Understanding and Treating Psychogenic Voice Disorder
A CBT Framework
Chapter One
Psychogenic Voice Disorders - A
New Model
Speech and language therapists face challenges both in recognising when their patient
has a psychogenic voice disorder and in knowing how to manage the case effectively.
To get to this point it is necessary to understand what is meant by psychogenic voice
disorder, to be informed about common aetiological features of this group of patients
and to know how to make a competent assessment. At this stage it is necessary to have a
clear idea, from evidence-based practice, as to how this population might respond to
therapy and what treatment strategies are likely to be of value.
Despite agreeing that this small group of patients exists, the literature has to date
been confusing about both terminology and classification and there are a limited
number of reports of evidence-based treatment protocols. There is nervousness
amongst speech and language therapists around both confident diagnosis and subsequent
management.
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