Affirming Voice & Communication

Holistic, Affirming, & Comprehensive Voice & Communication services available now

Our Services

Voice & Communication Services
  • Voice and Upper Airway Disorders

  • Gender Affirming Voice Services

  • Breathing Retraining

  • Chronic Cough / Chronic Throat Clearing

  • Inducible Laryngeal Obstruction / PVFM / VCD

  • Swallowing and Feeding Difficulties (including sensory food aversion)

  • Voice and Upper Airway Massage

  • Parkinson’s Voice (LSVT Trained and Certified)

  • Gender Affirming Voice Surgical Letters and Perioperative Care

Telehealth Services Available:
  • WASHINGTON

  • OREGON

  • ARIZONA

Insurance Accepted: Premera BCBS

Coming Soon: Regence BCBS, Medicaid, UnitedHealth

Values & Commitment

At AV&C, PLLC we value privacy, accessibility, affordability, and cultural competence. We provide:

  • 2SLGBTQIA+ Competent Care

  • Trauma Informed Care

  • Neurodiversity Affirming Care

  • Collaborative Decision Making

  • Multigenerational Care

  • Culturally and Linguistically Affirming Care

Services are provided from the ancestral homelands of the Coast Salish Peoples, who have lived in the Salish Sea basin from time immemorial. It is with the deepest respect and gratitude for our Indigenous neighbors, specifically the Duwamish, Suquamish, Nisqually, Snoqualmie, and Muckleshoot Tribes, for their enduring care and protection of our shared lands, waterways, and anti-colonial values.

Schedule your appointment

Schedule a free 20-minute consultation today to learn more about the services we offer, inquire about billing, or to determine if our services are right for you.

If you prefer to skip the free-consultation and you’re ready to get started right away, schedule your evaluation today.

For professionals, business consulting and mentoring are available to support new clinicians, advise seasoned clinicians who are looking to improve their cultural and clinical competence.

Schedule a free 20-minute consultation
Skip the consultation & get started today!
Professionals: Business Consulting and Clinical Training
For current clients: schedule classes here

About Becks

Becks von Duering (they/them), is the owner of Affirming Voice & Communication PLLC. Their private practice was created to expand voice and communication services by making services easier to access in Washington, Oregon, and Arizona. They have experience teaching in schools as an Elementary Education teacher and as a Speech Pathologist in an outpatient and acute care setting for Kaiser Permanente of Washington, where they were Clinical Lead for over 10 years. They are a member of Trans Voice Initiative and they are a SOC 8 Certified Mentor for the World Professional Association for Transgender Health (WPATH). Their specialties include voice and upper airway management, gender affirming voice modification, pre- and post- surgical care, Parkinson’s Voice, cognitive communication disorders, and swallowing/feeding disorders.

Contact Us

Interested in working together but you’re not ready to schedule a consultation, please feel free to contact us via email and we will be in touch!