This leads to retention of the high-pitched childish voice, and is a great disadvantage socially. This should become rarer with improved understanding and treatment of the hormonal aspects of the syndrome. Advice about this should be sought from an endocrinologist at a hospital clinic. If the adult himself is concerned about any aspect of his ability to communicate, and therefore sufficiently motivated to change, a professional opinion should be sought. Another point of contact would be the Adult Department at your nearest general hospital.
Outpatients attendance with home practice.
Group therapy with other adults with similar problems. Professional advice, and training of patient and carer to deal with the problem himself. Some self-help suggestions Inhibition of the desire to communicate or inappropriate use of language can cause considerable embarrassment. Attendance of a group where speaking is a natural part of the activity, e.g. drama group, self-advocacy group, discussion group. Attendance at a course on assertiveness or confidence-building.