Transgender and Nonbinary Adolescents: The Role of Voice and Communication Therapy

Abstract

Purpose: Current literature to describe the role of voice and communication therapy in gender-affirming interdisciplinary care for transgender and nonbinary adolescents is very limited. As a result, professionals providing voice and communication therapy are not always integrated into gender clinics and treatment plans for patients seeking gender-affirming care. Using case studies to demonstrate the complexity and nuance of gender-affirming care, this clinical focus article provides education about gender identity, gender expression, and gender roles as well as rationale and outcomes for voice and communication therapy with transgender and nonbinary adolescents. Conclusion: An interdisciplinary and gender-affirming approach is critical for adolescent voice and speech therapy success. Given the state of transgender health care and need for evidence-based interventions, this clinical focus article addresses gaps in training and research by recommending an interdisciplinary and culturally responsive approach to voice and communication therapy with transgender and nonbinary adolescents.