Voice Therapy for Adults

Changes in your voice can happen for many reasons. Some are temporary, while others may require professional support. Voice therapy can help identify the cause and restore healthy vocal function. Common causes include:

• Medical or surgical procedures affecting the larynx (voice box)

• Hormonal changes

• Smoking or exposure to irritants

• Talking or singing for extended periods

• Frequent coughing or throat clearing

• Neurological conditions such as Parkinson’s disease

• Vocal cord paralysis

• Benign vocal fold lesions (nodules, cysts, or polyps)

• Excess muscle tension in the throat

• Age-related changes (presbyphonia)

If you’ve noticed your voice sounding hoarse, weak, or different from usual, a voice evaluation can help determine what’s going on and how to treat it safely.

Online voice therapy is convenient, effective, and offers the same high-quality care as in-person sessions. It’s a flexible option for adults with busy schedules or those living in rural areas.

Sessions take place through our secure telehealth platform. All you need is a computer or tablet with an internet connection. You’ll meet face-to-face with your speech-language pathologist, and therapy materials are shared instantly, making each session engaging and easy to follow.

Benefits of online voice therapy include:

• Close camera view for clear modeling and feedback

• No travel time or transportation barriers

• Consistent attendance and progress

• Access to specialized care from anywhere

Your first session focuses on understanding how your voice is functioning and what may be contributing to your symptoms. We’ll review your medical history, observe how you use your voice, and have you complete a short questionnaire about your speaking habits.

During the assessment, we may record your voice and use specialized analysis tools to measure pitch, loudness, and overall quality. These results guide us in creating a personalized therapy plan tailored to your needs and goals.

Speech therapy focuses on restoring your voice to a healthy, efficient level that supports your daily communication. Because everyone responds differently, your plan will be adjusted as you progress to ensure the best results.

If your voice has been hoarse or breathy for more than two weeks, it’s important to be evaluated by an otolaryngologist (ENT). If your doctor recommends voice therapy, our team can help you get started and answer any questions during a free consultation.

Voice therapy helps reduce hoarseness and improve vocal quality, strength, endurance, pitch range, and loudness. Your speech-language pathologist will guide you through evidence-based exercises and techniques to help you use your voice comfortably and efficiently again.

Vocal cord dysfunction (VCD), also known as paradoxical vocal fold motion (PVFM), occurs when the vocal cords close during breathing instead of staying open. This can make breathing difficult and is often mistaken for asthma. Diagnosis is typically made by an otolaryngologist (also known as an ENT specialist).

Common symptoms include:

• Wheezing or coughing

• Throat tightness

• Hoarseness or voice changes

• Stridor (a high-pitched sound when breathing)

• Shortness of breath or difficulty inhaling

Our speech-language pathologists use specialized breathing, relaxation, and voice techniques to reduce symptoms and improve breath control. Therapy focuses on restoring efficient breathing patterns and easing throat tension so breathing feels more natural and comfortable.

A quiet or weak voice is often one of the first signs of Parkinson’s disease. Speech and memory changes may develop over time, but early voice therapy can make a meaningful difference in communication and quality of life.

At Connected Speech Pathology, we offer personalized therapy programs tailored to each individual’s unique goals. Treatment often focuses on improving loudness, inflection, and clarity of speech, as well as attention, memory, and problem-solving skills.

Our speech-language pathologists are certified in evidence-based programs such as Lee Silverman Voice Treatment (LSVT LOUD®) and SPEAK OUT!®. We also integrate tools such as Expiratory Muscle Strength Training (EMST), SpeechVive, and other supportive software to help individuals with Parkinson’s disease communicate more clearly and confidently.

Voice therapy and voice coaching both focus on improving how you use your voice, but they serve different purposes.

Voice therapy is a clinical service provided by licensed speech-language pathologists. It’s designed to treat medical or functional voice concerns such as hoarseness, strain, vocal fatigue, or loss of range. Therapy helps restore healthy vocal function and prevent injury through evidence-based techniques.

Voice coaching is a non-medical service that focuses on performance, style, and expression. Coaching may be used to enhance public speaking, acting, or singing skills, or to support gender-affirming voice goals once the voice is healthy and stable.

At Connected Speech Pathology, our speech-language pathologists provide both types of support, helping clients recover from voice difficulties and refine their vocal skills for professional or personal growth.

A referral isn’t always required to begin voice therapy, though it may be needed for certain types of treatment. During your complimentary phone consultation, we’ll review your situation and advise you on whether a referral is recommended.

If you’ve already seen an ear, nose, and throat (ENT) specialist or another physician, we’ll gladly coordinate care and include their recommendations in your therapy plan.

The initial voice evaluation is $175 and includes a comprehensive assessment of your voice and communication goals.

Ongoing session fees start at $75, depending on the session length (30, 45, or 60 minutes). Connected Speech Pathology is a private-pay practice and does not bill insurance directly.

You can view our full pricing details on our rates page or discuss options during your free consultation.

Our voice therapists are nationally certified speech-language pathologists with specialized training in voice assessment and rehabilitation. Each clinician holds a master’s degree in communication sciences and continually integrates the latest research and evidence-based techniques into their practice.

We combine clinical expertise with personalized care to help every client use their voice with comfort, strength, and confidence.