Fluency is the ability for speech to flow easily while we talk. The most common fluency disorder is stuttering. Stuttering typically develops around the preschool years.
WHAT IS STUTTERING?
Stuttering is a break in the flow of speech that makes it difficult to understand the speaker and can make communicating feel stressful. Often this is characterized by atypical disfluencies like repeating sounds (d-d-d-dog), blocking on words, or prolonging sounds (ssssssmall). Stuttering events may be mild to severe with significant tension and effort. These frequent instances of getting “stuck” and the anxiety around stuttering can lead to avoidance behaviors. Even very young children can be aware that their speech doesn’t sound like everyone else’s.
WHAT CAUSES STUTTERING?
Researchers don't know the exact cause of stuttering, but we know that it is neurological and not caused by something a child or parent did or didn’t do. There are certain predispositions that may increase the likelihood that a child will stutter, for example, if someone in your family stutters. There are also certain risk factors that contribute to whether your child will continue to stutter.
Stuttering can co-occur with other disorders, such as speech sound or language disorders so it is important to evaluate those areas of communication as well.
WILL IT GO AWAY ON ITS OWN?
Everyone experiences some normal disfluencies in their speech. This includes: repeating words or phrases, adding fillers like “um” or “uh”, or revising your sentence as you go. Preschoolers naturally have a lot of these disfluencies in their speech because they are just starting to use more advanced language.
Stuttering typically appears between age 2 and 5. While some children will grow out of stuttering spontaneously, many do not. This typically will happen within the first 6-8 months after it starts. The longer a child stutters, the less likely they are to recover, and will likely continue to stutter into adulthood. If you have heard “don't worry about it, they will grow out of it eventually”, but you are still concerned about your child stuttering, that is enough reason to seek out a professional evaluation from an SLP. Treatment is family-focused with the goal of eliminating or reducing disfluencies and developing a healthy attitude towards communication.
Schedule a stuttering evaluation for your child.
Includes a comprehensive evaluation of stuttering, expressive/receptive language skills, and articulation as all areas can influence stuttering. Includes a written report.
An initial speech/language evaluation is not necessary if you can provide a comprehensive outside evaluation that was completed within the last 6 months. The initial treatment session will be used to discuss previous evaluation, family goals, and develop a plan of care.
Speech and Language Therapy
Individualized and 1:1 with speech-language pathologist via teletherapy.
Addressing stuttering for your preschooler with a family-centered approach for best outcomes.
A plan of care with personalized goals.
A progress note will be completed at least every 6 months.
Discharge summary at end of services.
For information about payment options visit our Services page.
WHAT TO EXPECT
An intake phone conversation will be completed with the therapist to gather information about your child, your concerns, and relevant health and developmental history. We will go over any intake forms and paperwork. A comprehensive evaluation using the teletherapy platform will be scheduled .
The certified speech language pathologist will complete a comprehensive evaluation. This will include observation, parent questionnaire, and assessment as appropriate. Please reserve 2 hours for this session to ensure the therapist has enough time to be as thorough as possible. Results will be shared and a complete evaluation report will be provided within 2 weeks. An initial session will be scheduled if ongoing therapy is recommended.
Initial Treatment Session
Initial therapy session: a plan of care will be created in collaboration with you to set the foundation for family-centered goals and therapy. The frequency of ongoing treatment sessions will be determined at this time to best support progress.
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