https://www.dynamictherapyuk.com/blog daily 0.75 2020-01-09 https://www.dynamictherapyuk.com/blog-1 daily 0.75 2023-12-21 https://www.dynamictherapyuk.com/blog-1/i-sound-gay monthly 0.5 2023-12-21 https://www.dynamictherapyuk.com/blog-1/xxxxx monthly 0.5 2023-02-19 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/d53ee722-c4d7-4f3d-bd48-1fbf97aa48bb/Trans+Voice+fragrance.png BLOG - What’s your vocal bouquet? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.dynamictherapyuk.com/blog-1/authentic-voices-evolve monthly 0.5 2022-11-10 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/646d36df-0a0e-4793-b2c9-695c44df7fe0/Beetles.jpeg BLOG - Authentic Voices Evolve - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.dynamictherapyuk.com/blog-1/my-voice-sounds-nasal monthly 0.5 2022-07-12 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/0e6c2d9f-348d-4922-b619-e7918f28ae78/VF+vibration.jpeg BLOG - "My voice sounds nasal." - Make it stand out Simple diagram of vocal fold vibration. Drawing g shows vocal folds fully closed. https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/483d0ba5-94f5-4c97-a610-f15a5df41d82/Janice.jpg BLOG - "My voice sounds nasal." - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.dynamictherapyuk.com/blog-1/for-the-trans-masculine-singer-voice-transformed monthly 0.5 2022-04-02 https://www.dynamictherapyuk.com/blog-1/what-men-want monthly 0.5 2022-02-06 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/4b543cbf-179f-4faa-ad0d-d0fc3ade1e25/Jason+and+Osi.jpeg BLOG - What Men Want - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.dynamictherapyuk.com/blog-1/i-feel-like-im-putting-on-a-voice-like-its-fake monthly 0.5 2021-12-03 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/88e9b157-70d8-4725-af8e-6fec04c28684/bigstock-Rubber-Stamp-And-Word-Fake-Pri-272426671-768x512.jpeg BLOG - “I feel like I’m putting on a voice. Like it’s fake.” - Make it stand out Bigstock/Olivier Le Moal https://www.dynamictherapyuk.com/blog-1/i-dont-know-whats-possible monthly 0.5 2021-09-15 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1631700092950-TNU9SDWWGEGXCVDOOBE3/OSM_OS_Keyvisual-Spectrum_DIN_A0_landscape.jpg BLOG - "I don't know what's possible." - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.dynamictherapyuk.com/blog-1/the-wizard-of-voice-therapy-acoustic-analysis monthly 0.5 2021-08-15 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1629026430434-P52DNZN2JCUVQBLTRIXZ/Dorothy+on+the+road.jpeg BLOG - The Wizard of Voice Therapy - Acoustic Analysis - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.dynamictherapyuk.com/blog-1/why-avoid-the-fry monthly 0.5 2021-07-08 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1625743806329-PI8OH1MTHBX9PP2PWBBG/bacon.jpg BLOG - Why avoid the "Fry"? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.dynamictherapyuk.com/blog-1/i-hate-the-sound-of-my-voice-when-i-hear-it-on-recordings-i-cringe monthly 0.5 2021-05-23 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1621782393062-U2XAH1R8CP02069U43CC/phonograph.jpg BLOG - “I hate the sound of my voice. When I hear it on recordings, I cringe.” - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.dynamictherapyuk.com/blog-1/i-can-see-your-voice monthly 0.5 2021-05-02 https://www.dynamictherapyuk.com/blog-1/your-voice-your-choice monthly 0.5 2021-04-15 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1618474820290-H2K39YCRURF6PXY66ILW/SO-MANY-VOICES-1.jpg BLOG - Your voice. Your choice. https://www.dynamictherapyuk.com/blog-1/easy-free-breathing-easy-free-voicing monthly 0.5 2021-03-15 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1615720484635-CRADN5PH361Z0OC109UM/diaphragm+from+az+orthopedic+pt.jpg BLOG - Easy, free breathing = easy, free voicing Image from azopt.net https://www.dynamictherapyuk.com/blog-1/the-snakes-and-ladders-of-vocal-health monthly 0.5 2021-02-28 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1614526334603-TQX5MJLXF6MS9W63LRWL/Snakes+and+Ladders.jpg BLOG - The Snakes and Ladders of Vocal Health https://www.dynamictherapyuk.com/blog-1/joining-the-transplus-team monthly 0.5 2021-01-30 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1612007912489-83KI6MQIRNXK6NXN5VI0/56-Dean-Street-London-main.jpg BLOG - Joining the TransPlus Team https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1612007775264-9VD4T7A8MFZANMP3IHC8/TransPlus+mask.jpg BLOG - Joining the TransPlus Team https://www.dynamictherapyuk.com/blog-1/they-broke-their-chains-they-call-me-amanda-gorman monthly 0.5 2021-01-25 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1611497766700-G71WX058FYV8G22YEF7F/Amanda+Gordon.png BLOG - “They broke their chains. They call me.” – Amanda Gorman https://www.dynamictherapyuk.com/blog-1/new-years-resilience monthly 0.5 2020-12-31 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1609417447155-696P0MYHZAJOS6Q0QKDQ/time+heart+mind.png BLOG - New Year's Resilience https://www.dynamictherapyuk.com/blog-1/learning-from-the-experts monthly 0.5 2020-10-18 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1603028833392-1SXYTEL833JOY81SAOV4/hijab-headscarf-portrait-veil-royalty-free-thumbnail.jpg BLOG - Learning from the experts... https://www.dynamictherapyuk.com/blog-1/make-it-your-own monthly 0.5 2020-08-27 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1598530539657-1E0E39BYRB7RJHOTY7IG/BGT+judges.jpg BLOG - Make it your own. https://www.dynamictherapyuk.com/blog-1/whos-behind-the-mask monthly 0.5 2024-04-18 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/75f6813b-9156-4154-a917-2a7da691ad45/masked+doctors.jpeg BLOG - Who’s behind the mask? