stuttering

Stuttering Facts and Information

These stuttering facts and stuttering information are provided by the Stuttering Foundation of America.

What is stuttering? Stuttering is a communication disorder in which the flow of speech is broken by repetitions (li-li-like this), prolongations (lllllike this), or abnormal stoppages (no sound) of sounds and syllables. There may also be unusual facial and body movements associated with the effort to speak. Stuttering is also referred to as stammering.

What causes stuttering? There are four factors most likely to contribute to the development of stuttering: genetics (approximately 60% of those who stutter have a family member who does also); child development (children with other speech and language problems or developmental delays are more likely to stutter); neurophysiology (recent neurological research has shown that people who stutter process speech and language slightly differently than those who do not stutter); and family dynamics (high expectations and fast-paced lifestyles can contribute to stuttering).

Stuttering may occur when a combination of factors comes together and may have different causes in different people. It is probable that what causes stuttering differs from what makes it continue or get worse.

How many people stutter? More than 70 million people worldwide stutter, which is about 1% of the population. In the United States, that's over 3 million Americans who stutter.

What is the ratio of males to females who stutter? Stuttering affects four times as many males as females.

How many children stutter? Approximately 5 percent of all children go through a period of stuttering that lasts six months or more. Three-quarters of those will recover by late childhood, leaving about 1% with a long-term problem. The best prevention tool is early intervention.

Is stuttering caused by emotional or psychological problems? Children and adults who stutter are no more likely to have psychological or emotional problems than children and adults who do not. There is no reason to believe that emotional trauma causes stuttering.

I think my child is beginning to stutter. Should I wait or seek help? It is best to seek ways that you, the parents, can help as soon as possible. (click on If You Think Your Child is Stuttering for ways to help immediately) If the stuttering persists beyond three to six months or is particularly severe, you may want to seek help from a speech-language pathologist who specializes in stuttering right away. (click on speech-language pathologists for listings by state or country.)

Can stuttering be treated? Yes, there are a variety of successful approaches for treating both children and adults (click on Why Speech Therapy? for some guidelines). In general, the earlier, the better is good advice.

Are there any famous people who stutter? Emily Blunt, James Earl Jones, John Stossel, Bill Walton, Mel Tillis, Winston Churchill, Marilyn Monroe, Carly Simon, Annie Glenn, Ken Venturi, Bob Love, John Updike, King George VI -- all are famous people who stuttered and went on to have successful lives.

I read about a new cure for stuttering. Is there such a thing? There are no instant miracle cures for stuttering. Therapy, electronic devices, and even drugs are not an overnight process. However, a specialist in stuttering can help not only children but also teenagers, young adults and even older adults make significant progress toward fluency.

Tips for Talking to Your Child

1. Reduce the pace. Speak with your child in an unhurried way, pausing frequently. Wait a few seconds after your child finishes before you begin to speak. Your own easy relaxed speech will be far more effective than any advice such as “slow down” or “try it again slowly. For some children, it is also helpful to introduce a more relaxed pace of life for awhile.

2. Full listening. Try to increase those times that you give your child your undivided attention and are really listening. This does not mean dropping everything every time she speaks.

3. Asking questions. Asking questions is a normal part of life – but try to resist asking one after the other. Sometimes it is more helpful to comment on what your child has said and wait.

4. Turn taking. Help all members of the family take turns talking and listening. Children find it much easier to talk when there are fewer interruptions.

5. Building confidence. Use descriptive praise to build confidence. An example would be “I like the way you picked up your toys. You’re so helpful,” instead of “that’s great.” Praise strengths unrelated to talking as well such as athletic skills, being organized, independent, or careful.

6. Special times. Set aside a few minutes at a regular time each day when you can give your undivided attention to your child. This quiet calm time – no TV, iPad or phones - can be a confidence builder for young children. As little as five minutes a day can make a difference.

7. Normal rules apply. Discipline the child who stutters just as you do your other children and just as you would if he didn’t stutter.

More Tips for Supporting People Who Stutter

  • Don't tell the child to slow down or relax.

  • Don't complete thoughts for the child or talk for him or her.

  • Give your child your attention when he or she is talking. Set aside a few minutes at a regular time each day when you can give your undivided attention to your child.

  • Encourage your family not to interrupt when your child is talking.

  • Speak in an unhurried way, pausing freqently.

  • Don't make stuttering something to be ashamed of, talk about it in an open way.

