Sunday, June 7, 2009

Pediatricians please refer early for children who stutter

I hope pediatricians and professionals realize the utmost importance of early interventon and preschool referring children who stutter to a SLP with expertise in stuttering. Although 80% of children reportedly outgrow stuttering on their own, there is no way for us to know which children will stop. Sometimes small changes in the child's environment are enough to facilitate fluency. Parent are often relieved after a visit to a stuttering specialist. There is a list of referrals of speech pathologists who specialize in stuttering on www.stutteringhelp.org, the website of the Stuttering Foundation of America. Some quick suggestions when talking to a child who stutters are:
1. Maintain eye contact
2. Listen to the message not how it is said
3. Refrain from saying relax
4. Refrain from saying slow down
5. Try and insert pauses in your own speech to model a slower rate of speech
6. Comment instead of asking direct questions (ex: I wonder what you did in school today etc)

Some warning signs are: a history of stuttering in the family, stuttering for greater than 3 months, signs of struggle, prolongation of sounds, and refer immediately if a child stops talking, show signs of awareness or a parent appears very worried. Again, we have no way of telling which children will stop on their own.

I use Lidcombe for preschool children but developed P.A.C.E to add a parent counseling component. Please contact me with any comments or questions.

Good book on stuttering 5th grade student

I want to recommend a good book about a 5th grade student who stutters called Jason's secret. It was written by Ellen Marie-Silverman.

Saturday, June 6, 2009

SpeechEasy follow up provider

Just wanted to let everyone know I am a Janus SpeechEasy follow up provider and have been for about 2 years.
While I am not a direct provider, I am certainly available for follow up therapy and practice.

Friday, June 5, 2009

Does acceptance mean not striving for fluency enhancement?

Hi everyone-
I have come to realize that acceptance means different things to different people. To me,it means accepting that I might always stutter but practicing and never giving up my quest to improve. Why? because I like being as fluent as I can be. It is what I teach my clients (the more intensive the better-I will be offering more intensive courses so please inquire-for those of you who don't know I took the same course as John Stossel and Annie Glenn ). Also, an added tidbit-Annie Glenn went for years of speech therapy following her 3 week course in Virginia as did I. I follow a similar fluency shaping philosophy with a little attitude kicked in. I am hoping to be able to offer a group intensive in the future. I just need teens or adults who will commit. Anyway, I know others choose to stutter openly and accept in that way. My only concern is that the constant pushing of words out can be exhausting and with slight modifications this can be worked on. Thanks for reading and all questions or comments welcome. Have a good night! Also, thank you to all the parents, teens and grad students who attended our first annual TWST (Teens who stutter) support group meeting of the National Stuttering Association. We welcome all new members. It was a terrific group and I was honored to be a part of it. I want to also thank my co-leader Dr. Jason Davidow of Hofstra University and my adult co-leader Steven Kaufman for all their support and for reminding all of us that stuttering does not have to stop you from saying what you want!!!

Sunday, May 31, 2009

Fluency Shaping tools leading to increased fluency-it works!!

I have known many people who have benefited from fluency therapy with intensive fluency shaping courses. Besides me, I know other SLPs, an airline pilot, a nurse, a doctor, a DJ, musician and many others. It does take hard work, practice, and joining a practice group. It is great to have control. Some people think they sound different using slower prolonged type speech. You do!!!! But so what? If you can speak with less tension and stutter less, why not try it? It may not be for everyone, but it has worked for so many in my practice!!! I can also tell you after using it for so many years myself and working on reducing feared situations, I don't have to exxagerate as much anymore but I actually embrace feeling in control!! I try and offer some intensives over the summer and with enough interest I can offer groups!!!! Please contact me for more information-Lori@allislandspeech.com
www.allislandspeech.com

Saturday, May 30, 2009

Open the suitcase and unpack-Stuttering baggage

I was just reading a post on a wonderful private practice list serve for speech pathologists. Someone described that an adult woman "stutterer" had been in therapy for years and wasn't progressing. It got me thinking how difficult it is to try and talk fluently. Another SLP wrote back about "change" and how difficult it is try and change the way you speak. In essence, as much as one might not like stuttering it defines them. So how did I do it?

How did I overcome a severe stuttering disorder? Do I have the magic? The answer is "no". I did it through unpeeling layers and layers of emotional baggage. I had to unpack the suitcase and lighten the baggage, BUT it started with intensive fluency shaping therapy and an intense desire to decrease stuttering. I remember being asked many years ago at a convention if there was a magic pill to be fluent, would I take it? My answer was always Yes, Yes, Yes!!

It takes years of practice, persistence, continuous speech therapy to decrease stuttering. The journey is long but has been worth it to me!!! Of course it would have been better to have worked on this baggage at the age of 6, but I didn't so I had to as an adult. Also, I have to say my parents always had the same expectations of me that they did for my brother, who does not stutter. I was never perceived as a stutterer in their eyes, so their support really helped me towards my goals.

Some words of encouragement if you find your fluency tools are not working:
Ask yourself:
Is this a feared situation?
Have I masssed practiced it?
If I have not had success before, why am I beating myself up now?
Am I too hard on myself?
What specifically in this situation is causing me so much fear?
Do I need more practice coordinating the muslce movements necessary for smooth connected speech?
Am I taking on residual air or comfortable diaphragmatic breathing?
Do I need the support of a speech pathologist?
Am I taking the time needed to go for speech therapy and practice?

Hope this helps. Please e-mail me at Lori@allislandspeech.com or visit my website at www.allislandspeech.com. Also, if you are a grad student, please contact me if you have an interest in stuttering. Have a great day. Thanks for helping me unpack and spread the word that help is available. Also, look for my upcoming publication of "Teens and Stuttering" in a local parent magazine.

Friday, May 29, 2009

PROMPT speech therapy

I don't usually talk about PROMPT speech therapy on my stuttering blog, but since it is another specialty of mine I thought I would recommend it. It is wonderful for dyspraxia, articulation and oral motor issues.