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.dynamictherapyuk.com/blog-1/create-your-one-of-a-kind-voice-as-anna-wintour-said-of-style-let-it-be-unique-for-yourself-and-yet-identifiable-for-others monthly 0.5 2020-07-31 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1596031028798-B3T7TXX57CFMG423L4AD/bottles-in-vocal-tract-orginal.jpg BLOG - Create your one-of-a-kind voice. https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1596029981755-267PAQJW75NH8VJXFS1X/Wave-Harmonics-2.png BLOG - Create your one-of-a-kind voice. https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1596030500483-OANZWLZYBXZWIQKA1OXQ/bottles.png BLOG - Create your one-of-a-kind voice. https://www.dynamictherapyuk.com/blog-1/the-highest-achievement-passing-on-the-telephone monthly 0.5 2020-07-15 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1594722716690-H1PPJYYVZOMJL2DR3IUZ/on+the+phone.jpg BLOG - The highest achievement: “Passing” on the telephone. https://www.dynamictherapyuk.com/blog-1/its-not-what-you-say-but-how-you-say-it monthly 0.5 2020-06-30 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1593523342134-PWXKJPBQMZ9FCECGXOBB/wordle.png BLOG - It’s not what you say, but how you say it. Image from H. Andrew Schwartz, Personality, Gender, and Age in the Language of Social Media: The Open-Vocabulary Approach. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0073791 https://www.dynamictherapyuk.com/blog-1/can-i-make-my-voice-deeper monthly 0.5 2020-06-23 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1592902938564-CZKB1M75HVD9NDTJJGVO/low+larynx+high+larynx.png BLOG - "What can I do to make my voice deeper?" image from https://cvtresearch.com/introduction-to-sound-colour/ https://www.dynamictherapyuk.com/blog-1/embrace-your-global-community monthly 0.5 2020-06-18 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1592481914638-82OQOYV7V1MMI0565R4Q/Hilary+Weissberg.jpg BLOG - Embrace Your Global Community Hilary Weissberg,MS, CCC-SLP https://www.dynamictherapyuk.com/blog-1/i-feel-like-a-fraud monthly 0.5 2020-06-11 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1591455598522-AEROM04YFHEBMXNQAPDL/image.jpg BLOG - "I feel like a fraud." https://www.dynamictherapyuk.com/blog-1/i-like-rebecca-roots-voice monthly 0.5 2020-05-25 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1590415938431-LSB6C44Y55JBNOLZORLY/Harry+pitch.png BLOG - "I like Rebecca Root's voice." https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1590415058093-PAWZ2QUK2GU9W6FGKEWZ/Rebecca%2BRoot%2Bheadshot.jpg BLOG - "I like Rebecca Root's voice." https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1590416881707-79KE7UWFYDC5VLBY1OAP/Rebecca+pitch.png BLOG - "I like Rebecca Root's voice." https://www.dynamictherapyuk.com/blog-1/small-but-powerful-the-benefits-of-atomic-habits monthly 0.5 2020-05-10 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1589113104315-4R3QAZPNSOO8KXWMV475/Atomic.jpg BLOG - Small, but Powerful: the benefits of atomic habits Successful people are creatures of habit – of habits that foster their success. Sam Harris’ Making Sense podcast entitled, Creatures of Habit explores the practice of habituating beneficial behaviours and reducing detrimental ones. In this podcast, he invited author James Clear to discuss his book, Atomic Habits. Clear chose this name, because he writes of making tiny changes in behaviour, the benefits of which compound exponentially. So many points expressed in this podcast discussion resonated with me as a therapist helping people to establish new, healthy ‘voicing habits’, but I will share only a few of the most relevant: 1. “True behaviour change is identity change.” Clear relates ‘behaviour’ to habits, both good and bad. Regarding establishing new, good habits, he explains, “A habit is not a finish line to be crossed. It is a lifestyle to be lived.” The idea here is that your habits are part of your identity. He provides the following illustrations, “You know the goal is not to finish the marathon, the goal is to become a runner. The goal is not to read thirty books a year; it’s to become a reader… Once you have this new narrative to tell yourself, once you have this new way to look at yourself, you’re not really even forcing yourself to do it any more. You’re just acting in alignment with the type of person that you see yourself to be. And this is probably the ultimate reason why habits are so important.” I have found the establishment of habits to be crucial to success. In my first career as a professional singer, I established the habit of a morning voice warm-up. After being up and about for three hours or so, I would begin my practice, which consisted of a