1. Rule Out:
- Hearing Loss
- Physical Weakness
- Personality
*Make sure able to use louder voice
2. Increase Awareness
- Talk about problem
- Play recordings
- Talk about how other perceive quietness as scared/meek
- Try varying pitch
- Sustain good pitch for 5 seconds
- Play back so patient can hear
4. Breathing Exercises, Deeper Breaking, Push From Belly
5. Lombard Effect
- Read more loudly with background noise
Resource: Voice and Voice Therapy By Daniel R. Boone, Stephen C. McFarlane, Shelley L. Von Berg, and Richard I. Zraick