Practical Thoughts Blog

A speech therapist looking worried

Caregivers want me to work on fluency. What do I say?

Many parents and caregivers contact speech therapists because they want their children to stop stuttering. This is understandable, and no one could blame them for having this desire. Unfortunately, this is not generally something that they can have, for we know that there is no cure for stuttering in school-age children, adolescents, and adults. This basic fact is one of the reasons that we so...

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If I don’t count stutters, how can I qualify people for therapy?

If I don’t count stutters, how can I qualify people for therapy?

You’ve probably heard that our field is moving away from using stuttering frequency counts as a way of measuring stuttering. In our opinion, this is a very good development—it is something that we have been encouraging for quite a while now, and it is increasingly important as we come to view stuttering as an example of Verbal Diversity™. (For more discussion of stuttering as Verbal...

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Stuttering as Verbal Diversity™: How Does this Change our Role as SLPs?

Stuttering as Verbal Diversity™: How Does this Change our Role as SLPs?

The field of speech-language pathology is changing. As we shift away from the medical model that sees stuttering as a pathology, we are on a journey toward becoming neurodiversity-affirming allies. Creating stutter-affirming environments requires a fundamental shift in how we perceive and interact with stuttering. These changes in perspective not only support individuals who stutter but also foster an inclusive atmosphere that embraces communication diversity....

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Shifting Perspectives About Stuttering

Shifting Perspectives About Stuttering

In the era of expanding our understanding of neurodiversity-affirming stuttering therapy, a first step is to make certain we, as speech-language pathologists (SLPs), are approaching assessment and therapy from the perspective of the person who stutters. Their experiences inform our therapy planning. There are reasons why our past professional practices were based upon the listener's observations of stuttering, and there are three major reasons why...

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