Stuttering is a speech problem in which you may repeat, draw out, not complete, or skip words or sounds without meaning to. The problem can range from mild to severe.
Stuttering that starts during a child's early language-learning years (ages 2 through 7 years) and goes away on its own before puberty is called normal disfluency. It's a normal part of language development. Most children aren't bothered by it and may not even notice that they're doing it. This type of stuttering may come and go for a while. Then it may slowly decrease until it doesn't happen anymore.
Stuttering that lasts or gets worse over time is called developmental stuttering. This type of stuttering can be embarrassing and hard to deal with. It probably won't get better without treatment.
Stuttering happens when the brain isn't able to send and receive messages in the normal way. Doctors don't know why this happens.
In rare cases, stuttering may be caused by brain damage, such as after a head injury or a stroke.
People who stutter may:
You may notice that your child stutters more when he or she is excited, anxious, stressed, or tired. Having to ask or answer questions or explain something complex may trigger or increase stuttering.
The same is true for teens and adults who stutter. It tends to get worse at stressful times, such as during public speaking. It often doesn't occur during activities like singing, whispering, talking while alone or to pets, or reading aloud.
A speech-language pathologist can usually diagnose stuttering by having the child read aloud. The pathologist may film or record the child talking or may check speech patterns in other ways. Your child may also need a physical exam and other tests to rule out health problems that affect speech development, such as hearing problems.
Talk with your child's doctor if you have any concerns about your child's speech, if stuttering lasts more than 6 to 12 months, or if stuttering runs in your family.
If you are an adult who has started to stutter, see your doctor. Stuttering that starts in an adult is most often linked to an injury, a health problem, or severe emotional trauma. To diagnose the problem, the doctor will do a physical exam, ask you some questions, and watch and listen to you speak.
Treatment for stuttering often includes counseling for the parents and speech therapy for the child. The main goal of treatment is to help your child learn to speak as smoothly as possible.
Parent counseling can help you understand how speech develops and teach you how to relate to your child in a positive way. You'll also learn how to help your child at home by using proper eye contact and body language when your child is trying to talk to you.
Speech therapy is important in some cases, especially if your child's stuttering lasts, gets worse, or is severe. Working with a speech therapist can help your child master certain speech and language skills and feel better about his or her ability to speak.
Remember that when stuttering begins in early childhood, it tends to go away on its own. If you think your child's stuttering is not normal disfluency, talk with your child's doctor.
When stuttering is caused by brain damage, such as after a head injury, treatment may include speech therapy, physical rehabilitation, medicines, and treatments for the brain damage itself.
By responding in a supportive and caring way, you can help your child avoid the social and emotional problems that sometimes result from stuttering.
Other Works Consulted
- American Psychiatric Association (2013). Neurodevelopmental disorders. In Diagnostic and Statistical Manual of Mental Disorders, 5th ed., pp. 31–86. Washington, DC: American Psychiatric Association.
- Guitar B, Conture EG (2007). The Child Who Stutters: To the Pediatrician, revised 4th ed. (Publication No. 23). Memphis: Stuttering Foundation of America. Also available online: http://www.stutteringhelp.org/Portals/english/0023tped.pdf.
- Paul R (2007). Disorders of communication. In A Martin, FR Volkmar, eds., Lewis's Child and Adolescent Psychiatry, 4th ed., pp. 418–430. Philadelphia: Lippincott Williams and Wilkins.
- Prasse JE, Kikano GE (2008). Stuttering: An overview. American Family Physician, 77(9): 1271–1276.
- Sadock BJ, Sadock VA (2007). Communication disorders. In Kaplan and Sadock's Synopsis of Psychiatry, Behavioral Sciences/Clinical Psychiatry, 10th ed., pp. 1175–1190. Philadelphia: Lippincott Williams and Wilkins.
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