  • Encourage your child to use the strategies they've learned in speech class, like "Turtle Talk" or "Slow and Easy Speech."

  • Reduce the number of questions you ask your child. Instead, simply comment.

  • Use your facial expressions and other body language to convey to your child that your are listening to the content of his or her message and not to how she or he is talking.

  • Help all family members learn to take turns talking and listening.

  • Above all, convey that you accept your child as he is. The most powerful force will be your support of him, whether he stutters or not.

Everyday Practice

  • Choose a time of day, such as dinner. Give your child time to talk about their day using their slow and easy speech strategies.

  • Choose a special cue with your child that only you and he or she know. Use that cue when your child needs help remembering to use their slow and easy speech strategies. For example, raise your hand or use the sign for "turtle." Or, simply remind them to use their speech strategies. Remember, don't embarrass them by drawing attention to their stuttering in front of others.

Is my child's stuttering normal, mild, or severe?

The normally disfluent child

  1. The normally disfluent child occasionally repeats syllables or words once or twice, li-li-like this. Disfluencies may also include hesitancies and the use of fillers such as "uh", "er", "um".

  2. Disfluencies occur most often between ages one and one-half and five years, and they tend to come and go. They are usually signs that a child is learning to use language in new ways. If disfluencies disappear for several weeks, then return, the child may just be going through another stage of learning.

The child with milder stuttering

  1. A child with milder stuttering repeats sounds more than twice, li-li-li-li-like this. Tension and struggle may be evident in the facial muscles, especially around the mouth.

  2. The pitch of the voice may rise with repetitions, and occasionally the child will experience a "block" -- no airflow or voice for several seconds.

  3. Disfluencies may come and go but are now present more often than absent.

  4. Try to model slow and relaxed speech when talking with your child, and encourage other family members to do the same. Don't speak so slowly that it sounds abnormal, but keep it unhurried, with many pauses. Television's Mr. Rogers is a good example of this style of speech.

  5. Slow and relaxed speech can be the most effective when combined with some time each day for the child to have one parent's undivided attention. A few minutes can be set aside at a regular time when you are doing nothing else but listening to your child talk about whatever is on his mind.

  6. When your child talks to you or asks you a question, try to pause a second or so before you answer. This will help make talking to your child less hurried, more relaxed.

  7. Try not to be upset or annoyed when stuttering increases. Your child is doing his best as he copes with learning many new skills all at the same time. Your patient, accepting attitude will help him immensely.

  8. Effortless repetitions or prolongations of sounds are the healthiest form of stuttering. Anything that helps your child stutter like this instead of stuttering tensely or avoiding words is helping.

  9. If your child is frustrated or upset at times when his stuttering is worse, reassure him. Some children respond well to hearing, "I know it's hard to talk at times...but lots of people get stuck on words...it's okay." Other children are most reassured by a touch or a hug when they seem frustrated.

The child with more severe stuttering

  1. If your child stutters on more than 10% of his speech, stutters with considerable effort and tension, or avoids stuttering by changing words and using extra sounds to get started, he will profit from having therapy with a specialist in stuttering. Complete blocks of speech are more common than repetitions or prolongations. Disfluencies tend to be present in most speaking situations now.

  2. The suggestions for parents of a child with mild stuttering are also appropriate when the child has a severe problem. Try to remember that slowing and relaxing your own speaking style is far more helpful than telling the child to slow down.

  3. Encourage your child to talk to you about his stuttering. Show patience and acceptance as you discuss it. Overcoming stuttering is often more a matter of losing fear of stuttering than a matter of trying harder.

FAQs for Teachers

What should I do when a child stutters in my class?

The most important thing to do when a child is stuttering is be a good communicator yourself.

  • Keep eye contact and give the child enough time to finish speaking.

  • Try not to fill in words or sentences.

  • Let the child know by your manner and actions that you are listening to what she says'not how she says it.

  • Model wait time ' taking two seconds before you answer a child's question ' and insert more pauses into your own speech to help reduce speech pressure.

These suggestions will benefit all of the children in your class.

Do not make remarks like "slow down," "take a deep breath," "relax," or "think about what you're going to say, then say it." We often say these things to children because slowing down, relaxing, or thinking about what we are going to say helps us when we feel like we're having a problem tripping over our words. Stuttering, though, is a different kind of speaking problem and this kind of advice is simply not helpful to the child who stutters.

