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Stuttering

Speech fluency disorder largely improves with early speech-language therapy.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Çocuk Sağlığı ve Hastalıkları department. Book Appointment →

What is Stuttering?

Stuttering (or stammering) is a fluency disorder characterized by repetition, prolongation, or blocking of sound, syllable, or word in speech production. It is seen in approximately 5-8% of children during language development; the majority resolve spontaneously in preschool age.

Persistent stuttering (about 1% of cases) develops on a neuroscientific basis; it is not associated with intelligence or psychological disorders. It worsens in situations requiring high-load fluency (classroom presentation, telephone) while it usually improves in singing.

Speech-language pathologist evaluation in the first 12-18 months is important for using the spontaneous recovery chance or making an early treatment decision. Early intervention reduces both stuttering and secondary behaviors (eye blinking, facial tension).

Symptoms

Repetition of sound, syllable, or word ('I-I-I', 'Whe-when')
Prolongation of sound ('Iiiii will go')
Block: silent pause without producing sound
Secondary motor behaviors accompanying speech (eye blinking, facial tension)
Avoidance of speaking and social withdrawal
Worsening in certain situations (talking to strangers, in class)

Risk Factors

Family history of stuttering (strong genetic component)
Male sex (spontaneous recovery is more common in girls)
Rapid language development (brain-language coordination delay)
Shy and anxious temperament
Pressure of learning a second language
Ages 2.5-4 are the most critical onset period

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • If stuttering exceeds 6 months or is increasing
  • If the family is very worried about stuttering
  • If secondary motor behaviors are starting
  • When stuttering begins in a girl (may be evaluated later in boys)
  • If social avoidance develops in school age

Treatment Methods

01
In early childhood the Lidcombe Program: parent-guided fluency reinforcement
02
In school age fluency shaping: slow-soft onset techniques
03
Stuttering modification: 'easy stuttering' strategy instead of avoiding stuttering
04
Cognitive-behavioral therapy for social anxiety
05
School support and teacher information
06
Family training: relaxation and acceptance

Which Department to Visit?

You can visit our Çocuk Sağlığı ve Hastalıkları department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Çocuk Sağlığı ve Hastalıkları Department

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.