| Step | Process of SKMVTTⓇ |
| Step 1 | Explanation of problem & vocal hygiene |
| Step 2 | ① Laughing + deep breath + um-hum② Laughing + deep breath + um-hum + hama, haneul, haja③ Laughing + deep breath + hama, haneul, haja |
| Step 3 | ① Laughing + deep breath + single word② Laughing + deep breath + 2–3 words sentence③ Laughing + deep breath + singing④ Laughing + deep breath + reading, monologue⑤ Laughing + deep breath + conversation |
| Step 4 | Relaxation & respiratory training |