second, short vocal warm-up followed by singing. I rested my voice with work on language (Italian, German, French, Czech pronunciation and rhythm). After lunch, I would resume singing. Always during practice, I made it a habit to continuously drink a variety of beverages to maintain hydration. These habits secured vocal health and facilitated meeting deadlines for performances. Later, when I turned my attention to voice therapy, I found the establishment of study habits crucial to my ability to go to university whilst supporting my children through secondary school, maintaining a household and trying to be a good partner to my husband. Good habits allowed me to fit it all in. 2. “A habit must be established before it can be improved upon.” This concept is particularly important when considered in relation to goals. I usually speak to my clients about the goals they have for themselves and goals they want to work toward with voice therapy. James Clear has given me pause to reconsider how I address goals in therapy. It is important to have goals, but more important is the system or process that is established in order to reach them. As Clear states, “You do not rise to the level of your goals, you fall to the level of your process.” The ‘process’ here is the habit of practice. The discipline of prioritising dedicated time for voice work in your everyday life - for building the fundamental skills necessary to be the person you want to be. (see my post, Wax On, Wax Off) Basically, you have to habitually show up. Once the habit of showing up for work is established, then the work itself can be improved. 3. “It’s easier to build a new habit in a new environment.” Particularly pertinent today, because the COVID-19 pandemic has enforced a new environment on most people. Whilst many key workers are facing the most stressful and difficult days of their working lives, workers in non-essential roles are sequestered at home with little to no opportunity to pursue their usual activities. As such, those people have a brand new environment in which to establish new, healthy and beneficial habits. They may be harder to maintain in the future, but the benefits gained now may carry on for long afterward. I’ve used the ‘new environment’ to begin this blog, for which I will continue to make time. I’ve embarked on providing remote voice therapy, which I suspect will carry on even after the restrictions are relaxed. I’ve begun cooking more and experimenting with recipes and I have moved my main meal to the middle of the day. I will certainly strive to continue with this healthier way of eating, if only just a weekends. Who knows, I may even find a way to continue with my new body weight exercise regime. The take-away? Establishing good habits promotes personal growth. The thing to remember is, “habits are the evidence” that you are the person you want to be. https://www.dynamictherapyuk.com/blog-1/and-she-said-one-two-cha-cha-cha monthly 0.5 2020-05-03 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1588430416240-06A8R33CF6RYKOL9J3W8/Morgan.jpg BLOG - And she said, "One, two, cha-cha-cha" What do you actually get from voice therapy? Discipline Maintaining motivation and commitment is hard for everyone, especially me. I take ballroom dancing lessons. I love dancing, but even so, by the time a Friday night rolls around and I am facing a 1.5 hour dance lesson, I have to engage in a mental battle with myself to get onto the dance floor. Every Friday. But, if I don’t go, not only do I let down my dance partner, but I also let down my instructor. In addition to feeling bad for standing them up, if I cancel, I’m out of pocket the cost of the lesson, which is not insignificant. So, I go. Chances are, if like me, you pre-commit to voice therapy sessions, either by just making an appointment or, better yet, pre-paying for a block of therapy, you will be more motivated to take ownership and responsibility for creating the change you desire. Committing to therapy sessions encourages you to practice and prepare in order to get the most benefit from them, focusing your efforts and moving you forward at your optimal pace. Process How to start? What’s the sequence of learning? My first dance was the Cha-cha-cha. The first lesson – rhythm. You can’t dance without understanding the rhythm that lies beneath and drives the movement. Once you feel the rhythm, you layer on footwork, shifting weight and balance, movement through space, arm work and even head position. Finally, put all these components together and add another person and you are dancing! Voice therapy de-mystifies the process of change. A therapist leads you in mastering the fundamentals of healthy voicing. They identify your vocal strengths and weaknesses, thus determining the primary areas of focus. Gaps in knowledge and skill are addressed. A step-wise therapy plan is designed and agreed to ensure you achieve maximum results with the least investment of time, effort and expense. The end result is a beautiful transformation. Technical analysis My dance teacher, Morgan Hemphill (pictured above) is a world champion in 10 Dance (Latin and Ballroom) and has the ability