Gender-Inclusive Voice and Communication Training: Supporting Nonbinary Clients

Nonbinary clients may pursue gender-affirming voice training (GAVT) goals that extend beyond traditional masculinization and feminization goals. This clinical perspective discusses potential applications of existing clinical frameworks for nonbinary clients, with particular focus on meta-therapy and the Acoustic Assumptions (AA) as gender-inclusive approaches. These approaches support gender-inclusive, person-centered exploration of voice and communication characteristics while drawing on established principles of speech production. Although further research is needed to establish more gender-inclusive acoustic and perceptual outcome measures, clinicians can presently use customizable, person-centered approaches to support diverse GAVT goals and provide affirming care.