Voice volume problems and dysphonia

[Guest guest]

I haven't been here for a while, but I have a question I'm hoping

someone can help me with.

My 4 year old son has mild global dyspraxia, including the verbal

apraxia. He's done really well with speech therapy, but he's always

had a hard time with his vocal volume. In other words, he talks

REALLY loudly. Almost yelling when having a normal conversation.

Can that be considered a facet of the apraxia?

The problem is that it's affecting his vocal cords (his voice is

hoarse), and he now seems to have developed some dysphonia. We're

going to see his ENT on Wednesday, and she'll probably scope his

vocal cords again (they did this a year ago -- no nodules yet, but

evidence of irritated cords; his voice has gotten worse since then,

to the point that the hoarseness and breathy talking makes him hard

to understand sometimes). But I'm wondering if anyone else has gone

through it, and if there is any voice therapy that's successful for

kids with apraxia with this issue.

Thanks,

in Georgia