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Puberphonia is a functional voice disorder that is characterized by the habitual use of a high pitched voice after puberty.

The voice may also be heard as breathy, rough and lacking in power. Puberphonia usually occurs in between the ages of 11 and 15 years.

Puberphonia do not present with underlying anatomical abnormalities. The habitual use of a high pitch while speaking is associated with tense muscles surrounding the vocal folds.


There are a number of proposed causes for the development of puberphonia. The aetiology of puberphonia can be both organic or psychogenic in nature.
Psychogenic cause of puberphonia includes:

Organic cause of puberphonia


This condition is most often treated using voice therapy (vocal exercises by speech therapist Dr. Mahipal Singh & Saroj Rathore. The duration of treatment 40 to 50 hours speech therapy.

Techniques used

Cough – The patient is asked to apply pressure on the Adam's apple and cough. This results in the shortening of the vocal folds which is the physiological mechanism that reduces pitch.

Speech Range Masking

When speaking in noisy backgrounds, people speak louder and more clearly in order to be heard

The patient practices speaking while a masking noise is playing. Then, the patient listens to a recording of his voice during the masking session and tries to match it without the masking. By doing this, the patient practices their loud and clear voice.

Glottal Attack before a vowel:

A glottal attach is when the vocal folds are fully closed and then pushed open by the air pressure from breathing out. The patient breathes in and then makes vowel breathes out.

Lowering of Larynx to Appropriate position:

The larynx is lowered by the patient by putting pressure on the Adam Apple. By lowering the larynx, the vocal folds relax & thus pitch is lowered.

Humming while sliding down the scale:

The patient starts humming at the highest pitch that they can reach and then keeps lowering the pitch while humming.
This allows the patient to practice using a lower pitch and also to relax the laryngeal muscles.

The patients says boom just after swallowing:

This is repeated with the patient turning his head to either side and also while lowering the chin.

Parental Guidance and Counseling:

Parents play the important role in the process of growth of their children. It is essential to guide them and strengthen them mentally. We organized special workshops and meeting to prepare them for the major responsibility.

Speech and Language therapy:

We provide individualized therapy session. Where the child is made to learn the language and the parents are taught how to provide the right environment to theri children for language training.

Speech and language therapy is recommended for hearing impaired children as well as a varied range of speech and language disorders.

Principles of Auditory Verbal Therapy

Child Aphasia

It is complex disorder that is caused by damage to parts of the brain that controls language and speech.

This disorder affects the child's ability to express herself through words and understand the speech of other people. The severity of the problem depend on the extent of the damage as well as the location of the damage.

Cause of Aphasia:

The leading cause of Aphasia is brain injury, brain infection, brain tumor or bleeding in the brain.

Diagnosis of the disease:

The child will then be assessed on Auditory Comprehension, verbal expression. Reading and writing ability and functional communication.

Down Syndrome

It is genetic disorder associated with physical growth delays, mild to moderate intellectual disability and characteristic facial features.

Most of children with down syndrome learn to speak and will use speech as their primary means of communication, they will understand language and have the desire to communicate well before they are able to speak.


A developmental disorder of variable severity that is characterized by difficulty in social interaction and communication and by restricted or repetitive patterns of though and behaviour.

Cerebral Palsy

A condition marked by impaired muscle coordination (spastic paralysis) and other disabilities, typically caused by damage to the brain before or at brain.

Birth Asphyxia

Asphyxia means lack of oxygen and blood flows to the brain, birth asphyxia happens when a baby's brain and other organs do not get enough oxygen and nutrients before, during a right after birth, without oxygen and nutrients, cells cannot work properly, waste products (acids) build up in the cells and cause damage.