Managing stuttering in toddlers and older children
Anyone can stutter at any age. But it's most common among children who are learning to form words into sentences.
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- Repeat certain syllables, words, or phrases
- Prolong syllables, words, or phrases
- Stop in the middle of words (making no sound for certain sounds and syllables)
In many cases, stuttering goes away on its own by age five. In some kids, it goes on for longer. The good news is that effective treatments are available to help a child overcome it.
What Causes Stuttering?
Doctors and scientists aren’t completely sure why some kids stutter. But most believe that a few things contribute to it, such as a problem with the way the brain’s messages interact with the muscles and body parts needed for speaking. Many believe that stuttering may be genetic. Kids who stutter are three times more likely to have a close family member who also stutters, or did.
What Are the Signs of Stuttering?
The first signs of stuttering tend to appear when a child is about 18–24 months old. At this age, there’s a burst in vocabulary and kids are starting to put words together to form sentences. To parents, the stuttering may be upsetting and frustrating, but it is natural for kids to do some stuttering at this stage. Be as patient with your child as possible.
When to Get Help
If your child is five years old and still stuttering, talk to your doctor or a speech-language therapist. Check with a speech therapist if your child:
- Tries to avoid situations that require talking
- Changes a word for fear of stuttering
- Has facial or body movements along with the stuttering
- Repeats whole words and phrases often and consistently
- Repeats sounds and syllables more often
- Has speech that sounds very strained
Also talk to the therapist if:
- You notice increased facial tension or tightness in your child’s speech muscles
- You notice vocal tension that causes rising pitch or loudness
- You have other concerns about your child’s speech
Most schools will offer testing and appropriate therapy if stuttering lasts for six months or more.
How Can Parents Help?
Try these steps to help your child:
- Don’t require your child to speak precisely or correctly at all times. Let talking be fun and enjoyable.
- Use family meals as a conversation time. Avoid distractions such as radio or TV.
- Avoid corrections or criticisms such as “slow down,” “take your time,” or “take a deep breath”. These comments, however well-intentioned, will only make your child feel more self-conscious.
- Avoid having your child speak or read aloud when uncomfortable or when the stuttering increases. Instead, during these times encourage activities that do not require a lot of talking.
- Don’t interrupt your child or tell them to start over.
- Don’t tell your child to think before speaking.
- Provide a calm atmosphere in the home. Try to slow down the pace of family life.
- Speak slowly and clearly when talking to your child or others in their presence.
- Maintain eye contact with your child. Try not to look away or show signs of being upset.
- Let your child speak for themself and to finish thoughts and sentences. Pause before responding to your child’s questions or comments.
- Talk slowly to your child. This takes practice! Modelling a slow rate of speech will help with your child’s fluency.