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How to Treat a Child’s Stutter


most children will become very talkative

most children will become very talkative as they develop language skills in early

as they develop language skills in early

as they develop language skills in early childhood some will even repeat certain

childhood some will even repeat certain

childhood some will even repeat certain syllables and words as they speak what

syllables and words as they speak what

syllables and words as they speak what does this mean that they have a

does this mean that they have a

does this mean that they have a stuttering problem hi I’m Pamela with

stuttering problem hi I’m Pamela with

stuttering problem hi I’m Pamela with watchmojo.com and today we’re speaking

watchmojo.com and today we’re speaking

watchmojo.com and today we’re speaking to Lisa massero a speech-language

to Lisa massero a speech-language

to Lisa massero a speech-language pathologist at the Montreal Children’s

pathologist at the Montreal Children’s

pathologist at the Montreal Children’s Hospital about children with stuttering

Hospital about children with stuttering

Hospital about children with stuttering and what they can do to overcome it can

and what they can do to overcome it can

and what they can do to overcome it can you begin by introducing yourself my

you begin by introducing yourself my

you begin by introducing yourself my name is Lisa massero I’m a

name is Lisa massero I’m a

name is Lisa massero I’m a speech-language pathologist at the

speech-language pathologist at the

speech-language pathologist at the Montreal Children’s Hospital I’ve been

Montreal Children’s Hospital I’ve been

Montreal Children’s Hospital I’ve been working with children who have various

working with children who have various

working with children who have various communication problems for about 20

communication problems for about 20

communication problems for about 20 years including kids who stutter what

years including kids who stutter what

years including kids who stutter what are the signs and symptoms of stuttering

are the signs and symptoms of stuttering

are the signs and symptoms of stuttering many young children go through a period

many young children go through a period

many young children go through a period of what we call normal non fluency that

of what we call normal non fluency that

of what we call normal non fluency that means times where they might repeat a

means times where they might repeat a

means times where they might repeat a word like mummy mummy can I have that

word like mummy mummy can I have that

word like mummy mummy can I have that ice cream or where they might put in

ice cream or where they might put in

ice cream or where they might put in some filler words like um I don’t know

some filler words like um I don’t know

some filler words like um I don’t know or where they might start a sentence and

or where they might start a sentence and

or where they might start a sentence and started a second time revise it until

started a second time revise it until

started a second time revise it until they get the exact sentence they would

they get the exact sentence they would

they get the exact sentence they would like to say that is really typical of

like to say that is really typical of

like to say that is really typical of the young child and they tend to outgrow

the young child and they tend to outgrow

the young child and they tend to outgrow that fairly fairly soon however there’s

that fairly fairly soon however there’s

that fairly fairly soon however there’s another group of children about 25% of

another group of children about 25% of

another group of children about 25% of preschoolers who go through a period of

preschoolers who go through a period of

preschoolers who go through a period of what we can call real stuttering

what we can call real stuttering

what we can call real stuttering and real stuttering looks different

and real stuttering looks different

and real stuttering looks different because kids will repeat parts of words

because kids will repeat parts of words

because kids will repeat parts of words so why they’re a sound or syllable so

so why they’re a sound or syllable so

so why they’re a sound or syllable so they might go I want to go outside or

they might go I want to go outside or

they might go I want to go outside or they might stretch out a sound like

they might stretch out a sound like

