title: Psychogenic dysphonia associated to other diseases: a challenge for speech therapy.
abstract: BACKGROUND
  success and difficulties in the treatment of psychogenic dysphonia.
  
  
  OBJECTIVE
  to discuss the limitations of speech therapy for psychogenic dysphonia associated with other diseases.
  
  
  METHODS
  evaluation protocols and therapy registrations were used for discussion of the case.
  
  
  RESULTS
  the patient arrived with a significant voice change and after evaluation psychogenic dysphonia was diagnosed. The treatment involved vocal activation and modification of the fixed adjustment. Positive changes were observed such as stability in vocal patterns and reduction of hoarseness, roughness, breathiness and throat discomfort and in the quality of life related to voice, but these changes were not sustained since other existing health problems aggravated.
  
  
  CONCLUSIONS
  speech therapy may be limited, although challenging, when psychogenic dysphonia occurs concomitantly to other diseases.
authors.affiliation: Fonoaudióloga, Universidade de São Paulo, Brazil. knemr@usp.br
authors.forename: Kátia
authors.initials: K
authors.lastname: Nemr
authors.forename: Marcia
authors.initials: M
authors.lastname: Simões-Zenari
authors.forename: Suelen Fernanda
authors.initials: SF
authors.lastname: Marques
authors.forename: Juliane Pereira
authors.initials: JP
authors.lastname: Cortez
authors.forename: Andreza Luciane da
authors.initials: AL
authors.lastname: Silva
mesh_terms: D055154:Dysphonia / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D011602:Psychophysiologic Disorders / Q000150:complications*; D013070:Speech Therapy / Q000379:methods / Q000592:standards*; D014832:Voice Disorders / Q000628:therapy