Treatment for true Puberphonia is normally simple, fast and very effective. It is possible that in your case there might be additional factors to consider. It is important to evaluate and diagnose the condition correctly. Treatment can involve quite a bit of counselling in the beginning and mental readiness from the patient's side is very important. Once the desired voice has been elicited, the patient needs to adjust to it and learn to use it.
I can't be sure if the problem that you are not hearing a difference is related to a hearing problem but it is always worth it to go and have that evaluated. It might also be your perception of your voice that is different to other's perception. Are your family and friends noticing an improvement?
Auditory masking can be used during diagnoses or therapy to assist in eliciting the desired voice.
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