they might stretch out a sound like mommy or they might get stuck on a sound

mommy or they might get stuck on a sound

mommy or they might get stuck on a sound like that’s my toy so those are real

like that’s my toy so those are real

like that’s my toy so those are real signs of real stuttering what causes

signs of real stuttering what causes

signs of real stuttering what causes stuttering I don’t think we have the

stuttering I don’t think we have the

stuttering I don’t think we have the answer yet as to the cause of stuttering

answer yet as to the cause of stuttering

answer yet as to the cause of stuttering but we have some pretty good leads it’s

but we have some pretty good leads it’s

but we have some pretty good leads it’s really important to note that stuttering

really important to note that stuttering

really important to note that stuttering is not an emotional or psychological

is not an emotional or psychological

is not an emotional or psychological problem it’s caused by a difficulty and

problem it’s caused by a difficulty and

problem it’s caused by a difficulty and executing motor movements while you’re

executing motor movements while you’re

executing motor movements while you’re talking many people who stutter have a

talking many people who stutter have a

talking many people who stutter have a close relative who either stuttered when

close relative who either stuttered when

close relative who either stuttered when they were younger or continued to

they were younger or continued to

they were younger or continued to stutter as an adult

stutter as an adult

stutter as an adult the thing is though heredity or genetics

the thing is though heredity or genetics

the thing is though heredity or genetics doesn’t explain all the reasons why

doesn’t explain all the reasons why

doesn’t explain all the reasons why people stutter probably a good portion

people stutter probably a good portion

people stutter probably a good portion is related to the in

is related to the in

is related to the in environment some children just seem to

environment some children just seem to

environment some children just seem to be more vulnerable to everyday things

be more vulnerable to everyday things

be more vulnerable to everyday things that we all experience in our

that we all experience in our

that we all experience in our environment perhaps certain life events

environment perhaps certain life events

environment perhaps certain life events like the birth of a new child or the

like the birth of a new child or the

like the birth of a new child or the move to a new city or perhaps a very

move to a new city or perhaps a very

move to a new city or perhaps a very hectic lifestyle in the family where

hectic lifestyle in the family where

hectic lifestyle in the family where there’s lots of appointments and they’re

there’s lots of appointments and they’re

there’s lots of appointments and they’re moving around frequently from one

moving around frequently from one

moving around frequently from one activity to the other and maybe there’s

activity to the other and maybe there’s

activity to the other and maybe there’s something within the child himself or

something within the child himself or

something within the child himself or herself that has to do with her

herself that has to do with her

herself that has to do with her temperament or his temperament that

temperament or his temperament that

temperament or his temperament that makes them more susceptible to

makes them more susceptible to

makes them more susceptible to developing stuttering it’s most likely a

developing stuttering it’s most likely a

developing stuttering it’s most likely a combination of many factors that will

combination of many factors that will

combination of many factors that will eventually cause stuttering and a child

eventually cause stuttering and a child

eventually cause stuttering and a child who seems predisposed or more vulnerable

who seems predisposed or more vulnerable

who seems predisposed or more vulnerable to developing stuttering what percentage

to developing stuttering what percentage

to developing stuttering what percentage of children are affected by the speech

of children are affected by the speech

of children are affected by the speech impediment very young children let’s say

impediment very young children let’s say

impediment very young children let’s say under the age of five there’s about five

