After an acquired brain injury, or as a result of a progressive neurological disease, some people experience changes to their voice, known as a voice disorder. This can include a voice that sounds weak, strained, breathy, monotone, or effortful due to disrupted neural control of the muscles involved in voicing.
These changes can make it harder to speak confidently, be heard in conversation, or express emotion and nuance. The impact is often significant and can affect social interaction, work, relationships, and a person’s sense of identity.
Specialist SLT input helps individuals understand what is happening to their voice and develop strategies to communicate more effectively and comfortably.
How to Help Someone with a Voice Disorder
- Encourage gentle, relaxed voice use. Avoid shouting or whispering.
- Reduce background noise so they don’t strain to be heard.
- Support hydration (avoid caffeine and alcohol), and take regular voice breaks.
- Listen patiently and avoid asking them to “push” their voice.
- Promote alternative communication when the voice becomes tired.
- Refer to a Speech Language Therapist (SLT).