Inclusion Criteria:  Age range is 21-85 years Diagnosis of Laryngeal Dystonia (LD) Subject is able to give informed consent Symptoms at worst severity if receiving botulinum toxin injections Subject has signed the consent form  Exclusion Criteria:  Other forms of dystonia Vocal fold pathology or paralysis Essential tremor Laryngeal cancer or other neurologic conditions with medications affecting the central nervous system History of laryngeal surgery Adults lacking the ability to consent or complete the assessments and intervention Seizure in the last 2 years Contraindications to rTMS