What is the treatment for stuttering?
The goal of treatment is to focus on relearning how to speak, or to unlearn incorrect ways of speaking. Although there is no cure for stuttering, early intervention may keep stuttering from becoming a life-long problem. Speech and language evaluation is suggested for children who exhibit stuttering or struggle behaviors associated with speech for more than six
Stuttering can be reduced and even eliminated with appropriate timely intervention. Since a number of years there have been a various variety of treatments applied on stutterers. Initially hypnosis was used but it did not work on a permanent effect basis. Another method was use of tranquilizers, sedatives, and relaxants that also gave temporary results. The more effective techniques were use of relaxation exercises, which alone is not satisfactory but along with various techniques help to reduce stuttering and gain fluency of speech. The attitude of the stutterer itself helps to enhance the prognosis and gain rapid progress in therapy. Latest an electical approach is used which is a combination of psychotherapy with classical and operant conditioning and insight therapy. It is done in various phases. First, we work on motivation and then second, on identification of speech assignments, sounds, situations, secondaries, frustration, communicative stress, word fears, situational fears, and third, work on desensitization which helps increasing fluency then forth, on variation of reaction to word and situational fears, to communicative stress, anxiety, guilt, hostility, frustration, and penalty. Then comes the approximation phase where techniques like stuttering in unison, cancellations, pullouts, preparatory sets are used. Next phase is stabilization of fluency by faking stuttering, then work on resistance phase where you work to achieve maintenance of fluency and to resist stuttering.
Treatment for stuttering varies according to the patient's age and type and severity of stuttering. Treatment is tailor made, as no two stutterers are the same. A number of techniques are available for achieving fluency which fall into various categories of prolonged speech techniques, airflow therapies, rhythmic speech, biofeedback methods, vocal control, masking, attitudinal therapy, anxiety reduction techniques and trial therapy. Speech therapy is a popular method of treatment that involves learning new speech techniques (such as speaking syllable-by-syllable) and modifying current ways of speaking (such as reducing the rate of speech). It may also include psychological counseling as a way of boosting self-esteem and reducing the tendency of avoiding fearful situations such as speaking in front of a group. Earlier metronome relaxation group therapy was used; now individual therapy is concentrated on along with group therapy. Focus is on reducing rate of speech, reducing secondaries, emotional precipitants are also minimized, increasing fluency, desensitization to persons, words, situations, building ego, strength, and psychological therapy is also tried. In some cases easy stuttering or modified stuttering is also taught. Stutterers don't always stutter they sound like any other person when they are fluent. Often they refrain from speaking when they anticipate difficulty.
Studies have looked into the potential of treating stuttering with medications. Haloperidol has been the most widely studied antistuttering medication and the only drug to show improvement in fluency. The side effects of haloperidol, however, are not well-tolerated and so the drug is often discontinued.
More information on stuttering
What is stuttering? - Stuttering is a complex set of behaviours that may involve repeating sounds, syllables or words, prolonging sounds, blocking or hesitating, and avoiding or substituting words.
What types of stuttering are there? - There are several types of stuttering, including developmental stuttering, neurogenic stuttering, and psychogenic stuttering.
What is developmental stuttering? - Developmental stuttering generally occurs because a child's neurological system is not ready for all of the language that they are trying to say.
What is neurogenic stuttering? - Neurogenic stuttering is a signal problem between the brain and the nerves or muscles controlling speech. Neurogenic stuttering has repetitions, prolongations, and blocks.
What is psychogenic stuttering? - Psychogenic stuttering is originates in the area of the brain that directs thought and reasoning. Psychogenic stuttering is rare.
What causes stuttering? - Although the exact cause of stuttering is not known, there are three leading theories that propose how stuttering develops.
What're the symptoms of stuttering? - Symptoms of stuttering speech include repetition of sounds, prolongation , or stretching, of sounds or syllables, related behaviors.
What're the treatment for stuttering? - The goal of stuttering treatment is to focus on relearning how to speak, or to unlearn incorrect ways of speaking.
What's the stuttering therapy for child? - Treatment for stuttering is much more effective in childhood. Some children appear to recover from stuttering without any intervention.
How to prevent stuttering? - Locations of genes that predispose people to stuttering. Speech therapy can stop the progression of stuttering.
What is stammering? - Stammering is a communication disorder in which the normal flow of speech is broken by repetitions, prolongations, or abnormal stoppages of sounds and syllables.