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What is spasmodic dysphonia?
- Spasmodic dysphonia is a rare speech disorder that affects the vocal cords. It causes a person’s voice to change and makes them sound very different.
© Shutterstock
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What does it sound like?
- When people with this condition speak, their voice may break, or it may sound tight and strained, or very breathy. Sometimes the vocal changes caused by this condition can make a person very difficult to understand.
© Getty Images
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How it feels
- For this reason, people with spasmodic dysphonia often feel anxious or uncomfortable when talking to others.
© Shutterstock
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Treatment available
- While there is no cure for spasmodic dysphonia, there are treatments that can help alleviate the symptoms.
© Shutterstock
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Prevalence
- As previously mentioned, spasmodic dysphonia is rare. According to the Cleveland Clinic, it affects around 500,000 people in the United States, for example.
© Shutterstock
5 / 30 Fotos
Risk groups
- Although it can start at any age, most people present with symptoms between the ages of 30 and 60.
© Shutterstock
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Adductor spasmodic dysphonia
- There are three different types of the condition. The first is adductor spasmodic dysphonia, a condition that makes the voice suddenly sound tight and strained.
© Shutterstock
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Abductor spasmodic dysphonia
- Then there’s abductor spasmodic dysphonia. This type makes the voice sound very breathy, or it may cause the person to lose their voice completely.
© Shutterstock
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Mixed spasmodic dysphonia
- The third and rarest type is mixed spasmodic dysphonia. This causes people to sound strained, tight, and breathy at the same time.
© Shutterstock
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Common symptom
- All three types of spasmodic dysphonia can also cause vocal tremor. This is when the voice sounds shaky.
© Shutterstock
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Gradual development
- When a person develops spasmodic dysphonia, their symptoms do not appear overnight. Rather, they develop gradually over a period of quite some time.
© Shutterstock
11 / 30 Fotos
Cause
- Scientists believe that this condition starts with the basal ganglia, an area of the brain that helps coordinate the body’s movements.
© Shutterstock
12 / 30 Fotos
Spasms in the larynx muscles
- The current thinking is that a neurological problem in this part of the brain causes the muscles in the larynx, including the vocal cords, to go into spasm.
© Getty Images
13 / 30 Fotos
Tight vocal cords
- These spasms can cause the vocal cords to become very tight, which in turn causes the voice to sound strained.
© Shutterstock
14 / 30 Fotos
Unknowns
- When the vocal cords come apart again, the voice sounds breathy. As it stands, experts do not know exactly what causes these spasms.
© Shutterstock
15 / 30 Fotos
Diagnosis
- If a medical practitioner suspects that their patient may have spasmodic dysphonia, they will generally refer the patient to an otolaryngologist and/or a speech-language pathologist.
© Shutterstock
16 / 30 Fotos
Diagnosis
- These experts will listen to the person speak and do a videostroboscopy to look at the larynx and vocal cords.
© Shutterstock
17 / 30 Fotos
Treatment
- Unfortunately, there is currently no cure for this condition. However, there are treatments that can help ease the spasms that affect the vocal cords.
© Shutterstock
18 / 30 Fotos
Different options
- Treatments include Botox injections, voice therapy, thyroplasty, and selective laryngeal adductor denervation-reinnervation (SLAD-R).
© Shutterstock
19 / 30 Fotos
Surgery
- SLAD-R is a surgery that improves muscle control by disconnecting and reconnecting nerves between the brain and the vocal cords.
© Shutterstock
20 / 30 Fotos
Using technology
- There is also technology that patients can use to make their voice sound louder, or to translate typed text into speech.
© Shutterstock
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Tips for coping
- If you or someone close to you is living with spasmodic dysphonia, there are some things you can do to make daily life a little easier. The first is practicing self-care.
© Shutterstock
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Practice self-care
- Being tired and overwhelmed can make the symptoms of the condition worse, so remember to take good care of yourself and get enough rest.
© Shutterstock
23 / 30 Fotos
Seek professional advice
- You may also like to consider speaking to a counselor. This helps some people learn to cope with their symptoms and the way they affect their daily life.
© Shutterstock
24 / 30 Fotos
Seek professional advice
- It is worth noting that there are counselors and therapists out there who specialize in helping people adapt their working life to a spasmodic dysphonia diagnosis.
© Shutterstock
25 / 30 Fotos
Stay connected
- It is also important to try and stay as connected as possible, even though sometimes the sound of your voice may make you self-conscious.
© Shutterstock
26 / 30 Fotos
Stay connected
- Some people find it helpful to address the issue and explain if their voice suddenly changes mid-conversation.
© Shutterstock
27 / 30 Fotos
Try a support group
- Finally, some people find it helpful to attend support groups that provide a safe space for people with this condition to share their experiences.
© Shutterstock
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Try a support group
- Being around other people with the same condition can help you feel less alone and help you learn more about how to manage the everyday challenges. Sources: (CNN) (Cleveland Clinic) See also: Alice in Wonderland syndrome is actually a real neurological condition
© Shutterstock
29 / 30 Fotos
© Getty Images
0 / 30 Fotos
What is spasmodic dysphonia?
- Spasmodic dysphonia is a rare speech disorder that affects the vocal cords. It causes a person’s voice to change and makes them sound very different.
© Shutterstock
1 / 30 Fotos
What does it sound like?
- When people with this condition speak, their voice may break, or it may sound tight and strained, or very breathy. Sometimes the vocal changes caused by this condition can make a person very difficult to understand.
