About The Book

Exercises for Voice Therapy, Third Edition contains 84 exercises contributed from 55 clinicians to assist speech-language pathologists in developing treatment plans and session materials for children and adults with all types of voice disorders. The exercises provide step-by-step instruction of varied difficulty levels. Some are suitable for novice voice clinicians, whereas others require a greater depth of experience to be used most effectively. Similarly, voice clients will find some exercises more challenging than others.

Each chapter focuses on a particular topic or parameter of the voice production system that may need to be addressed. The exercises can be used in a variety of ways, depending on the personal approach of each clinician and the needs of the individual client. Some of the exercises offer a basic framework for building an entire session, whereas others may fulfill a more specific need within a broader framework. Each exercise is presented in a consistent format for easy integration into speech-language pathologists’ therapy sessions.

New to the Third Edition:

  • 17 new exercises with 8 new contributors (for a total of 84 exercises from 55 contributors).
  • A new chapter on Counseling in Voice Therapy, containing four new exercises from three new contributors who are experts in the field of counseling.
  • A new chapter on Adherence and Generalization, addressing two significant and common problems in voice therapy, including three new exercises and a new contributor.
  • An enhanced chapter on Pediatric Voice Therapy, including three new exercises and two new contributors.
  • A reorganized chapter on Optimizing Speech Breathing, divided into exercises that focus only on breathing and those that incorporate voice production, to help the clinician select the most appropriate exercises for a given client.
  • An expanded and reorganized chapter on Special Cases, with chapter sections specifically targeting transgender clients, paradoxical vocal fold motion, client voice problems arising from motor speech disorders, as well as other special populations.
  • A PluralPus companion website contains supplemental audio files that pair with 28 of the exercises. The recordings provide an aural model for those exercises that may be difficult to interpret from the written text alone.

About The Authors

Alison Behrman, PhD, CCC-SLP, is Associate Professor in the Department of Speech-Language-Hearing Sciences at Lehman College/City University of New York. She received her MA in Speech-Language Pathology from New York University, and her PhD in speech physiology from Columbia University. Dr. Behrman has been the Principal Investigator of two grants from the National Instutites of Health and she was a recipient of the ASHA Foundation’s 2016 Clinical Research Grant. Dr. Behrman is a member of the scientific advisory board of Parkinson Voice Project (Richardson, Texas), a nonprofit treatment center that developed SPEAK OUT!® and The LOUD Crowd® to improve the communication of people with Parkinson’s disease. She is an avid tennis player.

John Haskell, EdD, CCC-SLP, recently retired after nearly 40 years in private practice in speech-language pathology, specializing in treatment of voice and fluency disorders.

Table Of Contents

Preface to the Third Edition

A Word About the PluralPlus Companion Website


Chapter 1. The Practice of Voice Therapy

Chapter 2. Counseling in Voice Therapy

On the Way Out

Jürg Kollbrunner

A New Seating Arrangement

Jürg Kollbrunner

Dear John Letter

Anthony DiLollo and Robert A. Neimeyer

The Story Mountain

Anthony DiLollo and Robert A. Neimeyer

Reflective Listening

Alison Behrman

Ruler Exercise

Edie R. Hapner

Chapter 3. Adherence and Generalization

Conversation Training Therapy (CTT)
Jackie L. Gartner-Schmidt and Amanda I. Gillespie

Using Mobile Devices to Motivate Adherence

Eva van Leer

Let’s Not Read Aloud – Stimuli for Vocal Exercises

Alison Behrman

Chapter 4. Vocal Warm-Ups and Cool-Downs

Gentle Vocal Stretch and Contraction (Vocal Warm-Up)

Wendy D. LeBorgne

Throat Openers

Shirley Tennyson

Laryngeal Self-Massage

Shirley Tennyson

Lip Buzzes

Alison Behrman

Arm Swing Warm-Up

Michelle Horman

Vocal Cool-Down I

Linda M. Carroll

Vocal Cool-Down II
Bari Hoffman Ruddy, Vicki Lewis, and Adam T. Lloyd

Chapter 5. Optimizing Speech Breathing

Breathing Awareness: Breathing Exercises That Do Not Incorporate Speech Production

Relaxed Heart-Mind Breathing

Susan D. Miller

Mindfulness Breathing

Daniel Kayajian

Adapted Cobra Pose

Kenneth Tom

Breath Sensitivity Training

Martin L. Spencer

Speech Breathing: Breathing Exercises That Incorporate Phonation and/or Speech Production

Alexander-Based Vocal Therapy: With a Little Help From Carl Stough

Joan Lader and Jessica Wolf

I like to Move It! Move It! Kinesthetically Speaking

Ashley Paseman

Balancing Breath and Tone Through Advanced Trill/Flutter Tasks

Mary McDonald Klimek

Trilled Carryover

Shirley Gherson

Tongue Bubble Glides

Brian E. Petty

Why Don’t You?

