHA/0.1 Intermediate, Professional; Kansas DHE, LTS-S1370/1.0; SAC/1.0
This course is included in $99 CEU Total Access, Learn More
Course Details

This Course is included in CEU Total Access.

Only $99/yr

Buy Now

Nonfiction for Young Children [Video Course]

Presenter

Angela Anthony, Ph.D., CCC-SLP
Course: #5102
CEUs/Hours Offered: ASHA/0.1 Introductory, Professional; Kansas DHE, LTS-S1370/1.0; SAC/1.0
This course is included in $99 CEU Total Access, Learn More
Course Details

This Course is included in CEU Total Access.

Only $99/yr

Buy Now

Strength, Endurance and Exercise: Dining with Dysphagia [Video Course]

Presenter

JoAnne Robbins, Ph.D., CCC-SLP
Course: #5104
CEUs/Hours Offered: ASHA/0.1 Advanced, Professional; Kansas DHE, LTS-S1370/1.0; SAC/1.0
This course is included in $99 CEU Total Access, Learn More
Course Details

This Course is included in CEU Total Access.

Only $99/yr

Buy Now

The Effects of Transcutaneous Electrical Stimulation During Dysphagia Management: What it does and whether it alters recovery [Video Course]

Presenter

Christy L. Ludlow, Ph.D., CCC-SLP
Course: #5105
CEUs/Hours Offered: ASHA/0.1 Intermediate, Professional; Kansas DHE, LTS-S1370/1.0; SAC/1.0
This course is included in $99 CEU Total Access, Learn More
Course Details

This Course is included in CEU Total Access.

Only $99/yr

Buy Now