Stuttering in Children -Helpful tips for parents-Parent Magazine

THIS ARTICLE WAS PUBLISHED IN PARENTS MAGAZINE IN 2007. I AM REPRINTING DUE TO POPULAR DEMAND.

STUTTERING IN CHILDREN...
HELPFUL TIPS FOR PARENTS..
by Lori Melnitsky, MA CCC-SLP

What is stuttering? What causes it? Although, the exact cause is unknown, there are known environmental factors that contribute to stuttering. Ideally, it is the goal of working with young children who stutter to eliminate disfluencies while involving parents in the process. Stuttering is an interruption of the continuous flow of speech. It can be characterized as prolongations (sssssssssnake), repetitions of words (I I I want milk) or phrases (I want I want milk), frequent use of filler words (uh, um), blocking (silence and struggle before saying a word).

Between the ages of 2 and 5, many children experience stuttering. This is often considered a period of normal disfluencies. Why? One reason is that children are still coordinating their speech patterns and acquiring language during this stage. Will these children outgrow it? The majority will, but there is no way of knowing for sure. This is why consulting a speech/language pathologist at the onset is vital.

Did you know that approximately 1 % of the population stutters? Additionally, 4 out of 5 people who stutter are male. Many times there is a family member who stutters. One known fact is that parents are NOT at fault. Also, stuttering is not a contagious disease. No one will start to stutter if they hear another person stuttering.

What are some of the characteristics of normal developmental disfluencies?

1. The child does not exhibit struggle behaviors (such as kicking his foot) or display awareness of how they sound.
2. Disfluent moments can disappear and then unexpectedly reappear days or months later.
3. The child is not avoiding speaking situations or displaying frustration.
4. Easy repetitions of words and short phrases.

When does stuttering become more of a concern?

1. Children who are at risk usually exhibit struggle behaviors while forcing words out (such as unusual breathing patterns, or facial grimacing).
2. They often avoid feared words or speaking situations. Fear and frustration is often visible.
3. Saying “I don’t know” often in response to obvious questions or changing words. These are forms of avoidance.
4. Using filler words often (like, um, uh).
5. Prolongations of sounds (ssssssssnake). Stuttering might become longer in duration.
6. Change in intonation patterns (rising pitch during the period of stuttering).
7. Blocking on words, such as opening mouth with no audible sound coming out. Disruptions in breathing patterns.
8. Stuttering becomes more frequent.


What do you do if you suspect your child is stuttering?

1. Seek out the help of a speech/language pathologist experienced with stuttering. Often, doctors and family members will say ”Wait, the child will grow out of it”. This is often incorrect and increases tension in the family. Always consult with a SLP for advice. They may monitor the child or provide parents with information to help their child. They might use a direct therapeutic approach with the child or with both the child and parents.
2. Be a good listener--pay close attention to what is being said NOT how it is being said. Look directly into the child’s eyes to show that you are truly listening to the message.
3. Reduce questioning. This will decrease demands placed on the child.
4. Avoid putting the child in the spotlight-ex: “Tell Aunt Sue what you did in school today”. This puts too much pressure on the child.
5. Avoid comments like talk slower. Try and model a slow relaxed natural sounding speech pattern. (This is difficult. SLPs will demonstrate this for you).
6. Delay responding to allow for more pauses and reduce time pressure for the child.
7. Don’t ask the child to repeat the sentence. It will only increase awareness and frustration.
8. Most importantly, don’t panic!!! Although we can’t identify who will eventually stop stuttering, we can give advice to parents on how to talk to a child who stutters and model the appropriate way to respond.
9. Remember it is not your fault. Parents are NOT to blame.

All of these strategies will be easier to follow once you have met with a speech/language pathologist.

There are also more direct therapy approaches available if stuttering persists. For the school aged child who continues to stutter, there is still hope. Although the chances of outgrowing stuttering decrease after age 6, there are strategies available to improve communication and decrease stuttering. Children at this age often become highly aware of being different from their peers. It is important to work with a SLP on not only speech strategies, but ways to handle everyday speaking situations.

Remember parents your words, are like candy to a child. They eat them up. Be kind, patient and loving. Most importantly, consult a speech/language pathologist if you suspect your child is stuttering.

For more information, please contact Lori Melnitsky. Lori is a speech language pathologist (SLP) who stuttered severely as a child and specializes in treating children and adults who stutter in Plainview, NY. She is available for therapy, parent workshops at schools, consultations, and presentations at local universities. She is the chapter leader of the National Stuttering Association Adult and teen chapters on LI and founder of the LI Stuttering Connection. She is in private practice and treats children and adults who stutter as well as other speech and language disorders. Lori can be contacted at 516-776-0184 or via e-mail: Lori@allislandspeech.com (www.allislandspeech.com)

Marital bliss-Does it make a difference in stuttering recovery?

Tonight I spent the evening with my parents and brother and sister n law. My father stuttered severely as a child and up until age 40 or so. I was talking to my father as my mother was involved in an intense conversation with my sister n law. I was talking to my father about a stuttering issue as I can only talk to another person who stutters. He all of a sudden inquired of my mother if his stuttering bothered her when they were dating ( he was 16, she was 14). She hesitated for a moment and said she didn't really remember. She then stated that it might of but she probably liked the fact that he let her talk. My mom is a talker. My dad become a talker in the last 15 years or so. She stated she was so happy for him that he could say what he wanted now. I was thinking that my dad never received fluency therapy. He never talked about stuttering when he was young nor did his family. His parents were immigrants. He is a pharmacist and stuttering did not impact his career or family decisions. Why not? What makes him different than others? I welcome others feedback as to why some are so affected by stuttering and others not. BTW-My parents are married over 49 years.

A 14 year old who stutters on Long Island-great strides towards fluency

I would like to share with you a great story of a wonderful 14 year old boy I work with. He gave me permission to share this. I don't want to use his real name so I will call him Dan. Dan started coming to therapy in Feb of 2009. He started stuttering at age 7 (later in life than most). His confidence was down, his eye contact not great and hesistant to talk. His stuttering was classified as moderate and he had many fears about talking in general. Dan is a very easy going, bright, handsome and athletic young man who was obvioulsy affected greatly by his stuttering. We started practicing breathing, connecting words and easy onsets. We also developed a hierarchy of feared situations. Dan did his homework daily, even though he was heavily involved in sports. He was very motivated and I am pleased to hear a high level of fluency with him. More importantly, I have seen a total transformation of confidence. Dan now answers phones, orders for himself, and talks freely with friends and family. He looks both myself and family straight in the eye when talking. We are still working on public speaking situations, which I explained are hard for everyone. He will get there. He has attended support and practice groups and talks openly about stuttering. Dan is a great role model and I am proud of him for all his hard work.

Happy International Stuttering Awareness Day-Oct. 22, 2009

On this day, I want to thank all my clients who open up to me and trust me enough to allow me to help them with their journey towards improving fluency and communication skills.