What is Spasmodic Dysphonia?

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.

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.

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 are voice problems for teachers?

What are the voice problems for teachers?

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 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 techniques.

Why do teachers lose their voice?

There are many reasons that teachers lose their voice - it can be environmental, psychological, voice misuse and overuse. It can be the way in which you use your voice to project in the classroom. Our UK Voice therapists will help you identify the causal factors and put together a bespoke plan to support you in improving your voice.

How do you take care of your 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.

How can I prevent myself from losing my voice at the end of the day?

Voice coaching can support you with preventative techniques so that you do not lose your voice, feel strain or discomfort. It 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.

Why have I had a hoarse voice for months?

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.

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.

What are Vocal Fold Nodules?

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.

Can you fix a lisp when you an Adult?

Lisping is very common within adults, with varying levels of severity. Some adults who lisp are very self-conscious about it and it affects their self-esteem and confidence to speak, and impacts on their day to day life. They may place themselves under a great deal of pressure to avoid words involving /s/ and /z/ and may even avoid talking because of it. Many adults are keen to correct their speech in order to feel more confident when speaking both socially and in the workplace.

How to correct a lisp in adults?

Every adult is different, and the process of therapy varies from person to person. Whilst some clients only attend a couple of sessions with an experienced Speech Therapist to learn about how to make the /s/ and /z/ sounds, others attend more sessions in order to generalize their /s/ and /z/ into their everyday speech. The initial session will inform us whether the lisp is due to your anatomy and in some instances, we may need to signpost you to other services for further investigation. Sessions cost 90 per session and most people book 1-3 sessions.

Here we share a personal experience of one of our clients in her 50s; of the impact of the lisp and their experience of therapy:

“Speech and Language Therapy might be seen as a luxury but it really shouldn't be because it's a necessity for many people like me. Communication isn't just about uttering words, but a person's ability to make others hear them and understand them. When you struggle with a lisp problem, even though you know what to say, you don't always have the confidence to speak up. As a child, I never put my hand up in school even though I had the answers because I was afraid the other children would make fun of me, which they did whenever they could to hurt my feelings. I avoided arguing with my siblings because whenever I was right, they'd resort to mimicking my lisp as a way to shut me up. I was a very bright student but I purposely sabotaged myself at some point in High School because teachers wanted me to take the lead too often, and I couldn't face people with my lisp. When it came to choosing my career path, I chose a path where I thought that people wouldn't make fun of me because of the way I pronounce my sss and zzs.

Character and personality always play a central role in personal development. Some people may be fine with a lisp and some others not. If you're someone who is uncomfortable with your lisp, then I recommend that if you're able to afford the cost, you should really reach out to the Speech Network. Alison, my therapist, has given me more than just confidence. She has also given me mind comfort - a safe place where I could simply try and see if I could speak differently. For me, it's really that - a safe place for both my mind and body to feel free to give it a try. So I gave it a try, and now, I can speak and enjoy what I sound like, and most importantly, looking at myself in the mirror, I like the way my face looks when I'm talking and my tongue remains in my mouth when I pronounce S and Z. I'm bilingual so I have to work on both languages at the same time, and I'm truly enjoying the process.”

Click on the contact us button to email or book a free consultation. We are happy to email fees on request.

Speech Therapy for Parkinson's Disease : What is Lee Silverman Voice Treatment UK?

What is Lee Silverman Voice Treatment UK ?

LSVT loud ® stands for Lee Silverman Voice Technique. It is a evidence based Speech and Language Therapy technique that improves loudness for people with Parkinson’s disease. Studies have shown it can also be used in a variety of neurological conditions, such as Stroke, to improve Speech. Speech and Language Therapists are certified after a LSVT loud ® training course and an examination.

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. Their speech may sound monotone and lack emotion. 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. Difficulties with volume and clarity can impact on people’s confidence and mood. Our ultimate aim is to improve your volume, speech and confidence - your speech does not need hold you back.

How does Lee Silverman Voice Treatment UK work? 

Lee Silverman Voice Treatment ® (LSVT Loud) focuses on increasing loudness and increasing peoples awareness that they speak too quietly.  It is an intensive individual Speech and Language Therapy Technique.

