title: Comprehensive management of psychogenic dysphonia: a case illustration.
abstract: Psychogenic dysphonia refers to the loss of voice, in the absence of apparent structural or neurological pathology. It is a disorder seen more often in women and is usually associated with significant life events and emotional difficulties that may lead to conflict over speaking. Therapeutic interventions in voice disorders recommend the adoption of a multidisciplinary approach to treatment. The following is a case illustration of a 50-year-old married lady with dysphonia and significant marital difficulties.
  
  
  OBJECTIVE
  The case demonstrates the psychological issues in the onset and maintenance of psychogenic voice disorders. It also emphasizes the use of a multidisciplinary approach consisting of cognitive behavioural strategies, pharmacological inputs and voice therapy. The case illustration will also help the reader to focus on cultural issues relevant in the development of problems and the need to address these in psychotherapeutic interventions, as well as difficulties that are likely to be encountered in therapeutic interventions.
authors.affiliation: Department of Mental Health and Social Psychology, National Institute of Mental Health and Neurosciences, Hosur Road, Bangalore 560029, Karnataka, India. paulomi@nimhans.kar.nic.in
authors.forename: Paulomi M
authors.initials: PM
authors.lastname: Sudhir
authors.forename: Prabha S
authors.initials: PS
authors.lastname: Chandra
authors.forename: N
authors.initials: N
authors.lastname: Shivashankar
authors.forename: B K
authors.initials: BK
authors.lastname: Yamini
mesh_terms: D055154:Dysphonia / Q000209:etiology / Q000523:psychology* / Q000628:therapy*; D054541:Family Conflict; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008875:Middle Aged; D013315:Stress, Psychological; D014831:Voice; D014833:Voice Quality; D014834:Voice Training