Disfonia psicogênica associada a outras doen？as: desafio para o tratamento fonoaudiológico

background: success and difficulties in the treatment of psychogenic dysphonia. aim: to discuss the limitations of speech therapy for psychogenic dysphonia associated with other diseases. method: evaluation protocols and therapy registrations were used for discussion of the case. results: the patient arrived with a significant voice change and after evaluation psychogenic dysphonia was diagnosed. the treatment involved vocal activation and modification of the fixed adjustment. positive changes were observed such as stability in vocal patterns and reduction of hoarseness, roughness, breathiness and throat discomfort and in the quality of life related to voice, but these changes were not sustained since other existing health problems aggravated. conclusion: speech therapy may be limited, although challenging, when psychogenic dysphonia occurs concomitantly to other diseases.