Lee Silverman Voice Treatment requires an assessment session, and 16 therapy sessions, at 60 minutes each. You will also be given homework to practice outside of sessions.

Research has also shown improvements in swallowing difficulties in Parkinson’s Disease.

Can I do Lee Silverman Voice Treatment UK online? 

Studies show that Lee Silverman Voice Technique is as effective online as face-to-face Therapy.  It is often easier to have Intensive Speech Therapy in the comfort of your own home than in travelling to a clinic. We use zoom which is very user friendly and allows for recordings of your speech for great Biofeedback.

We also offer Speak Out Treatment - this is less sessions (thereby reducing cost) and is shown to be as effective as Lee Silverman Voice Treatment for Parkinson’s Disease.

Our UK based Private Voice Therapists are Clinical Specialists in Voice & Neurology with a minimum of 15 years experience Specialising in Voice & Neurology Therapy. Book a free 15 minute consultation or email us at thespeechnetwork@hotmail.com to enquire about our reasonable fees for Lee Silverman Voice Treatment (LSVT loud ®) .

Why has my voice changed?

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.

What is 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.

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

How can reflux affect the Voice?

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.

Is Stuttering caused by Anxiety ?

Anxiety is a feeling of unease, such as a worry or fear that can be mild or severe. Everyone can feel anxious in situations such as giving presentations, an oral exam or going for an interview. These anxious feelings are normal. Anxiety is not always ‘bad’. It can make us feel uncomfortable but it is also a really important function - we should feel anxious when we have an exam coming up as anxiety motivates us to study. Anxiety motivates us to prepare and take action. It is sometimes confused with excitement. Anxiety becomes difficult when it stops allowing you to do the things you enjoy in life and affects you everyday.

In the past, stuttering was thought to be due to psychological factors such as anxiety. We now know the cause of stuttering is not due to anxiety. Rather, it is regarded as having a neurological cause - differences have been found in areas of the brain involved in talking for those who stutter compared with those who do not stutter. In addition, stuttering has a genetic or hereditary component and tends to run in families. 

Do I stutter because I am an anxious? Am I anxious because I stutter?

Research has shown us that pre-school children who stutter show no difference in shyness or anxiety compared with pre-school children who do not stutter. People who stutter are no different to people who do not stutter in terms of their personalities. However, research has shown that as a group people who stutter present with higher levels of anxiety and are more likely to present with social anxiety disorder compared with people who do not stutter. The age at which anxiety symptoms begin to appear is not yet clear, however some studies have suggested that higher anxiety is shown in stuttering children from the age of 7 years and increases over time.  

Indeed, it is not surprising that stuttering is associated with increased levels of anxiety. The experience of stuttering is often difficult and people who stutter describe having a variety of negative emotional reactions to their talking including feelings of embarrassment and shame. They can also experience negative reactions to their stuttering from others.  We know that children who stutter are more likely to be bullied and to be viewed negatively by their peers and adults describe stigma and discrimination both socially and in their place of work. The anxiety demonstrated by people who stutter is regarded as being the result of living with stuttering and is not the cause of stuttering.  You don’t stutter because you are an anxious person.

How does anxiety or nervousness impact stuttering? 

Although people vary, we know that when someone is feeling anxious or nervous, they tend to stutter more. You might be feeling anxious about stuttering in front of others or concerned about how your listener will react, or what they will think if they hear you stutter. When we feel anxious or nervous, it is usually because we are expecting the worst to happen. You might be saying things to yourself like “I won’t be able to say my name” or “They’ll think there’s something wrong with me” This may lead you to tense your muscles, may distract you from focusing on what you want to say as you try hard either to be fluent or to hide your stuttering.  This can all lead to more stuttering. You may feel like you have suddenly started stammering.  It is important to remember that while you may stutter more when you are feeling anxious or nervous, these feelings are not the cause of stuttering.  

How can Speech and Language Therapy help with Stuttering? 

