You may hear the term stuttering as well as stammering. These two words mean exactly the same thing. We tend to talk about stammering in the UK while elsewhere it is called stuttering.
A stammering ‘moment’ means that there is a break in flow when speaking. You then hear or see different automatic individual reactions to this ‘moment’. The stammering moment will affect people differently inside (their thoughts and feelings) and with their behaviour (i.e. their willingness to speak).
The information on this page has been adapted from the Michael Palin Centre for stammering website.
A child who stammers may:
A child who stammers may, or may not:
Children can become so good at using these strategies that other people may not even realise they stammer or may think that they have a very mild stammer.
Please note: how much a child stammers outwardly does not tell us about how much it bothers them.
You can follow these links for further detailed information about stammering and some easy to watch advice videos:
Action for Stammering videos of people talking about their careers and their stammer.
Becoming Conscious of Communication with Children | STAMMA /
A parent’s perspective: information from a parent talking about their child’s stammer
A selection of videos for parents of pre-school children who have started to stammer
“Adventures of a Stuttering Superhero” by Kim Block is a short storybook aimed at children aged 4-10 years old. (ISBN code: 978-1773023564)
We always recommend that families request a referral if worried, even if your child is not worried. Early advice and support will be given depending on your individual needs.
In Cardiff and Vale we offer a telephone appointment (or sometimes face to face especially if an interpreter is required) with the main caregiver so that we can discuss your individual concerns and have a chat about what support would be most helpful for you and your child at that time. You may like to prepare any questions and information about how stammering is or isn’t affecting your child and those close to them.
A further appointment may be arranged to have a face to face or video assessment which would include some informal/formal speech and language assessment. Alternatively families may first of all be encouraged to follow telephone advice for a certain period of time before reviewing progress. During this time a parent can contact the service for clarification of what they should be doing.
Some of the therapy we provide involves you and your child being videoed on your own device so that you can comment on play based interaction patterns (if we use a work device, secure storage of any video will be agreed with you first for a certain period of time if that material is to form part of confidential case note records. Material only required for that session can be deleted after use). Including both parents in sessions is most effective as it will enable differences between conversation styles to be identified.
You will see that you are already doing so much to naturally help your child to communicate. Video allows you to highlight where your child may temporarily benefit from some adaptations to conversation styles. You and your therapist can talk about these possibilities together, remembering that nothing you are already doing is different to any other parents but that a child who stammers may require something extra for a while. Parents do not cause stammering.
We are trying to reduce stigma about stammering to guard against children developing negative self-image. We are trying to change the words we use to describe a stammer so try saying ‘stammers more when’ rather than ‘had a bad day’ or ‘getting worse’.
There are many ways a speech and language therapist can support you and your child. These include the following:
Every child and every family is different. Your therapist will work closely with you to agree upon the goals of any therapy, and then tailor the support they offer to you and your child.
For older children, therapy priorities will vary at different stages of a young person’s life. We include the child and help them to make informed decisions about therapy goals.
We aim for therapy to help them to manage their speech and feel confident and competent to speak. Young people are often involved in educating listeners about their own stammer, with the speech and language therapist there to facilitate.
The therapist will plan therapy to suit your child’s needs; this may involve working directly with your child, either one-to-one or in a group.
It is likely to combine some of the following elements:
Group sessions: young people are sometimes nervous when I mention these but I assure you that once people start coming they rarely want to stop attending as it is a fun, relaxed environment where focus is on what the young people want to achieve. This could be just meeting others that stammer. We prepare a young person for hearing different types of stammer. It does not mean that they will start to sound similar to those they hear.
Therapy is likely to also include some work with parents or the family as a whole. Making changes to how the family communicates (for example, working on taking turns to talk and reducing interruptions) may be helpful for the child who stammers.
If your child is focusing on different ways of talking they will be asked to practice at home to see if this works for them. Without practice we will accept that new ways of talking are not going to become easier, so ensuring that the child is motivated and supported at home will be key to this aspect of therapy being agreed. Motivation levels can fluctuate for any aspect of therapy. If your child is not happy please talk to the therapist to see if they have any other suggestions as it is not ‘one size fits all’. Don’t lose contact thinking one approach was all that was on offer.
If a child still stammers but they are really happy with the way they sound at that time that is ok. Young people can be discharged if no support is needed at that point in time and they can return to the service if they wish to revisit therapy.
The therapist may also contact your child’s school and give teachers advice to help support your child in class. They might even support teachers to talk to the rest of the class about stammering, particularly if your child is being teased or has experienced unhelpful responses at school.
We regularly contact secondary schools at transition time of year in order to facilitate a meeting or be the spokesperson for a young person who stammers. This will be an opportunity to inform school about any reasonable adjustments they need…or don’t need, as we don’t assume they need help.
If you have read all the information on this page, that is amazing! You will be well on the way to supporting your child effectively.
We also want to highlight that there is growing acceptance and awareness of differences in all walks of life. People are increasingly open about disabilities, mental health, dyslexia and the list goes on. There are awareness campaigns to explain that people who stammer are not nervous and weak and can be inspiring communicators with great empathy. Some people choose to work on sounding different whilst others want listeners to accept their stammer. The stammering community is very friendly and their talks and conferences are full of opportunities for people to meet and become inspired by speakers who happen to have a stammer. Whilst many children stop stammering when they have gone through developmental stages, a stammer does not have to define someone who continues to stammer. The more young people are given recognition and start to recognise their positive qualities, the less they will struggle.
If you have read all the information on this page, that is amazing! You will be well on the way to supporting your child effectively.
We also want to highlight that there is growing acceptance and awareness of differences in all walks of life. People are increasingly open about disabilities, mental health, dyslexia and the list goes on. There are awareness campaigns to explain that people who stammer are not nervous and weak and can be inspiring communicators with great empathy. Some people choose to work on sounding different whilst others want listeners to accept their stammer.
The stammering community is very friendly and their talks and conferences are full of opportunities for people to meet and become inspired by speakers who happen to have a stammer.
Whilst many children stop stammering when they have gone through developmental stages, a stammer does not have to define someone who continues to stammer. The more young people are given recognition and start to recognise their positive qualities, the less they will struggle.
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