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Mackenzie Therapy specializes in voice diagnosis, rehabilitation for singers, performers and other professional voice uses as well as gender affirming voice therapy and preventive voice management. 


Singers have unique voice therapy needs

They are vocal athletes, professional voice users and they use their instrument differently depending on what style or venue they are singing. As a result, traditional voice therapy is not often sufficient for singers and they require a more thorough understanding of their instrument to fully meet their needs in therapy.

At Mackenzie Therapy, our speech-language pathology team are not only trained in their area of voice but are also singers and performers who know the voice inside and out. Our Speech Pathologists have experience in laryngeal massage, assessing and treating vocal pathologies, researching and teaching voice science, anatomy and physiology of the voice, run masterclasses and lectures throughout New Zealand and of course, providing voice therapy and preventative vocal management to singers from a wide variety of styles.

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Gender Affirming Voice Therapy

Mackenzie Therapy also has expertise in Gender Affirming Voice Therapy. Voice and speech therapy can help transform identity and aid in gender affirmation.  We provide a supportive and guided environment to maximize total communication, including aspects of voice such as conversational pitch and inflection, as well as nonverbal communication.

An Individualised treatment plan is created with the client based on the assessment findings and the client'y perceived needs. Some aspects our Speech Pathologists may choose to address include: 

- Habitual speaking pitch

- Resonance 

- Inflection (the melodic up and dowwns of the voice)

- Rate of speech (howw fast or slow the person speaks)

- Volume/intensity

- Articulation

- Prosody 

- Pragmatics (social rules of communication)


Common concerns of singers who seek voice therapy include (but are not limited to)

  • Vocal node or vocal polyp prevention and rehabilitation

  • Laryngeal, pharyngeal, or oral surgery rehabilitation

  • Excessive strain or weakness in speaking voice

  • Increased rate of vocal fatigue

  • Reduced range

  • Increased tension in mouth, neck, and shoulders

  • Register-specific issues

  • Difficulties with resonance and sensation of the voice

  • Throat or jaw pain when singing

  • General vocal health and lifestyle concerns

  • Projection issues

  • Voice not "warming up" or "cooling down" effectively

  • Contractual obligations or unfamiliar singing styles requiring special techniques

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Acupressure Neck Massage

Laryngeal Massage

Laryngeal massage assists the muscles of the larynx (voice box) to stretch and relax.  It promotes circulation in the laryngeal area,  and relieves discomfort associated with excess tension. Laryngeal massage should result in reduction in height and stiffness of the larynx, as well as increase mobility and awareness of muscular tension. Once the larynx is “released” and range of motion is improved, a notable difference in vocal effort, quality, and vocal range should appear.  

Laryngeal massage is effectively taught to clients, so that they can continue the tension reduction on themselves when needed.  It is most effective when done frequently throughout the day to prevent laryngeal tension and discomfort.   It is highly beneficial for heavy voice users, and those diagnosed with muscle tension dysphonia. 


Get in touch with us if you would like to know more about

our specialist nationwide service and how we can help you!