Section 1. Beginning with Voice: Putting Vocal Exercises into Lived Practice. 1.1. Pitch - how to raise or lower the pitch of your voice. 1.2. Resonance - how to change the 'colour' of your voice.

1.3. Intonation - exploring expressive movement and tune related to meaning-making. Section 2. Perspectives on Supporting Change. 2.1. Solution-Focused Brief therapy approach - using clients' strengths; working with goals and outcomes.

2.2. Narrative Therapy - how to 'thicken' the narrative and facilitate identity shift. 2.3. Presence and authenticity - becoming mindful and self-accepting within the process of acquiring new voice and communication patterns; using the senses; mindfulness approaches. 2.4.

The Role of the Creative Arts - Playing with voice, risk-taking, self-efficacy and self-esteem; exploring text and song; communicative power. Section 3. The Wider Gender Journey. 3.1. Group support and peer learning - moving from 1:1 learning towards peer learning and support; the role of group therapy and speaking circles for peer witnessing and extending realistic goals into full participation social living. 3.2.

The role of the multi-disciplinary team - gaining support from a joined-up team of multi-professionals. 3.3. Towards gender comfort - what are some of the stories at the end of the journey: client's perspective on what helps and supports the full integrated living in gender role.