to precisely pinpoint flaws in the execution of dance steps. She is able to speak of degrees, angles, timing and measurements of space – the technical components of dance. In many ways, this information is analogous to acoustical analysis. Acoustical analysis describes a voice signal in numerical units, technical measures that relate to the overall voice sound. Using specialist tools, such as voice analysis software, a voice therapist uses these measures to establish baseline voice parameters. These concrete measurements of voice provide data against which future measurements may be compared in order to track progress. Some therapists may even have the luxury of real-time visual feedback of voice production via specialist voice analysis tools. Perceptual analysis How clumsy do I look? How bad is it, really? Is all this work actually making a difference? Honestly, I don’t mind if my dancing isn’t perfect, as long as I don’t look like Elaine (on Seinfeld) on the dance floor. My dance teacher provides me with constructive feedback to help me move from clunky stomping through the steps to graceful, elegant execution of the dance. She is gentle, but candid with her visual assessment and tells me what I need to work on to improve. A voice therapist does the same with perceptual assessment of the voice. Most people regard perceptual analysis as more important than acoustic analysis. After all, it’s how our voices are perceived by others that is of utmost importance. As such, a voice specialist therapist, with their highly trained ears, can provide real-time perceptual analysis of your voice. This feedback helps you to develop self-awareness and self-confidence. It helps you to establish your goals and monitor your progress. Teaching Drill, drill, drill! One of the most valuable skills offered by my dance instructor is her ability to break dance down into small components that need to be mastered before linking them all together. She assigns me small movements, or drills, to practice until I can do them up-to-speed without having to think about it. It’s this embedding of habit, the establishment of body memory, that frees my mind up for adding the final touches of beautiful nuances of movement. Similarly, perhaps the most valuable benefit of voice therapy is the teaching you receive from your therapist. Therapists help you by designing an individualised plan to move you toward success. Following that plan, they teach you the targeted techniques and strategies, in small, bite-sized pieces. Once mastered, they layer the most appropriate exercises for you, focusing on what is needed for your particular voice. They provide education in anatomy, physiology and healthy voicing so you can practice confidently between sessions. Coaching My dance instructor is my coach. She demonstrates how to move through a dance with attention to the details that create a beautiful sequence, but keep me safe from injury. She tells me immediately when I do something wrong and helps me, through repetition, to do it better. She may use video recording to help me see myself in reality, rather than how I might imagine I look. Eventually, I get to the point of being able to add finishing touches, such as facial expressions and small accentuations of the body which make my dance “passable” – finally, I look like a dancer. Similarly, therapists serve as vocal coaches. During sessions, therapists provide visual and auditory modelling and provide real-time, honest, constructive feedback on your practice. They may use recordings during sessions or for your use during practice at home to help embed new, good vocal habits. As your proficiency increases, they share advanced tips to polish and perfect the vocal sound. Check-ins and Top-Ups It’s been about a year since I last had a dance lesson. Even so, my husband and I can still make it round the dance floor, but our style is slipping (quite a lot). We are in desperate need of a couple of ‘top-up’ sessions, but now that COVID-19 has hit, we are looking at many more months before we are up and dancing again. It’s not so bad for people who are working on their voices. During the voice modification process, a therapist can provide check-ins between sessions to answer questions and provide clarification. After you stop having regular sessions, they can offer ‘top-ups’ to help keep you on track. With the help of technology, these valuable sessions can still be accessed easily and safely. A safe space. Most importantly, as in a dance studio, a voice studio is a safe space to try and fail. A voice therapist is a non-judgmental partner who goes along with you on your voice modification journey, supporting you to become the person you want to be. They will offer the best of their skills and knowledge, encouragement and commitment to you to help you discover your unique voice. Engagement in voice therapy combines your best self with that of your therapist/teacher/coach. https://www.dynamictherapyuk.com/blog-1/im-going-to-learn-a-new-voice monthly 0.5 2020-04-21 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1587480773967-VSWUB4MGA0XH7VNJTVN2/sprout.jpg BLOG - "I'm going to learn a new