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Writer's pictureAshton Blyth

What is involved in the treatments?

Breaking down the surgery sections in a more detailed way made me realise I need to do the same for the treatments, as opposed to 8 stops representing the 8 NHS funded sessions of laser hair removal, or 3 lines representing the 3 voice therapists - which, by doing this, actually only limits the map to Leeds as other GIS' may have less or more on the team.


Voice Therapy

The below page is from the Tavistock clinic, which is the well-known GIS in London that is only available for children/young people. The page explains the process of voice therapy really well, in a way Leeds does not, I could not seem to find any explanation of the treatment process from Leeds on the it website. It helped me understand the steps, in the same way as having blood tests and reviews of hormones.


I've copied and pasted the important information below:


Your first appointment is an opportunity for you to discuss concerns and hopes about your voice and communication. As part of this appointment, we will:

  • make a plan for future therapy sessions, individual and group

  • take a case history related to your communication goals

  • listen carefully to your voice to ensure it is working healthily

  • take a baseline recording of pitch

  • explain how your  voice works, the process of voice change and what is possible

  • provide initial exercises and advice about home practice


You will be offered up to four therapy appointments of fifty minutes in duration at monthly intervals to assist the process of voice practice and change.


For those seeking to feminise their voice, help can be offered to:

  • raise pitch to a comfortable degree

  • achieve a brighter resonance (vocal colour)

  • explore intonation and expression

  • increase confidence with your voice on the phone

  • project your voice over background noise

  • explore other sounds such as coughing and laughing

  • explore some of your singing potential.


For those seeking to masculinise their voice, help can be offered to:

  • monitoring the effects of testosterone on your voice by measuring your pitch and how it changes over time

  • develop a robust breath support to accompany vocal changes

  • access increased chest resonance

  • explore intonation patterns

  • increase social confidence through assertiveness training

  • explore placement and range of your new singing voice.


For those identifying as non-binary or gender-diverse, therapy goals will be individualised  to support what fits your sense of authentic gender expression, through:

  • exploration of your singing potential

  • exploration of pitch, resonance and intonation

  • development of communicative power and personal presence.


This information has led me to change the voice therapy line to one single line, with no separations, and the stops will be:

  • Referral from Named Professional

  • Meet Voice Therapist and Record Voice

  • Exercises to Practice

  • First Appointment

  • Second Appointment

  • Third Appointment

  • Last Appointment

As the important stages are being referred, meeting the voice therapist and establishing goals, practicing at home, and then the four 50 minute appointments you could be offered.


Laser Hair Removal

This page explains the process of applying for funding clearer, and exactly what results you will see in the allotted NHS-funded time, which I think is extremely important.


The important facts being:

  • Laser Hair Removal DOES NOT fall under the category of 'cosmetic' procedures and ,in the case of transgender people, funding can be provided via NHS AGEM through a referral from a NHS GIS

  • Awarded 8 sessions

  • An assessment is carried out prior to the first session, and again prior to the eighth

  • Data represents the reduction achieved following 7 full-face treatments, and further will happen in the eighth, further assessments will happen if continue treatment once funding has been exhausted

  • Average percentage hair reduction after 7 treatments was 56% (range 22% - 75%)

  • 25/26 clients reported having to shave daily prior to treatment, and as of 7 treatments shave slightly over twice a week


And so I have changed the Laser Hair Removal line to include the following stops:

  • Referral from Named Professional

  • Board Approval for Funding

  • Initial Assessment

  • First Treatment

  • Second Treatment

  • Third Treatment

  • Fourth Treatment

  • Fifth Treatment

  • Sixth Treatment

  • Seventh Treatment

  • Further Assessment

  • Eighth Treatment



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