What is Stuttering

Stuttering (scientifically known as dysphemia) is a speech disorder in which the flow of speech is disrupted by prolongations, repetitions, and blocks of sounds, syllables, words o...

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Stuttering Information

Stuttering (scientifically known as dysphemia) is a speech disorder in which the flow of speech is disrupted by prolongations, repetitions, and blocks of sounds, syllables, words or phrases.

The term stuttering is most commonly associated with involuntary sound repetition, but it also encompasses the abnormal hesitation or pausing before speech, referred to by stutterers as blocks, and the prolongation of certain sounds, usually vowels. Much of what constitutes "stuttering" cannot be observed by the listener; this includes such things as sound and word fears, situational fears, anxiety, tension, shame, and a feeling of "loss of control" during speech. The emotional state of the individual who stutters in response to the stuttering often constitutes the most difficult aspect of the disorder.

About 1% of adults and 5% of children in the world are afflicted with some form of the disorder, with slightly higher percentages of affected African (8%–9%) and West Indies (3%–4%) adults 2. Men account for approximately 80% of all stutterers, while women are much more likely to either outgrow or recover from the disorder. A wide variety of stuttering treatments are available. No single treatment is effective for every stutterer. This suggests that stuttering doesn't have a single cause, but rather is the result of several interacting factors. If so, then combining several stuttering treatments may be more effective than relying on a single treatment. Many speech-language pathologists favor such an integrated approach to stuttering, and tailor therapy to each individuals' needs. Fluency shaping therapy trains stutterers to speak fluently by relaxing their breathing, vocal folds, and articulation (lips, jaw, and tongue). The goal of stuttering modification therapy is not to eliminate stuttering. Instead, the goals are to modify your moments of stuttering, so that your stuttering is less severe; and reduce your fear of stuttering, while eliminating avoidance behaviors associated with this fear. Unlike fluency shaping therapy, stuttering modification therapy assumes that adult stutterers will never be able to speak fluently, so the goal is to be an effective communicator despite stuttering. Several dopamine antagonist medications reduced stuttering in double-blind, placebo-controlled studies, including Haloperidol (Haldol), risperidone (Risperdal),12 and olanzapine (Zyprexa).13 These medications generally reduce stuttering 33-50%. Haldol is rarely, if ever, used by stutterers due to severe side effects. Risperdal and Zyprexa have fewer side effects. None of these drugs are FDA-approved for stuttering.

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