Alison Behrman

Breath Pacing

Linda M. Carroll

Breathing Awareness

Ellen Love Dungan and John Haskell

Flow Phonation

Jackie L. Gartner-Schmidt

Chapter 6. Using a Semi-Occluded Vocal Tract

Combined Rigid and Flexible Straw Phonation Sequence

Mara Behlau and Glaucya Madazio

Carryover of SOVT to Speech

Shirley Gherson


Mara Behlau and Gisele Oliveira

Wave in a Cave

Marci Daniels Rosenberg


Marci Daniels Rosenberg

Chapter 7. Resonant Voice

NG Sniff

Linda M. Carroll

Hong Kong Humming

Edwin M. L. Yiu

Chant Talk

Joan Lader

Chant to Speech

Sarah L. Schneider

How to Improve Your Vocal Resonance

Dominique Morsomme

Good Vibrations

Debbie Phyland


Silvia M. R. Pinho

Hyperfunctional Dyshponia

Marc Haxer

Hands-Off Treatment for Functional Aphonia (Use of Resonant Voice)

Martin L. Spencer

Chapter 8. Facilitating Articulatory Freedom to Improve Voice Production

Articulatory Awareness

John Haskell

The Chewing Method

John Haskell

Chewing Technique: Speak with an “Open Mouth”

Estella P.-M. Ma

Hum-Sigh with Chewing

Sarah L. Schneider

Tongue-Out Phonation

Sarah L. Schneider

Tongue Teaser

Gaetano Fava and Gisele Oliveira

Chapter 9. Achieving Healthy Loud Voice Production

Calling the Text

Alison Behrman

“Cooee” (The Aussie Bushman’s Call)

Debbie Phyland

The Power of the Amplifier

Karen M. K. Chan

Vocal Intensity Play

Rosemary Ostrowski

Using Twang

Mary McDonald Klimek

Chapter 10. Facilitating Efficient Vocal Fold Closure

Vocal Function Exercises

Joseph C. Stemple

Vocal Fry to Modal

Linda M. Carroll

Vocal Fry Associated with High-Pitched Blow Sound

Reny Medrado

Hypofunctional Dysphonia

Marc Haxer

Sharp Onset Vowel Sentences

Susan D. Miller

Up and Down Staccato

Susan D. Miller

Retention of Spaghetti

Sílvia M. R. Pinho

Chapter 11. Pediatric Voice Therapy

Voice Drawing

Leah Ross-Kugler

Blowing Bubbles

Leah Ross-Kugler

The Owl

Judith M. Wingate

Quiet Breath In–Easy Voice Out

Ellen Love Dungan


Paula Barson

Sociogram for Parents

Jürg Kollbrunner

Rewriting the “Script”

Leah Ross-Kugler

Camp Voice

Leah Ross-Kugler

Verbalization of Emotions

Jürg Kollbrunner

Birds Talking

Rita Hersan

Chapter 12. Special Cases

Exercises for Transgender Clients

Modification of Pitch in Male-to-Female Transgendered Clients

Reinhardt Heuer

Modifying Frequency and Resonance for Individuals Who Are Transgender

Jack Pickering and Daniel Kayajian

Chant Your Pitch (Voice Feminization)

Christie Block

Count Big (Voice Masculinization)

Christie Block

Exercises for Paradoxical Vocal Fold Motion

Relaxed Throat Breathing

Florence B. Blager

Low-Resistance Rhythmic Breathing for Paradoxical Vocal Fold Motion

Thomas Murry

Training Open Orolaryngopharyngeal Postures for PVFM

Juliana K. Litts and Jackie L. Gartner-Schmidt

Exercises for Voice Problems Associated with Motor Speech Disorders

Hiding Vocal Tremor

Julie Barkmeier-Kraemer

SPEAK OUT!® & LOUD Crowd® for Parkinson’s Disease

Jennifer Cody

Special Cases

Vocal Plasticity

Philippe H. Dejonckere

Cough or Throat-Clear Phonation for Puberphonia

Edwin M. L. Yiu

Laryngospasm Rescue

Shirley Gherson

Voice Therapy for Public Speakers

Alison Behrman

Julliard Snore-/k/

Linda M. Carroll

Postsurgery/Trauma Light and Easy Talking

Alison Behrman





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