Should I remind the child to use his stuttering therapy techniques in class?

Unless the child or a SLP specifically asks you to help remind the child, it may be best not to.

In therapy, children who stutter learn several different techniques, sometimes called speech tools, to manage their stuttering. However, learning to use these speech tools in different situations (e.g., the classroom vs. the therapy room) takes considerable time and practice. Many young children who stutter do not have the maturity to monitor their speech in all situations. Therefore, it may be unrealistic to expect the child to use her tools in your classroom.

What should I do when the child is having a difficult speaking day?

It's always best to check with the child about what he would like you to do on days when talking is more difficult.

Children who stutter vary greatly in how they want their teachers and peers to respond when they are having an especially difficult time talking. One child may prefer that his teacher treat him in the same way as she would any other day, by spontaneously calling on him or asking him to read aloud.

On the other hand, another child may want his teacher to temporarily reduce her expectations for his verbal participation, by calling on him only if his hand is raised or allowing him to take a pass during activities such as round-robin reading.

What should I do when the child who stutters interrupts another child?

Handle interruptions the same way that you would for a child who doesn't stutter. Children who stutter sometimes interrupt others because it's easier to get speech going while others are talking. We're not sure exactly why it's easier to talk over others, but it may be because less attention is called to the child at the beginning of her turn when stuttering is most likely to occur.

Even though it may be easier to get her speech going by interrupting a peer, it's important for the child who stutters to learn the rules for good communication just like all the other children in your class.

How can I make oral reports easier for the stuttering child?

There are many things you can do to help make oral reports a positive experience for the child who stutters. Together, you and the child can develop a plan, considering factors such as:

  • Order ' whether he wants to be one of the first to present, in the middle, or one of the last to present;

  • Practice opportunities ' ways he can practice that will help him feel more comfortable, such as at home, with you, with a friend, or at a speech therapy session;

  • Audience size ' whether to give the oral report in private, in a small group, or in front of the entire class; and

  • Other issues ' whether he should be timed, or whether grading criteria should be modified because of his stuttering.

Should I talk to the entire class about stuttering?

It depends on the child in question. Some children won't mind if you talk to his or her peers about stuttering. Others, however, will feel that stuttering is a private matter and should not be discussed openly with the other children in class.

Sometimes, a child who stutters will make a classroom presentation about stuttering. This presentation allows the child to teach her peers facts about stuttering, names of famous people who stutter, offer suggestions about how she would like her peers to react when she is stuttering, and even teach the others different ways to stutter.

One of the benefits we've observed from having a child who stutters make a classroom presentation about stuttering is a reduction in teasing. If other children understand more about the problem, they are less likely to ridicule or tease the child who stutters.

This is not an appropriate activity for all children who stutter, as some may not be ready yet to deal with stuttering in such an open way. Giving a presentation about stuttering is one component of stuttering therapy, typically done in conjunction with a classroom visit by the SLP. If you have questions about whether the child in your class is ready to give such a presentation, consult the SLP.

If a child in your class is going to make a presentation about stuttering, we offer a Classroom Presentation Packet (#0130) with brochures, information, and posters you and the child can use.

How should I handle teasing?

Deal with teasing as you would with any other child who is being teased. Teasing is an experience common to many children, not just those who stutter.

As mentioned earlier, classroom presentations can be a powerful way to reduce teasing if the child who stutters is ready to make such a presentation. At other times, teasing will be stopped only with your intervention. Many school districts now have written policies for handling teasing in the classroom, and school counselors or social workers are excellent sources of information. A list of additional resources for teasing can be found at the end of this handbook; there are listings for teachers, children, and parents.

What types of things can I say to encourage the child who stutters to talk in my class?

The best way to encourage a child who stutters to talk in your class is to let him know through your words and actions that what he says is important, not the way he says it. Other ways you can encourage the child:

  • Praise him for sharing his ideas;

  • Tell him that stuttering does not bother you;

  • Give him opportunities to talk, such as calling on him to give an answer or asking him for his opinion; and,

  • Let him know it's ok to stutter.

You may have other general questions about stuttering, the child who stutters in your class, or what to say to parents of children who stutter. We encourage you to contact the SLP in your building. If you don't have a SLP in your building or access to one through your school system, contact us for more information.

Adapted from Stuttering: Straight Talk for Teachers by L. Scott, C. Guitar, K. Chmela, and W. Murphy