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Neurodiversity, Psychological, & Physiological Learning Barriers

Speech Impairment: Clinics with trustworthy information: Cleveland & Mayo Clinics

Stuttering is a Common Fluency Disorder

Stuttering is a speech disorder characterized by disruptions in the normal flow of speech.

Three primary forms exist:

1) Developmental Stuttering: In younger children, developmental stuttering is the most common. Stuttering begins as the child is developing language. Early treatment is beneficial. Stuttering is a broader category of speech disfluency, sometimes referred to as stammering.

2) Neurogenic Stuttering: Neurogenic stuttering can be caused by injury or disease to the central nervous system. Examples include stroke, head injury, tumors, and neurologic diseases.

3) Psychogenic Stuttering: This type is rare, and it's often seen in adults who have suffered severe emotional trauma, stress, or mental health issues.

Stuttering can manifest in a few ways, including:
  • Blocks (silences): Also known as abnormal stoppages, the individual struggles to initiate a sound or syllable, creating a brief pause in their speech. Speech flow is abruptly halted, with no sound produced.
  • Repetitions: Sounds, syllables, or words are repeated involuntarily.
  • Prolongations: Sounds are drawn out for an abnormal length of time.
  • Secondary behaviors: These are physical or vocal reactions to stuttering, such as eye blinking, head jerking, or tension in the facial muscles. They often develop as attempts to escape or avoid stuttering moments.

 

While the exact causes of stuttering are not fully understood, it can have a genetic component and may be influenced by brain structure and function. 

Types of Speech Impairments include:
  • Stuttering: Characterized by repetitions, prolongations, or blocks in speech. 
  • Cluttering: A rapid, disorganized speech pattern. 
  • Articulation Disorders: Difficulty producing specific speech sounds. 
  • Voice Disorders: Problems with the voice quality, pitch, or loudness. 
  • Aphasia: Difficulty understanding or producing language due to brain damage. 
  • Dysarthria: Weakness or paralysis of the muscles involved in speech production. 
Tips for People Who Stutter:
  • Self-Advocacy (Speaking up for yourself and your needs): Learning to communicate your needs and preferences to others can help create a more supportive environment.
  • Focus on communication: Prioritize clear communication rather than perfect fluency. 
  • Don't avoid situations: Challenge yourself to speak in situations that might be difficult, and gradually build your confidence. 
Practice Coping Strategies:
  • Breathing Exercises: Practicing deep breathing techniques helps to relax and control speech. 
  • Pause Between Short Phrases: Deliberate pauses between short phrases reduces tension and gives you time to plan speech.
  • Slow Speech Practice: Intentionally slowing down speech can help reduce stuttering occurrences.
  •  Voice Recording: Recording and listening to one's own speech to identify patterns and areas for improvement.
Seek Professional Help:
  • Speech-Language Pathologist (SLP): A trained professional who can diagnose and treat speech impairments. 
  • Speech Therapy: Involves exercises and techniques to improve fluency, such as slowing down speech, using pauses, and practicing specific speech patterns. 
  • Addressing Negative Feelings: Strategies to reduce stress and negative feelings associated with speaking difficulties.
  • Manage Anxiety: Stuttering can lead to anxiety, so techniques like deep breathing and relaxation exercises can be helpful. 

Tips for Patient and Appropriate Listening Behavior

Tips for Others:

  • Be patient and listen attentively: Give the person time to speak and focus on what they are saying, not how they are saying it. 
  • Don't interrupt or finish their sentences: Allow the person to complete their thoughts. 
  • Speak calmly and at a relaxed pace: This can help create a comfortable environment for communication. 
  • Avoid making comments about their stuttering: Focus on their communication, not their speech difficulties. 
  • Encourage and support: Let them know you are there for them and that you value their communication. 
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