We know that learning more about your stuttering and what influences it can reduce your anxiety about it.  Speech and Language Therapy can be effective in reducing the impact that stuttering is having on your day to day life.  You can develop your confidence to communicate, learn how to respond differently to your thoughts and feelings about stuttering and to learn strategies to make talking easier and more comfortable. 

Stuttering does not have to hold you back. 

We are Clinical Specialists in Stuttering and are very happy provide you with more information regarding our reasonably priced fees via email.

What is Aphasia Therapy?

What is Aphasia?

Aphasia is when a person has difficulties with their language (understanding, speaking, reading and/or writing) typically as a result of a stroke or brain injury.

What is Aphasia therapy?

Typically, Aphasia Therapy starts with an assessment of your language. Language can be complex so its important for us to identify your strengths, in order to improve the areas you find difficult. We used standardised communication Aphasia assessments that assess understanding, talking, reading and writing. We discuss the results of these assessments to help you and your loved ones understand your communication difficulties. We provide advice on the best ways to support communication.

Why is Goal setting important in Aphasia therapy?

Many of us set goals in our lives. It might be on new years day when we set a goal to stop eating quite so much chocolate, during sport or part of our working lives. Following a stroke, goals are shown to improve motivation and mood.

Goal setting is a process when we get to know what is important to you as a person, what you might be finding difficult and the impact of your Aphasia. We can involve partners in this process to make it easier. These goals might be remembering family names, using the phone to order a taxi or writing emails. We are all individuals and our goals are unique to each of us.

What is the best therapy for Aphasia?

There are two types of Aphasia Therapy – Impairment and Functional therapy. Impairment based therapy is usually repeated exercises based on your goals, using paper resources or apps. Functional therapy is the focus on real life goals that reflects your everyday communication interactions with others. This might involve training family members in supportive communication skills. It is important to work on both aspects to support your communication.

Does Aphasia improve with therapy?

The treatment for Aphasia is with Speech and Language Therapy. Research shows that Speech Therapy is effective for people with Aphasia following a stroke, compared to no therapy. Research also shows that Aphasia Therapy Online is as effective as face-to-face Aphasia Therapy. You or your family member need to understand to be able to engage in online therapy - we can discuss this further in the free consultation.

How can you help someone with Aphasia?

After an assessment, a Speech Therapist will be able to give you specific advice about the best ways in which to communicate.

Below is some general guidance:  

• Give the person plenty of time to respond. If a person with Aphasia feels rushed or pressured to speak they may become anxious, which can affect their ability to communicate.

• Use short, uncomplicated sentences.

• Do not change the topic of conversation too quickly.

• Avoid finishing a person's sentences or correcting their errors.

• Reduce distractions.

• If you don't understand something a person with Aphasia is trying to communicate, don't pretend you understand.

• Use visual references, such as pointing, gesturing and objects, to support their understanding.

• If they're having difficulty finding the right word, prompt them – ask them to describe the word, think of a similar word, try to visualise it, think of the sound the word starts with, try to write the word, use gestures, or point to an object.

Our Speech and Language Therapists are Clinical Specialists in Aphasia. Arrange a free 15 minute consultation or email thespeechnetwork@hotmail.com

What is a vocal fold paralysis?

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.

What is cluttering?

Cluttering is speech that sounds either overly rapid or sounds irregular in its speed. Should you be regarded by others as speaking quickly, then you may present with cluttering.

However, in order to meet the criteria for having cluttered speech, your speech will also need to include one or more of the following features:

- frequent disfluencies such repetitions of words/phrases, the use of fillers words such as ‘um’ or ‘uh’ or the use of revisions (where you change what you are going to say mid-sentence). Whilst these features occur in the speech of all speakers, the speech of those who clutter show them a lot more frequently.

- the number of syllables in longer words are deleted or blended together (e.g. so a word like ‘computer’ may sound like “comter”)

- pauses in places that are different to what you would expect or the use of less pausing than you would expect which affects a person’s overall speech rhythm. This can result in your speech being described as “jerky” or “spurty”.

These features combined impact upon a speaker’s overall clarity. Often, those who clutter are told by others that they mumble and are often asked to repeat what they have said. They may also come across as having difficulties planning and organising what they are trying to say.

