Voice and communication therapy within the Trans and Gender Diverse Care Pathway: Essential knowledge and skills for speech and language therapists and voice practitioners

Course overview

The Tavistock and Portman NHS Foundation Trust is the national provider for both the paediatric gender identity service and the largest gender clinic nationally for adults. As such, the trust is unique in its overview of gender issues throughout the lifespan delivered by clinicians at the cutting edge of the field.

This 2-day course (with a follow-up tutorial of supervised practice) will give a multidisciplinary overview of treatment for gender dysphoria, and a comprehensive, experiential training in voice and communication therapy for trans and gender diverse people seeking to find their authentic voice and communication. The competencies learned on the course map directly onto the Royal College of Speech and Language Therapists’  Trans and Gender Diverse Voice and Communication Therapy Competency Framework.

The course is delivered by a range of professionals who are leading the field in both research and practice. Delivery will include presentations, practical demonstrations and workshops, group discussions, coaching and feedback. Topics will cover:


Background and multidisciplinary overview

  • An overview of the biopsychosocial care pathway for trans and non-binary people seeking alleviation of their gender dysphoria and exploration of their identity (Dr Andrew Davies, Consultant Psychiatrist)
  • Detailed explanation of cross sex hormone interventions (Dr James Barrett, Lead Clinician & Consultant in Gender Dysphoria Medicine)
  • Psychology Service and psychotherapeutic interventions in the care pathway (Dr Kerry Manera, Counselling Psychologist)
  • Surgical interventions (Ms Tina Rashid, Consultant Urological Surgeon & Dr James Barrett, Consultant in Gender Dysphoria Medicine)


Voice and Communication

Delivered by consultant and leading speech and language therapists Matthew Mills, Gillie Stoneham, Nicola Gorb, Carys Bracken and Mary Moos, together with invited clients for practical voice modification sessions.

  • Voice change and identity, including exploring our own attitudes to voice
  • Voice neutralisation-feminisation: interventions in pitch, resonance, intonation, voice quality
  • Voice neutralisation-masculinisation: interventions that complement testosterone to build functional voice use
  • Developing authenticity: nonverbal communication, presence, use of improvisation in individual and group sessions and interventions in social communication
  • Trans voice and additional needs: for example ASD, LD, and stammering in people with gender dysphoria

  • Supporting adolescents and young adults with social communication and voice exploration

The course aims to:

  • increase knowledge and understanding of the biopsychosocial care pathway for trans and gender diverse people
  • provide opportunities to take your competencies forward using the new RCSLT national framework for trans and gender diverse voice and communication

The course is suitable for Speech and Language Therapists (SLTs) at all levels – students in training, NQTs, developing and established specialists – starting out or continuing their journey of affirmative clinical practice with trans and gender diverse people, for SLTs with no experience of working with trans clients to those with experience needing to refresh and update their professional knowledge.

This course is also suitable for voice coaches, practitioners and pedagogues wishing to begin or deepen their understanding of gender and voice and working with trans and non-binary clients.

Matthew Mills is Consultant Speech and Language Therapist and Head of Service. He has worked at the ‘Charing Cross’ Gender Identity Clinic, London since 2009. He is council member for the British Association of Gender Identity Specialists (BAGIS) and London Region representative for the NHS England Clinical Reference Group for Gender Identity Services. He is an RCSLT Adviser on trans and gender diverse voice and communication, founder member of the Trans Voice and Communication Clinical Excellence Network and scientific committee member for the European Professional Association of Transgender Health (EPATH). Matthew is also a voice coach and musician. He teaches at University of Greenwich and Royal Central School of Speech & Drama.

Gillie Stoneham is a leading Speech and Language Therapist in trans voice and communication, researcher and author. She combines her work at the ‘Charing Cross’ Gender Identity Clinic with her role a senior lecturer in speech and language therapy, teaching counselling and clinical communication skills, voice and leadership. She is a founder member of the RCSLT’s Clinical Excellence Network in trans voice and communication. Gillie is also a coach in voice and personal impact.

Nicola Gorb is a leading Speech and Language Therapist in trans voice and communication. She has been a voice specialist since 2005 working with both children and adults in several London NHS Trusts. She currently also works as paediatric voice specialist at Great Ormond Street Hospital. She has training in Narrative Therapy, Clinical Hypnosis and Solution Focused Brief Therapy which she integrates in supporting trans and gender diverse people to develop their authentic voice. She also specialises in psychogenic voice disorders and stammering. Nicola is a council member for BAGIS.

Really good! Much more wide ranging in approach than I anticipated. (Nov 19)

New dates for this course will be advertised here in due course. Please contact us at CPDevents@tavi-port.ac.uk to be added to the waiting list.

Fees will be announced here when the course is next open for booking

Certificate of attendance
Course length:
2 days
The Tavistock Centre, London
Admission status:

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Gender identity clinic (GIC)

The Gender Identity Clinic (GIC) is the largest and oldest gender clinic in the UK, dating back to 1966. We accept referrals from all over the UK...