How do you diagnose the root cause of a vocal issue in a singer?

1 Listen carefully

The first step is to listen to the singer's voice and observe their vocal habits. Pay attention to the pitch, tone, volume, breath, resonance, and articulation of their voice. Notice if there are any signs of tension, pain, hoarseness, cracking, or loss of range or control. Ask the singer to perform different vocal exercises and styles and see how they cope with different demands. Listen for any changes or inconsistencies in their voice.

2 Ask questions

The second step is to ask the singer some questions about their vocal issue and their vocal history. Possible questions include when the issue started and how often it occurs, what triggers or worsens it, how it affects their singing and emotions, how they warm up and cool down their voice, and how they take care of their voice and overall health. Additionally, you should inquire if they have had any previous vocal issues or injuries, as well as if they have consulted a doctor or a speech therapist about their vocal issue. By asking these questions, you can gain insight into the singer's perspective and experience, as well as uncover any potential causes or factors that contribute to their vocal issue.

4 Refer to a specialist

The fourth step is to refer the singer to a specialist if the vocal issue persists, worsens, or interferes with their vocal function or quality of life. A specialist can be a doctor, a speech therapist, a laryngologist, or an otolaryngologist. They can perform a thorough examination of the singer's vocal cords and diagnose any medical conditions that may require treatment or surgery. They can also provide advice and guidance on how to prevent or manage the vocal issue.

5 Follow up and monitor

The fifth step is to follow up and monitor the singer's progress and recovery. Depending on the severity and nature of the vocal issue, the singer may need to rest their voice, modify their vocal habits, take medication, undergo therapy, or have surgery. You can support the singer by checking in on them regularly, adjusting their vocal exercises and repertoire, and encouraging them to follow the specialist's recommendations. You can also celebrate their achievements and milestones and help them regain their confidence and enjoyment in singing.

6 Review and learn

The sixth and final step is to review and learn from the vocal issue and the diagnosis process. You can reflect on what you have learned about the singer's voice and vocal issue, as well as your own vocal coaching skills and methods. You can also identify any gaps or challenges that you need to address or overcome in the future. You can use this experience as an opportunity to grow as a singer or a vocal coach and to prevent or minimize vocal issues in yourself or your students.

7 Here’s what else to consider

This is a space to share examples, stories, or insights that don’t fit into any of the previous sections. What else would you like to add?