Praxis SLP Licensure Exam

A SLP has a patient who is completely aphonic but has no structural issues with the larynx. What is the appropriate approach for treatment?

1. Refer the patient to a gastroenterologist

2. Refer the patient to a pulmonologist

3. Refer the patient to a psychiatrist

4. Send the patient home with voice rest

The correct answer is: Refer the patient to a psychiatrist

In cases of complete aphonia without any structural issues in the larynx, the focus of treatment often shifts towards the potential psychological or emotional factors that might be contributing to the loss of voice. This scenario suggests the possibility of non-organic or functional aphonia, which can sometimes be linked to psychological stressors or emotional conditions. Referring the patient to a psychiatrist is appropriate because mental health professionals can provide tools and strategies for managing any underlying issues such as anxiety or stress, which may manifest as voice loss. An assessment by a psychiatrist can help determine if the patient is experiencing any psychological factors that could be relevant to their condition and might assist in developing a comprehensive treatment plan that addresses both the voice issue and any emotional or psychological components. The other options would not directly address the aphonic condition given the absence of structural issues. Referring to a gastroenterologist or a pulmonologist would be less relevant since aphonia due to functional causes does not typically relate to gastrointestinal or pulmonary conditions. Additionally, just sending the patient home with voice rest does not provide a therapeutic approach to address the psychological components, which are likely critical to recovery in this case.