under the age of five there’s about five

under the age of five there’s about five percent of children who stutter this

percent of children who stutter this

percent of children who stutter this percentage decreases over time to in the

percentage decreases over time to in the

percentage decreases over time to in the school-age population to about one to

school-age population to about one to

school-age population to about one to two percent and to about one percent in

two percent and to about one percent in

two percent and to about one percent in the adult population what advice do you

the adult population what advice do you

the adult population what advice do you have for a parent who thinks that his or

have for a parent who thinks that his or

have for a parent who thinks that his or her child might be centering probably

her child might be centering probably

her child might be centering probably the first thing and the best thing I can

the first thing and the best thing I can

the first thing and the best thing I can do is observe what’s happening to sort

do is observe what’s happening to sort

do is observe what’s happening to sort of take a mental note of whether it’s

of take a mental note of whether it’s

of take a mental note of whether it’s fluctuating over time if it’s cyclical

fluctuating over time if it’s cyclical

fluctuating over time if it’s cyclical if it happens every day what situations

if it happens every day what situations

if it happens every day what situations seem to increase the amount of

seem to increase the amount of

seem to increase the amount of stuttering then once they’ve sort of got

stuttering then once they’ve sort of got

stuttering then once they’ve sort of got a handle on that and at the same time

a handle on that and at the same time

a handle on that and at the same time they really need to focus on what their

they really need to focus on what their

they really need to focus on what their child is saying and not how they’re

child is saying and not how they’re

child is saying and not how they’re saying it so they have to be careful not

saying it so they have to be careful not

saying it so they have to be careful not to give what they think are helpful

to give what they think are helpful

to give what they think are helpful hands like slow down take a deep breath

hands like slow down take a deep breath

hands like slow down take a deep breath think before you speak or finish their

think before you speak or finish their

think before you speak or finish their sentences because those help and hints

sentences because those help and hints

sentences because those help and hints in fact don’t help and may even increase

in fact don’t help and may even increase

in fact don’t help and may even increase stuttering lines of long run

stuttering lines of long run

stuttering lines of long run once they’ve noticed that stuttering has

once they’ve noticed that stuttering has

once they’ve noticed that stuttering has existed for more than six months we’d

existed for more than six months we’d

existed for more than six months we’d really suggest that they go and consult

really suggest that they go and consult

really suggest that they go and consult a speech-language pathologist and have

a speech-language pathologist and have

a speech-language pathologist and have their child assess some other good

their child assess some other good

their child assess some other good general suggestions for families well

general suggestions for families well

general suggestions for families well they’re waiting it out there was six

they’re waiting it out there was six

they’re waiting it out there was six months and seeing if it’s just

months and seeing if it’s just

months and seeing if it’s just transitory or if it’s the child’s going

transitory or if it’s the child’s going

transitory or if it’s the child’s going to start stuttering all on their own

to start stuttering all on their own

to start stuttering all on their own they can make sure that their child has

they can make sure that their child has

they can make sure that their child has some well-established routines for

some well-established routines for

some well-established routines for example they should have a routine

example they should have a routine

example they should have a routine bedtime routine meal time they should

bedtime routine meal time they should

bedtime routine meal time they should also take care to have consistent and

also take care to have consistent and

also take care to have consistent and fair discipline as well children who are

fair discipline as well children who are

fair discipline as well children who are stuttering need lots of rest can you

stuttering need lots of rest can you

stuttering need lots of rest can you explain how stuttering is treated before

explain how stuttering is treated before

explain how stuttering is treated before we get into the therapy in a very young

we get into the therapy in a very young

we get into the therapy in a very young child we might adopt an approach where

child we might adopt an approach where

child we might adopt an approach where to wait and see a wait and observe but

to wait and see a wait and observe but

to wait and see a wait and observe but actively observe giving the parents some

actively observe giving the parents some

actively observe giving the parents some tools about what to observe and giving

tools about what to observe and giving

tools about what to observe and giving them some some attitudes and some

them some some attitudes and some

them some some attitudes and some behaviors that they can use that will

behaviors that they can use that will

behaviors that they can use that will help their child be more fluent after

help their child be more fluent after

help their child be more fluent after three years of age we can probably start

three years of age we can probably start

three years of age we can probably start using a more indirect approach but

using a more indirect approach but

using a more indirect approach but working with the child so we might teach

working with the child so we might teach

working with the child so we might teach the family the parents how to model a

the family the parents how to model a

the family the parents how to model a different kind of fluent speech that

different kind of fluent speech that

different kind of fluent speech that their child will imitate over time as

their child will imitate over time as

their child will imitate over time as the child gets a bit older let’s say

the child gets a bit older let’s say

the child gets a bit older let’s say around four and a half we can use more

around four and a half we can use more

around four and a half we can use more direct methods where we really try to

direct methods where we really try to

direct methods where we really try to shape the fluency or tint shape that

shape the fluency or tint shape that

shape the fluency or tint shape that really smooth-talking so the child will

really smooth-talking so the child will

really smooth-talking so the child will talk more smoothly more often and

talk more smoothly more often and

talk more smoothly more often and eliminate their stuttering behavior as

eliminate their stuttering behavior as

eliminate their stuttering behavior as people get older and stuttering becomes

people get older and stuttering becomes

people get older and stuttering becomes more ingrained the techniques become

more ingrained the techniques become

more ingrained the techniques become more and more direct so that people

more and more direct so that people

more and more direct so that people learn how to control their stuttering

learn how to control their stuttering

learn how to control their stuttering better and also they probably let’s talk

better and also they probably let’s talk

better and also they probably let’s talk about school-aged children and

about school-aged children and

about school-aged children and adolescents or adults need to start

adolescents or adults need to start

adolescents or adults need to start working out on their own feelings and

working out on their own feelings and

working out on their own feelings and attitudes around stuttering which

attitudes around stuttering which

attitudes around stuttering which develop as a person becomes older thank

develop as a person becomes older thank

develop as a person becomes older thank you very much thank you the pleasure’s

you very much thank you the pleasure’s

you very much thank you the pleasure’s all mine

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