PROGRAM INFORMATION

GENDER AFFIRMING VOICE MODIFICATION THERAPY (feminization, non-binary or masculinization) typically consists of THREE Phases of Treatment. Everyone progresses through the phases at different rates and each program typically consists of a combination of Speech/Voice Therapy with your Clinician and continued vocal lessons with our Vocal Coach. 

There are numerous factors that determine each individual's length of treatment, thus determining the overall cost. Several factors are in your control such as compliance and consistency in the program. Other factors are out of our control such as the amount of vocal change desired and the responsiveness of your oral and vocal muscles, a person's cognition, structural issues to address during therapy and more. 

Phase 1- Awareness Stage – Developing New Muscle and Vocal Patterns 

• Duration up to 4-6 weeks; Telehealth appointments every week
• Sessions provided by your Speech/Voice Therapist

This phase focuses on: 

1. Developing new muscle patterns

2. Education of proper vocal hygiene 

3. The elimination of negative behavioral oral habits 

4. Stretching & breathing exercises 

5. Identification of specific vocal goals

6. Strengthening and toning the orofacial and pharyngeal muscles that are used in controlling the voice

7. The importance of compliance and consistency during the ongoing home/independent portion of program.

Phase 2 – Intensive Stage – Integrating and Implementing New Muscle and Vocal Patterns

• Duration approximately 6-8+ weeks; Telehealth appointments every week
• Sessions provided by your Speech/Voice Therapist

This phase focuses on:

1. Implementing and Integrating new muscle patterns 

2. Lingual, labial and mandibular range of motion, strength and stability

3. Adjusting pitch and prosody

4. Achieving proper resonance - shaping your voice

5. Fine tuning your inflection and intonation

6. The reinforcement of habit elimination

7. Strengthening pharyngeal muscles

8. Rate of Speech & Volume

9. Nonverbal vocalizations (i.e., laughing, coughing etc)

10. Speech, Voice and Fluency Skills as warranted

Phase 3 – Generalization, Habituation and Retention of ALL Muscle and Vocal Patterns 

• Duration approx. 2-6 months; individually scheduled appointments every 2-6 weeks, as needed.
• These appointments are typically provided by our amazing Staff Vocal Coach at a much lesser fee ($125/session). Our vocal coach will not work with a client until they have completed a treatment package and have been discharged to work with him on continuation and fine tuning of vocal goals
• Continued sessions with our Staff Vocal Coach includes the 75-page Vocal Virtuoso Pedagogy Vocal Exercise Program ($1000 value)
• Our vocal coach monitors your independent habits and exercises; making adjustments and/or recommendations to home program as necessary.
• Integration and awareness of oral, vocal and nonverbal patterns into daily/nightly activities 
• Self monitoring and self correction
• This phase of treatment will continue as needed based on vocal coach recommendation and/or client desire.
• The therapist makes referrals to other providers as needed or determined to be beneficial to client.

This phase focuses on:

1. Generalizing all patterns

2. Ease of performance

3. Generalizing integrated muscle patterns into specific daily activities (natural environment, no clinical structure)

4. Habit strengthening

5. Self-monitoring

6. Self-correction

7. New muscle/vocal patterns and proper function fully implemented into day and night

8. Retention of all newly acquired vocal patterns

9. The ability to safely switch in and out of various pitches/resonance as desired

ALL ASSESSMENT AND THERAPY SESSIONS UTILIZE A TELEHEALTH SERVICE DELIVERY MODEL AND ARE PROVIDED FROM THE COMFORTS OF YOUR OWN HOME

ASSESSMENT/TREATMENT PROCESS:

• ALL CLIENTS MUST RECEIVE A FULL INITIAL EVALUATION PRIOR TO BEGINNING TREATMENT. All evaluations include a Voice Evaluation Report (short/long - see below) with clinical impressions, recommendations, therapeutic goals, referrals as needed and prognosis.
• Please note that a 3.5% Processing Fee will be added to all transactions (evaluations, packages, sessions & kits)
• We require a $250 deposit at the time of scheduling, and this will be applied to your remaining balance which is processed 24 hours prior to your appointment. 
• At the time of scheduling, you will receive a Registration Link which will require you to provide a valid credit card to process the deposit.
• Your appointment is not secured or confirmed until you have completed the Registration and your deposit has been processed.
• Therapy typically begins one week after the assessment, to allow me time to ship out any therapeutic tools that I feel would be helpful during our sessions. 
• If you have any additional concerns that you would like evaluated at the time of your Voice Assessment (such as Speech/Articulation, Fluency/Stuttering, Language, Oral-Motor, Feeding/Sensory, Myofunctional etc.), please let me know at the time of scheduling. Each additional assessment component area has an additional fee of $395.
• We do not offer individual therapy sessions. Treatment is offered in packages of 12 sessions for optimal results. Sessions are typically weekly, but are good for up to 6 months.

