Once your evaluation is completed and results are determined, an individualized therapy program and home exercise program will be implemented.

A therapy program is tailored to your specific goals, whether it is to improve and protect your voice, to be able to breathe during exercise, or to reduce or eliminate a chronic cough. Treatment is usually scheduled once weekly, and the number of sessions needed will vary dependent upon individual needs. Therapy may be accomplished in as few as 4 sessions for some upper airway issues, and will often require 10-12 sessions for restoring voice to peak performance.

Your therapy program may include some or all of the following:

  • Re-aligning laryngeal and pharyngeal musculature and body postures used in voice production
  • Learning strategies for restoring and preserving vocal function while meeting vocal demands
  • Re-aligning the subsystems of voicing: Breath (power) Sound production (vibration) and resonance (quality)
  • Align your gender identity and voice to sound more like your authentic self
  • Recognizing triggers for upper airway dysfunction, desensitizing laryngeal and pharyngeal structures and restoring them to healthy function.

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The goal of Voice Therapy is to habilitate or rehabilitate your voice to a level of function that enables you to fulfill your daily voice and/or speech communication needs. Therapy may be recommended to avoid vocal injury, to recover from an injury and restore healthy habits, to improve communication, or to recover from laryngeal surgery. Voice therapy, delivered by a certified Speech-Language Pathologist with specialty Fellowship training in voice disorders is the gold standard for effective treatment of voice disorders. An individualized therapy program specific to your goals and needs is designed for you, and may take as few as 6-8 sessions, but often will require 10-12 sessions to habituate new skills and replace old habits. An individualized home exercise program is assigned to support your learning and encourage maintenance of healthy habits in functional activities.


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If you have been diagnosed with shortness of breath (dyspnea) due to:

  • Irritable Larynx Syndrome (ILS)
  • Vocal Cord Dysfunction (VCD)
  • Paradoxical Vocal Fold Motion Disorder (PVFMD)
  • Exercise Induced Laryngeal Obstruction (EILO)
  • Laryngospasm
  • Chronic cough or throat clearing,

Your medical provider may have referred you for therapy with a Speech-Language Pathologist who specializes in these problems, and offers Respiratory Retraining Therapy and Cough Suppression Therapy.


Respiratory Retraining Therapy, provided by a speech-language pathologist trained and skilled in upper airway disorders management, is therapy for laryngeal breathing difficulties.  It is a behavioral program that identifies dysfunctional breathing patterns. It is designed to give you the tools to manage, retrain, and restore healthy breathing patterns, and integrate these patterns into functional activities of daily life. An individualized home exercise program is assigned to support your learning and encourage maintenance of healthy habits in your daily activities.

Cough Suppression Therapy is a behavioral intervention in which the clinician guides you in identifying and avoiding triggers, and adjusting behaviors that contribute to chronic cough. An individualized home exercise program is assigned to help manage symptoms, support your learning, and encourage maintenance of healthy habits in functional activities.


The Speech Language Pathologist (SLP) will use a combination of exercises including compensatory techniques and direct treatment strategies to improve the safety of oral intake by reducing your risk for aspiration and maintaining quality of life.

Signs and Symptoms of Dysphagia include:

  • Coughing/throat clearing during or right after eating or drinking
  • Wet or gurgly sounding voice during or after eating or drinking
  • Extra effort or time needed to chew or swallow
  • Food or liquid leaking from mouth or getting stuck in mouth
  • Recurring pneumonia or chest congestion after eating
  • Weight loss or dehydration from not being able to eat enough

Medical issues which may contribute to swallowing problems include: oral, pharyngeal, or esophageal motility and structural abnormalities, Stroke, traumatic brain injury, Parkinson’s Disease, Multiple Sclerosis, Amyotrophic Lateral Sclerosis (Lou Gehrig’s Disease), Alzheimer’s Disease and other neurological disease, Cancer in the mouth, throat or esophagus Injury or surgery involving the head and neck, laryngo-pharyngeal reflux.


This is accomplished by focusing on rebalancing the subsystems of voice: respiratory, phonatory, and resonance. Singing voice therapy can help the singer (amatuer, trained, or professional) train their singing voice in a safe and structured way following a vocal fold injury or surgery. Vocal fold nodules, muscle tension dysphonia, vocal fold cysts, and pseudocysts can be treated with this therapy. Therapy differs from a traditional voice lesson, and must be performed by an American Speech-Language and Hearing Association accredited speech-language pathologist.

Singing/Performing Voice Therapy is an individualized program designed to help restore your singing/performing voice to peak performance, and to avoid future injuries.