Indirect Therapies Flashcards
1
Q
Name some indirect therapies
A
- Vocal hygiene
- Lifestyle / Environmental changes
- Education
- Counselling
2
Q
Examples of goals for vocal hygiene
A
- reduce/stop smoking and drinking alcohol/carbonated drinks
- stay hydrated (water)
- replace coughing/throat clearing with an effortful swallow
- getting a good night’s sleep
- not putting strain on the voice - minimise shouting and whispering etc
- manage reflux (GP)
- manage sinus issues/allergies (ENT/Allergist)
- modify medications where appropriate (GP) - spacer for inhaler, contraceptive pill, nasal sprays,
3
Q
Examples of goals for lifestyle / environmental changes
A
- reduce nights out drinking in loud places
- reduce/stop karaoke singing
- limit hours on phone (speakerphone)
- modify work hours
- consider amplification and non-verbal means of getting attention
- reduce exposure to pollutants
4
Q
Counselling skills
A
- Active Listening
- Systematic inquiry
- Acknowledgement of what the client is saying
- Reflecting back content
- Reflecting back feelings
- Paraphrasing
- Reframing
- Summarising
- Mindfulness
- Cognitive Behaviour Therapy
- OARS (Principles of Conversation
- Open Questions – (very important not to lead!)
- Affirm
- Reflect &
- Summarise
5
Q
Examples of education as an indirect therapy for treating voice
A
- Describing how the voice works in simple language
- Describing what is happening in the voice disorder the client is experiencing in simple language
- Telling the client what they can expect (eg after surgery, during recovery)
- Describing different vocal qualities and what they can indicate
6
Q
Why would you choose lifestyle and/or environmental changes for indirect therapy?
A
- To identify the primary and secondary behavioural causes of the voice disorder and then to modify or eliminate these causes.
- To protect the vocal folds and other structural anatomy relating to voice production
7
Q
Why would you choose vocal hygiene for indirect therapy?
A
- To identify the primary and secondary behavioural causes of the voice disorder and then to modify or eliminate these causes.
- To protect the vocal folds and other structural anatomy relating to voice production
8
Q
Why would you choose counselling for indirect therapy?
A
- If the client is stressed and anxious generally, this needs to be addressed as it can be linked with voice disorders.
- The VD may be causing them stress or anxiety
9
Q
Why would you choose education for indirect therapy?
A
- To provide an understanding for the client
- So they can make informed decisions about goals and therapy
- So they know what to expect
