Life-changing impact

Mary Wilkens uses this simple analogy to help others understand the complexities of vocal dysphoria — the feeling that one’s voice doesn’t align with their gender identity. She said vocal dysphoria can be mentally exhausting for a transgender person as they transition from one gender identity to another and potentially cause feelings of unhappiness, stress, anxiety and depression.

“I’ve always felt that this is a really important thing that isn’t talked about during a lot of people’s transitions,” Wilkens said. “Vocal dysphoria is really huge, and people struggle to understand what it is and how it would feel.”

As a member of the LGBTQ+ community and a third-year speech language hearing sciences student at the University of Cincinnati, Wilkens is motivated to serve her community by advocating for the importance of gender-affirming voice therapy.

In January, she was accepted to present a case study from her research on the subject at the Voice Foundation’s 53rd Annual Symposium, which will take place in Philadelphia at the end of May. In January, Wilkens also received a $700 Undergraduate Research Fellowship Award from UC to help offset conference presentation–related costs.

When transgender individuals transition from one gender identity to another, they may seek gender-affirming medical care, including voice therapy or voice surgery to align their voice with their gender identity. The Gender Diversity Project was created to explore how specific speech and voice characteristics influence gender-perception and how socioeconomic and psychosocial factors influence access to transgender voice care and vocal outcomes.

“This project is really awesome because we’re looking throughout a person’s voice therapy process to see how their voice changes both perceptually and physically and proving that therapy is effective,” Wilkens said. “We’re proving that there is significant change and that the therapy is important and has a positive effect on their life.”

Wilkens joined the Gender Diversity Project in its early stages when the team was focused on spreading awareness of the project and surveying transgender people locally and throughout the United States about their experiences with voice therapy.

As the project gained participants — individuals undergoing gender-affirming voice therapy and surgery at UC Voice and Airway Center who were referred to the VSM Lab by a clinician — Wilkens began helping collect evidence to prove that the voice intervention the participants were receiving was effective. This involved taking baseline measurements of how an individual’s pitch had changed as a result of their therapy.

Wilkens’s role in this process was to help record an individual's larynx (or voice box) while McKenna used a scope (a high-speed camera) to assess the larynx’s anatomy. Wilkens also helped conduct questionnaires that measured the participants’ quality of life before and after receiving voice therapy, which helped further prove the positive impact the therapy had on their lives.

Wilkens’ upcoming national presentation will highlight a comprehensive case study on a participant who received vocal feminization surgery but developed a large granuloma (a growth on the vocal cord) during the healing process. Wilkens presented her preliminary findings of how the granuloma affected the participant’s healing and subsequent voice therapy at the VSM Lab’s biannual symposium in December and will present additional findings at the Voice Foundation’s symposium in May.

Featured image at top: Mary Wilkens