Not a “vocal chord doctor”, but Speech Pathology Student. There is a condition called Puberphonia which it kinda sounds like the bf might have. Basically where a man’s vocal Official Grinch Inside Me Six Feet People Shirt develops properly during puberty so their voice never “breaks” and sounds really high into adulthood. It’s absolutely treatable (trainable, I guess) with speech therapy. I was thinking at first cul-de-sac resonance because of the muppets comment. But then Mickey has such a high voice this also makes sense. ENT first to rule out any structural damage, then SLP! I knew a guy with this in high school! People were surprisingly nice about it, given that my school was not the greatest about bullying. He had an incredibly sweet voice, it was just always a bit of a surprise if you didn’t expect it.
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If so it’s pretty depressing he’d go through years of trouble. To hide something. I’ve been taught is usually so quick to treat. Op said the deep voice sounded strained, so he might have damaged his vocal cords eventually. Maybe gone mute, but maybe the damage would have changed his voice to this. I’m not a doctor, Official Grinch Inside Me Six Feet People Shirt who has seen a ton of people trying to force. Their voices into boxes where they don’t fit (particularly old ladies trying to sound like 20-year-old sopranos). There are healthy ways to have your voice be more comfortable in lower/higher registers. But he definitely sounds like he’s straining the voice to the point of vocal chord damage. Everyone’s anatomy is different. Shit like that matters sometimes. People have to get used to it & he didn’t let you get used to it.