Stuttering is complex and multi-factoral disorder. Therefore, we evaluate all components of the disorder—affective, behavioral and cognitive—and design treatment based on a patient’s individual needs.
Evaluating a young child for stuttering requires a series of tests, observations and interviews designed to estimate the child's probability of persisting with stuttering. No single factor can determine a child’s long-term outlook. Instead, a range of factors are considered and must be balanced amongst each other, including:
- Family history of stuttering
- Length of time stuttering has been happening
- Severity of the stuttering
- Whether stuttering has been consistent or has increased steadily over time
- Presence of other speech or language disorders
- Whether the child has a sensitive temperament
- Whether the child or the family have strong fears or concerns about stuttering
If a child exhibits risk factors to continue stuttering or if their stuttering impacts their willingness to communicate, therapy may be recommended. In cases where a child does not possess risk factors and/or has a good prognosis for spontaneously recovering from stuttering, the family may be asked to implement a home program and return for a reassessment in a designated time frame, typically 2-3 months.
When evaluating school age children and adults, we assess the severity of the patient’s stuttering and the impact it has on their ability to effectively communicate and participate in daily activities. Following evaluations, individualized treatment plans will be generated and discussed with the patient and family.