Telehealth Gender Affirming Voice ASSESSMENT Fee:

• OPTION 1: $695 - Includes a formal narrative report.
• OPTION 2: $450 - Includes an informal short one page assessment summary.
  

Telehealth Gender Affirming Voice TREATMENT Fee:

OPTION ONE - 12-session package - BEST VALUE ($3600 paid in full)

• Includes a Voice Therapy Box with all therapeutic tools ($300 value)
• Includes an Individually Guided Treatment Plan
• Includes a Home Exercise program
• $400 overall savings to pay in full versus 12-session payment plan

OPTION TWO - 12-session payment plan ($4000 paid over 12 weeks)

• Requires $1000 initial deposit at the time of scheduling 
• Includes a Voice Therapy Box with all therapeutic tools ($300 value)
• Weekly payments of $250 for 12 consecutive weeks
• Payments are processed on Monday of each week until the balance is paid
• If there are cancellations, payment will be processed for that week, and the session will be rescheduled or made up
• Includes a weekly Individualized Treatment Plan
• Includes a weekly Home Exercise program

This type of therapy requires you to "show up" for yourself every day and do your best, otherwise you will not get your money's worth and your symptoms or conditions will likely recur. You must be actively ready to begin the change in yourself and commit to the program. Stopping after 12-weeks will not provide a good long term outcome. This is a health and lifestyle choice because you will be doing exercises everyday, and bringing new awareness to oral/vocal patterns that you have had your entire life. The most important changes are the changes that happen at home in between sessions and it is our goal to support you in incorporating gradual changes and using research-based techniques to help you reach your goals. 

Gender Affirming Voice Modification Treatment does not offer a quick fix, however with consistency and dedication, it can be highly effective in achieving your personal vocal goals and the results can absolutely be life changing. It can also be a non-invasive alternative to surgery. The best results are obtained when the exercises are done daily. Therapy generally lasts between 3 and 6 months, followed by sessions with our vocal coach (as needed) to help achieve generalization and retention.  The program can be modified to fit your schedule.  Appointments range from weekly to monthly.

Gender Affirming Voice Modification Therapy has been shown to be life changing, however due to the many factors that influence these patterns, outcomes are not guaranteed. Everyone progressed through the phases of treatment at different rates. It is important to recognize that even when therapy outcome is positive, there may be a period of time before goals are achieved. Effectiveness further depends on the patients’ maintenance of habits and exercise program developed during therapy.

CONTINUED VOICE WORK 

While, you may not require therapy for longer than 12-weeks, the skills will need to be practiced for a year or longer to habituate, generalize and become natural. You will need to continue protecting your new voice form damage. 

Once we mutually decide that you have made enough progress to graduate from therapy, you will be referred to our amazing Vocal Coach (VocalVirtuosos.com), to continue refining and perfecting your voice skills and helping you to maintain your achieved voce goals. 

When Voice Spot Clients schedule any sessions with Vocal Virtuosos (no minimum sessions required), they will receive THE FULL VOCAL VIRTUOSO VOCAL PEDAGOGY EXERCISE PROGRAM for FREE (valued at $1000+ when purchased separately). 

***This 75-page Comprehensive Vocal Exercise Program that will be yours for a lifetime.

• Gender Affirrming Voice Therapy requires continued practice even after therapy and our world renowned vocal coach will assure that you continue to stay on track and do not regress. 
• Vocal Virtuoso Lessons: $125 per 45-minute session (via Zoom) providing an affordable option to continue developing your best voice
• Our Vocal Virtuosos Master Vocalist has over 30 years of Vocal Training Experience. Learn more about him at Vocal Virtuosos
• Again, this option is only available for Voice Spot clients who have already completed a 12-week therapy package and when your clinician feels that you are ready.

We do accept HSA cards, and we offer Interest Free Financing through Care Credit (click or scan QR Code below)

Please be advised: due to licensing restrictions, any Telehealth sessions with participants outside of the state of Florida or California are considered "coaching" and therefore not eligible for insurance reimbursement. 

NOTE:

Choosing an experienced Speech Pathologist who works with vocal therapy and transgender people will make the difference in your treatment success. Many healthcare providers can help you adjust your pitch. It’s important, though, to find a provider who can tailor treatment to the changes you’d like to hear so your voice expresses your gender. These changes may involve more than changing how high or low your voice is. You may not know what changes feel right inside of your body when you’re speaking without the guidance of a specialized provider who’s attuned to your needs. Work with a provider who understands how voice and gender identity are related.

IF YOU WOULD LIKE TO SCHEDULE AN ASSESSMENT - PLEASE CONTACT US. 

We provide FREE 15-minute consultations if you have any preliminary questions prior to scheduling