voice." https://www.dynamictherapyuk.com/blog-1/wax-onwax-off monthly 0.5 2020-04-10 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1586536346575-HLC4G1Y0UGQIHR2JIY7R/Karate-Kid-Yellow-Ford.png BLOG - Wax on...wax off https://www.dynamictherapyuk.com/blog-1/a-controversial-consideration monthly 0.5 2020-03-28 https://images.squarespace-cdn.com/content/v1/5c96317faadd347a087a4c9c/1585404219224-DTFRPLWDRMBQQBYFZM2X/pre%2Bpost+puberty+male+vf.jpg BLOG - A controversial consideration. image from https://www.staceyjanevocals.com/blog/www.staceyjanevocals.com/blog-2 People are unaware of the importance of their voices until they have a problem. It is our most expressive tool and most people don’t even realise it. A voice conveys almost everything there is to know about a person within a few seconds – age, health status, emotional state, education and socio-economic background (see my post, Just This). As such, achieving a speaking voice that conveys the real person inside is the goal for most trans people - and usually, the most difficult. It is a daunting challenge for many trans people to modify their speaking voices to the degree that is satisfying for them, especially trans women. Voices are not like musical instruments, where pressing a key or covering a hole changes the pitch and quality of the sound. The voice is nebulous and just like clouds, if the desired sound is achieved, it is difficult to hold on to and recreate consistently. We can remove hair, change our facial features with surgery, apply makeup, buy new clothing – all comparatively quickly and easily. If we can’t do it ourselves, someone else can do it for us. But the final touch, the clincher that ensures no mis-gendering, remains elusive to most people – that of a reliable, authentic voice. And in this new world of remote working, when visible cues may be limited to a headshot, the voice is of paramount importance. Can anything make attainment of this goal any easier? There’s vocal fold surgery, but it’s risky and expensive and satisfying results are not guaranteed. My musings brought to mind a practice that is considered more and more often by medical professionals who help people with gender dysphoria - the delay of onset of puberty. Pubertal delay is highly controversial, because by definition, pre-pubescent children are considered to not yet have enough maturity to make life-changing or medical decisions for themselves. Conversely, this argument may be one of the strongest reasons to consider puberty blockers, because the effects are not considered to be permanent. Once the treatment is stopped, puberty resumes. According to the Mayo Clinic, there are advantages, which make use of blockers worth considering: “…it pauses puberty, providing time to determine if a child's gender identity is long lasting. It also gives children and their families time to think about or plan for the psychological, medical, developmental, social and legal issues ahead.” Of course, nothing is so simple. Although it is considered to be reversible, “The evidence of ‘reversibility’ is from studies in a different set of children; namely children with precocious puberty (a puberty disorder in which puberty commences very early.)” In these children, puberty is halted with blockers, but reinstated at a time that is in sync with other developmental growth stages. Most children with gender dysphoria go on to take cross sex hormones, the effects of which are not reversible. For those who do choose to discontinue using blockers without continuing to pursue a change of gender, the cessation of use does not coincide with other maturation stages. In addition, users are at risk of long-term effects on bone density and fertility, so this intervention must be carefully managed. To top it all off, the effects of pubertal blockers on the developing brain are as yet undetermined. With regards to achieving a voice that is in keeping with gender, delaying onset of puberty is helpful for young trans women. “At puberty, boys' vocal fold grows up to 1 cm, leading to an average lowering of the fundamental frequency by one octave. In girls, the vocal fold grows less than 4 mm.” (Schneider, MA, et al. Brain Maturation, Cognition and Voice Pattern in a Gender Dysphoria Case under Pubertal Suppression, 2017) In this study (and many others), hormone therapy (gonadotropin-releasing hormone, GnRH) to suppress onset of puberty of an 11 year old cismale mitigated the effects of testosterone on the maturation of vocal folds. Without the effects of testosterone, lowering of fundamental frequency (f0) was limited to 30Hz during the first year of treatment. After 20 months, the mean f0 increased again to 228, well within the average range for women in Brazil, which is considered to be 150-250Hz. The current available evidence suggests that young trans women who have undergone hormone therapy to suppress puberty may find production of a satisfying female voice easier to achieve, because the physiological changes to the larynx (laryngeal lowering, decrease of angle of thyroid cartilage, vocal fold lengthening) were halted. 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