Puberphonia is inappropriate use of high-pitched voice beyond pubertal age in males. It is usually seen in the immediate post-pubescent period when the male vocal mechanism has undergone significant changes in size and function caused by hormonal changes. That is why all causes for puberphonia are contemplated to hormonal changes. But it is not. Hormone development will be normal. Physical activity will be normal. Because of your phone your voice is not able to associate with normal people. The surrounding people will try to avoid him or make fun of him. This creates further puberphonia life problems.

Puberphonias stigma is defined as an undesirable attribute in a person that is viewed as different personality (male having 

a lady's voice) setting that person apart from the rest of society. Shame is an intense negative emotion that 

results from a puberphonia person experiencing failure in relation to personal or other people’s standards,

feeling responsible for that failure, and believing that the failure reflects an inadequate self. Puberphonia,

sometimes referred to as "self-stigmatisation," is a reflection of a person’s acceptance of the negative aspects of stigma. Although puberphonia can occur privately, shame has also been described as an affective reaction that

follows public exposure of some deviation from accepted norms.