Case report: psychogenic dysphonia/Estudo de caso: disfonia psicogenica

Psychogenic functional dysphonia is related to psychological aspects. The type of voice, the articulation and the fluency are sensitive to psychological changes. Voice adjusted with falsetto, is a voice with an extremely high pitch and can be observed in cases of psychogenic dysphonia. A differential diagnosis for psychogenic dysphonia is essential to perform an adequate and effective treatment. Prognostic of a psychogenic dysphonia is generally good. It commonly affects women. The aim of this study is to present the therapy evolution of an individual with psychogenic dysphonia. AJO, 45 years, male, attended to the ambulatory of Voice Evaluation and Therapy as an otorhinolaryngologist indication. His complaint was "my voice is perfect in the morning but it gets acute through the day". At April 18, 2013 he received the medical diagnosis of "reduced mobility of left vocal fold". Treatment based on trigger sound techniques, with direct modification of the symptoms, quickly evolved and had great satisfaction from the patient. When there is a psychogenic dysphonia suspicion, organic changes must be discarded. It is essential to have an evaluation that helps to differentiate diagnosis and therapeutic techniques which encourage the patient.