© Getty Images
2 / 30 Fotos
How it feels
- For this reason, people with spasmodic dysphonia often feel anxious or uncomfortable when talking to others.
© Shutterstock
3 / 30 Fotos
Treatment available
- While there is no cure for spasmodic dysphonia, there are treatments that can help alleviate the symptoms.
© Shutterstock
4 / 30 Fotos
Prevalence
- As previously mentioned, spasmodic dysphonia is rare. According to the Cleveland Clinic, it affects around 500,000 people in the United States, for example.
© Shutterstock
5 / 30 Fotos
Risk groups
- Although it can start at any age, most people present with symptoms between the ages of 30 and 60.
© Shutterstock
6 / 30 Fotos
Adductor spasmodic dysphonia
- There are three different types of the condition. The first is adductor spasmodic dysphonia, a condition that makes the voice suddenly sound tight and strained.
© Shutterstock
7 / 30 Fotos
Abductor spasmodic dysphonia
- Then there’s abductor spasmodic dysphonia. This type makes the voice sound very breathy, or it may cause the person to lose their voice completely.
© Shutterstock
8 / 30 Fotos
Mixed spasmodic dysphonia
- The third and rarest type is mixed spasmodic dysphonia. This causes people to sound strained, tight, and breathy at the same time.
© Shutterstock
9 / 30 Fotos
Common symptom
- All three types of spasmodic dysphonia can also cause vocal tremor. This is when the voice sounds shaky.
© Shutterstock
10 / 30 Fotos
Gradual development
- When a person develops spasmodic dysphonia, their symptoms do not appear overnight. Rather, they develop gradually over a period of quite some time.
© Shutterstock
11 / 30 Fotos
Cause
- Scientists believe that this condition starts with the basal ganglia, an area of the brain that helps coordinate the body’s movements.
© Shutterstock
12 / 30 Fotos
Spasms in the larynx muscles
- The current thinking is that a neurological problem in this part of the brain causes the muscles in the larynx, including the vocal cords, to go into spasm.
© Getty Images
13 / 30 Fotos
Tight vocal cords
- These spasms can cause the vocal cords to become very tight, which in turn causes the voice to sound strained.
© Shutterstock
14 / 30 Fotos
Unknowns
- When the vocal cords come apart again, the voice sounds breathy. As it stands, experts do not know exactly what causes these spasms.
© Shutterstock
15 / 30 Fotos
Diagnosis
- If a medical practitioner suspects that their patient may have spasmodic dysphonia, they will generally refer the patient to an otolaryngologist and/or a speech-language pathologist.
© Shutterstock
16 / 30 Fotos
Diagnosis
- These experts will listen to the person speak and do a videostroboscopy to look at the larynx and vocal cords.
© Shutterstock
17 / 30 Fotos
Treatment
- Unfortunately, there is currently no cure for this condition. However, there are treatments that can help ease the spasms that affect the vocal cords.
© Shutterstock
18 / 30 Fotos
Different options
- Treatments include Botox injections, voice therapy, thyroplasty, and selective laryngeal adductor denervation-reinnervation (SLAD-R).
© Shutterstock
19 / 30 Fotos
Surgery
- SLAD-R is a surgery that improves muscle control by disconnecting and reconnecting nerves between the brain and the vocal cords.
© Shutterstock
20 / 30 Fotos
Using technology
- There is also technology that patients can use to make their voice sound louder, or to translate typed text into speech.
© Shutterstock
21 / 30 Fotos
Tips for coping
- If you or someone close to you is living with spasmodic dysphonia, there are some things you can do to make daily life a little easier. The first is practicing self-care.
© Shutterstock
22 / 30 Fotos
Practice self-care
- Being tired and overwhelmed can make the symptoms of the condition worse, so remember to take good care of yourself and get enough rest.
© Shutterstock
23 / 30 Fotos
Seek professional advice
- You may also like to consider speaking to a counselor. This helps some people learn to cope with their symptoms and the way they affect their daily life.
© Shutterstock
24 / 30 Fotos
Seek professional advice
- It is worth noting that there are counselors and therapists out there who specialize in helping people adapt their working life to a spasmodic dysphonia diagnosis.
© Shutterstock
25 / 30 Fotos
Stay connected
- It is also important to try and stay as connected as possible, even though sometimes the sound of your voice may make you self-conscious.
© Shutterstock
26 / 30 Fotos
Stay connected
- Some people find it helpful to address the issue and explain if their voice suddenly changes mid-conversation.
© Shutterstock
27 / 30 Fotos
Try a support group
- Finally, some people find it helpful to attend support groups that provide a safe space for people with this condition to share their experiences.
© Shutterstock
28 / 30 Fotos
Try a support group
- Being around other people with the same condition can help you feel less alone and help you learn more about how to manage the everyday challenges. Sources: (CNN) (Cleveland Clinic) See also: Alice in Wonderland syndrome is actually a real neurological condition
© Shutterstock
29 / 30 Fotos
Understanding spasmodic dysphonia, the condition behind RFK Jr.'s voice
Learn all about this rare neurological condition
© Getty Images
During the last week of January 2025, President Donald Trump's nominee to lead the Department of Health and Human Services, Robert F. Kennedy Jr., testified before the Senate Finance Committee. One of the hottest topics in the coverage of his confirmation hearing was RFK Jr.'s unusually gruff speaking voice. But the raspy sound to his voice is not the result of an infection or respiratory condition; rather, it is caused by a rare neurological condition that affects his vocal cords.
Intrigued? Check out this gallery to read more about spasmodic dysphonia.
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