So a fast rate of speech alone does not give us the diagnosis of cluttering - there are many fast speakers that have no problems with people understanding them. The main difference is that those who clutter are regarded as speaking faster than their system can handle and this results in their speech becoming unclear due to the combined features described above.

We often work with adults that have been unaware of any difficulties in their teenage years, but now they find that their speech is impacting upon them within work or in social environments. Managers may reports concern that their clarity of speech is impacting on their performance, presentation or leadership skills at work.

What causes cluttering in speech?

There are many theories of the causes of cluttering. It is considered to be hereditary (others in your family may present with similar speech) and to do with differences in brain function. It is sometimes associated with Attention Deficit Hyperactivity Disorder (ADHD) or Autistic Spectrum Disorder, however not everyone who clutters has any co-occurring conditions.

What does therapy for cluttering involve?

The focus of therapy will vary from client to client and will depend on what aspects of your talking are impacting on your ability to communicate effectively. During therapy, you will become more skilled at monitoring your own speech and identifying what is affecting your overall clarity. For some, we may focus on reducing their rate of speech and developing their use of pausing. For others we may need to practice saying longer words and ensuring that all the syllables in the word are fully articulated. We may also focus on using appropriate word & syllable rhythms.

As you may be experiencing concerns with being misunderstood in various situations or you may have developed a fear of speaking, we may focus on helping you manage your emotions associated with your speech. Our main aim is to improve your confidence to communicate effectively in a variety of situations.

What is the difference between stuttering and cluttering?

Stuttering and cluttering often co-occur together in a person’s speech. However, the features of stuttering tend to be repetitions of sounds/syllables and single syllable words, prolongations and blocking of a sound in speech. Cluttering is rapid speech, that is often described as ‘jerky’ with unusual pauses and rhythm which affects a person’s overall clarity.

Can cluttering be cured?

While there is no cure for cluttering, Speech and Language Therapy can be effective in reducing the impact that cluttering is having on your day to day life. You can develop your confidence to communicate, learn strategies to make your talking easier and clearer, and to reduce the negative thoughts and feelings you have about your speech. Cluttering does not have to hold you back.

Our Clinical Specialist Speech Therapists are Specialists in Cluttering. Book a free 15 minute consultation or email thespeechnetwork@hotmail.com

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

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.

Can Dysarthria be treated?

Dysarthria is the medical term for slurred speech. Speech Therapy Treatment for Dyarthria depends on the cause of the Dysarthria. If Dysarthria is caused by a stroke or head injury, it can improve with Speech Therapy. If it caused by a neurological disorder, that worsens over time (a progressive disorder), such as Motor Neurone Disease, it is likely to get worse. However, in these circumstances, Speech Therapy can also support you with strategies and assistive devices.

For Dysarthria due to Parkinson’s disease, there are recommended intensive treatments called Lee Silverman Voice Treatment (LSVT LOUD) or Speak out! We have trained and certified clinicians that can provide both treatments.

What Assessments do you use in Dysarthria?

We typically start treatment with a standardised assessment for Dysarthria. These assessments look at different aspects of your speech such as your breath support for speech, volume, intonation, voice and how clear your speech is to a listener. It is important to complete an assessment to identify the areas that are impacting on your speech so that we can focus on improving these specific impairments.

What is Goal setting in Dysarthria?

We discuss with you how your Dysarthria is impacting on your day-to-day life and set personal meaningful goals to improve your speech. Goal setting is proven to improve motivation for therapy and mood. These goals will be realistic, achievable and will be reviewed after a short block of therapy.

Dysarthria Therapy may include

-       Working with you and your loved ones to make communication easier

-       Exercises focusing on improving the clarity of your speech

-       Alternative ways of communication to support your speech

-       Biofeedback of recordings to raise your awareness of your speech

Our Speech and Language Therapists are Clinical Specialists in Dysarthria & Voice treatments. Arrange a free 15 minute consultation or email thespeechnetwork@hotmail.com

How do you support students who stutter with oral exams & presentations ?

