Voice Therapy for a Case of Functional Dysphonia with Suspected Psychogenic Factor

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  • Umeda Yoko
    Division of Rehabilitation, Social Welfare Organization Saiseikai Imperial Gift Foundation, Inc., Osaka Saiseikai Nakatsu Hospital
  • Higashikawa Masahiko
    Department of Otolaryngology Head & Neck Surgery, Social Welfare Organization Saiseikai Imperial Gift Foundation, Inc., Osaka Saiseikai Nakatsu Hospital
  • Nakai Ken
    Department of Otolaryngology Head & Neck Surgery, Social Welfare Organization Saiseikai Imperial Gift Foundation, Inc., Osaka Saiseikai Nakatsu Hospital Konishi ENT Clinic
  • Nimura Yoshitsugu
    Department of Otolaryngology Head & Neck Surgery, Social Welfare Organization Saiseikai Imperial Gift Foundation, Inc., Osaka Saiseikai Nakatsu Hospital Nimura ENT Voice Clinic

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  • 心因的要因の関与が疑われた機能性発声障害に対して音声治療を行った1例

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<p>We report a case of functional dysphonia which we initially suspected of psychogenic dysphonia. Some reasons why we suspected psychogenic dysphonia were that fiberoptic observation of the vocal folds showed conversion aphonia, the patient had suffered aphonia in the past, and she was taking paroxetine hydrochloride hydrate for dizziness. We then tried voice therapy, and she was generally satisfied with her voice. She continued the voice therapy, and after six sessions of therapy her complaint disappeared without psychogenic symptoms. We concluded that priority of treatment for psychogenesis was low in this case. Our findings suggest that when psychogenic dysphonia is suspected, voice therapy may be tried when the response of the patient at the initial session is favorable.</p>

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