Fluency Tips: Early Identification and Treatment of Stuttering

At SAGE Speech & Learning Associates, we believe that early intervention is key when it comes to speech and language development, especially with stuttering. Identifying and treating stuttering in preschool years significantly increases the likelihood of successful intervention, setting children on the path to clear communication and increased confidence.

Why Early Intervention Matters

Stuttering typically begins between the ages of 2.5 and 6. Early detection is crucial because the earlier the intervention, the better the chances of reducing or even eliminating stuttering. When untreated during the preschool years, stuttering can become more ingrained and harder to manage, possibly leading to lifetime challenges with communication.

Typical vs. Atypical Patterns of Stuttering

There are some natural speech patterns that children may experience as they learn to communicate, while others may signal a need for further evaluation. Here’s how to differentiate:

Typical Patterns of Stuttering (Usually Resolves by Itself)

•  Whole word or whole phrase repetitions: For example, “I want…I want…I want the blue one.”
• Occasional stutters that disappear within 3 months of onset.
• No other signs of tension or physical movements. The child might repeat a word, but without any accompanying stress or struggle. 

Atypical Patterns (Needs Evaluation)

• Sound or part-word repetitions: For example, “I-I-I want…” or “b-b-b-blue one.” 
• Prolongations and blocks: For example, “mmmmm…mom” or open mouth posture with a delay in sound. 
• Frequent occurrences, happening more than 10% of the time. 
• Physical tension and movements, such as turning the head, blinking eyes, or moving the neck. 
• Stuttering persists for longer than 3 months and comes and goes over weeks or months.

Important Takeaway: Always Refer for Assessment

While typical stuttering usually resolves on its own, atypical patterns are an important sign that the child may need professional assessment. If you notice any of the above symptoms in a child, refer for an assessment just in case. Early identification and intervention can make a world of difference in a child’s communication development.

If you have concerns or would like more information on stuttering and fluency, don’t hesitate to reach out to us atSAGE Speech & Learning Associates. We’re here to help!

Contact Us: Saren Schapiro, M.Sc., CCC-SLP

Email: Saren@sagespeech.com

Phone: 404-245-7981

Early intervention can change the trajectory of a child’s communication skills—let's work together to give them the best start possible.