In an episode of the weekly podcast ‘This American Life – Made to be broken’, Poet Jerome Ellis explained “A time limit assumes that all people have equal access to time through their speech. For me, stuttering is unpredictable and I do not know how long it will take, until I have to say it”

For a Person who Stutters, performance on timed oral assessments at university can impact on a persons ability to demonstrate their knowledge. Examples of these might be presentations, oral exams or the Objective Structured Clinical Examination (OSCE).

Is stuttering a disability?

Stuttering can be viewed as a disability for a person if it ‘has a substantial and long-term adverse effect on their ability to carry out normal day-to-day activities'. (Equalities Act, 2010).  ‘Reasonable adjustments’ are ways that the university can prevent disabled people being put at a disadvantage. Reasonable adjustments are changes that the university can make to reduce the impact of the stammer that are specific to you.

How can online Speech Therapy support students who stammer with oral exams?

Some universities require medical evidence about your stammer. We have supported students by completing an assessment and a provided a written report suggesting ways for the university to support students who stutter in their studies. This might be by recommending extended time, identifying barriers, and recommend strategies to make these examinations easier.

How might extra time in oral exams help me?

A recent medical student shared what he gained from a block of Speech Therapy

 “I'm much less anxious when participating in group discussions. Additionally, when talking to people I haven't met before, I'm not bothered by their perception of me as a stammerer than I used to before starting therapy sessions. When slowing down my speech, I stammer much less. This technique has really helped me, especially in harder situations such as public speaking and group discussions”

Despite changes of how he felt about his stutter, and having strategies to make talking easier in certain situations, he requested support for his upcoming OSCE exam and explained why having extra time would be helpful:

“I'm requesting extra time for the OSCE (objective structured clinical examination) exams to ease some of the time pressure off of me. An OSCE exam is essentially a simulated clinical environment where I can be asked anything from performing a medical examination to taking a history from a model patient. Since this is a timed exam, I'm naturally under pressure to speak quickly in order to complete the task in the allocated time. I've completed several practice runs of OSCEs before, and most of the time I finish on time.  However, there were instances where I ran overtime and I would have benefited from the extra 25% that's granted for those with extra time. The extra time would allow me to take things a bit slower and would really ease the pressure off of me, hence contributing to a bit of extra fluency”. 

After he was given extra time he explained how it was helpful:

He felt that having the extra time reduced his nerves since he knew that he had more time to complete everything and that he wouldn't need to rush through the exam. He felt that he stammered less as a result. He felt it made huge difference and he passed his OSCEs with flying colours.

How can Speech Therapy for Stuttering help?

We can provide therapy to improve your confidence, help you manage difficult thoughts and feelings about stuttering to help you with oral exams and presentations.

Our Clinical Specialist Speech Therapists are Specialists in Stuttering. Book a free 15 minute consultation or email thespeechnetwork@hotmail.com

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

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.

Why have I suddenly started stuttering?

Many people contact us to tell us that they have suddenly started stuttering. It may be that they stuttered as a child but the stutter either resolved or it was not having an impact on their lives. Rather than starting to stutter suddenly, their earlier stuttering may have come back unexpectedly.

It may be that you are feeling stressed or anxious – that you are having changes in your life such as interviews for a new job, going on dates with new people, or making a wedding speech. These situations may lead you to tense your muscles and lead to more stuttering, or that you are noticing the stutter more than before, in the preparation to these important events.  

It may be that work situations have changed – since the Pandemic, many people are working from home using video conferencing which may have been something you previously avoided. People report seeing themselves on videoconferencing has made them stutter more and to become more aware of the stutter.  

For a few people, stuttering does suddenly start in adulthood as a result of a neurological event, such as a stroke, and is called a neurogenic stammer. Stuttering may also start as a result of an emotional trauma, commonly known as psychogenic stuttering.  

Should you start to stutter suddenly in adulthood, following assessment we may need to make an onward referral to rule out a neurological diagnosis or to seek additional psychological support.

Speech Therapy can support you in increasing your confidence, reducing your stress and anxiety around stuttering and developing strategies to make talking easier. Click on the contact us button to arrange a free consultation or email us for more information.