Commit 441b13f3 authored by Zachary Seguin's avatar Zachary Seguin
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fix: Correct content on speech therapy for adults and children

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---
title: Speech therapy for children
title: Speech therapy for adults
menu:
support:
parent: Therapy
weight: 5
draft: false
toc: false
---
## Preschoolers vs. School-aged children
## Speech Therapy: What is Right for You?
Different approaches are recommended depending on the age of your child. Many children stutter when they are first learning to talk, starting as young as two years old. For about 80% it is a passing phase. However it is not recommended to ignore the stuttering even at this stage, as there is no way of knowing if the problem will persist for the child. Studies have found that treatment at this age can increase the recovery rate in a sample group of pre-school children who are stuttering. There are a few different evidence-based approaches.
It is recommended that adults who stutter try speech therapy. However, people who stutter (PWS) are individuals with different needs and expectations, and there is no one right approach. As children, PWS may have got the idea from parents or therapists that stuttering was something to "get rid of", an idea that persists into adulthood. This may have caused avoidance behaviours and guilty thought patterns that negatively impact life. Today, many therapists take a holistic approach, combining speech techniques to reduce stuttering with exploration of cognitive aspects and coping techniques. Stuttering can be managed, without being eradicated. [The Stuttering Foundation](https://www.stutteringhelp.org/) has published a very useful PDF entitled [Suggestions for Self-Therapy](https://www.stutteringhelp.org/sites/default/files/Migrate/book0009_may2010.pdf). They recommend "acceptance of the idea that you are a 'controlled' stutterer rather than a fluent speaker."
The Lidcombe Program has been very successful in treating pre-school aged children. This is a behavioral therapy that parents are trained to administer, involving positive feedback for fluent speech, and gentle prompts for correction of stuttered speech. For information about Lidcombe practitioners in Canada, please see the [Montreal Fluency Centre](https://montrealfluency.com/parents/preschoolers/stuttering-in-preschool-age-children/) info page.
If you see a therapist, discuss what your goals are. Many PWS find speech therapy helps them with confidence and self acceptance. Others want a more rigorous approach to reduce stuttering as much as possible. Significant reduction of stuttering is a long term process that comes from being fully committed to the learning of speech techniques, and a well-disciplined, self-administered regular maintenance program after sessions with a therapist have ended.
The Demands and Capacities approach focuses more on secondary behaviours and involve changing the environment of the child to make him more comfortable, talking slowly to him, not drawing attention to the stuttering - it is more indirect and covert, but is still therapy. There is a concise explanation of these approaches here. Both approaches have helped children.
Specialist help is available in two settings:
Another alternative is the [Palin PCI (Parent-Child Interaction) therapy](https://actionforstammeringchildren.org/michael-palin-centre/). Although developed in Great Britain, some SLPs in Canada are trained to administer it as well.
1. **One-to-one sessions with a speech and language pathologist (SLP).** Sessions are usually one hour per week for several months. Depending on your needs and preferences, the focus can be more on learning techniques to reduce stuttering, or on strategies for accepting stuttering and reducing the build-up of negative feelings about it. Most speech language pathologists work in private practice. See our [clinics]({{< ref "clinics.md" >}}) page for information on where to find a specialist.
### School-aged children
If a child is still stuttering by age 7-8, it will be a more persistent condition, perhaps into adulthood. A child can benefit greatly from speech therapy which may, at this stage, feature cognitive approaches and coping techniques, and encourage self-acceptance. In other words, fluency may not be the only goal of the therapy. Parents can initiate conversation and self-expression in the family setting, which will help a child deal with his stuttering and life in general. Finding ways for the child to be engaged in life, whether through sports, artistic endeavours or whatever interests him, can also help greatly.
The Stuttering Foundation has materials for [parents of preschool children who stutter](https://www.stutteringhelp.org/content/parents-pre-schoolers) and for [school-age children](https://www.stutteringhelp.org/content/parents-school-aged-children).
## Getting treatment
There are many speech and language pathologists and specialist therapy for children and teens who stutter in Canada. Speech pathology is a broad field, ensure that your child's therapist has had experience in treating stuttering in particular, and has worked with children. After an assessment, the therapist will discuss a treatment plan with you and realistic goal-setting.
The involvement and support of the whole family will provide valuable support and help to make the activities done in the therapy sessions feel like a part of life, not something done only once a week. Children of all ages can learn to reduce their stuttering and develop their ability to communicate well. Specialist help is available in three settings.
1. **One-to-one sessions with a speech and language pathologist (SLP).** Sessions are usually once per week or two, for several months. Therapy will be adapted to the age of your child and will help them to learn simple fluency techniques and manage their feelings and reactions when they stutter.
See our page on [clinics]({{< ref "clinics.md" >}}) for information on how to find a specialist speech and language therapist in Canada.
2. **Your school board.** Specialist therapy might be available through the public school system in your area (coordinated through a school board). Each province and region is different, and availability varies. For primary and middle schools, speak with your child’s teacher to find out what help is available. In secondary school s, the guidance teacher or equivalent is the best person to contact for additional support.
3. **Intensive courses for one-two weeks during school holidays.** These involve several hours a day working with a small team of therapists and other children who stutter. There are courses in Vancouver, Calgary, Toronto, Ottawa and Montreal.
2. **Intensive courses for two-three weeks.** These involve several hours a day working with a small team of therapists and other people who stutter. Courses are usually for 2 or three weeks with follow-up sessions in the months after the course. There are courses in Vancouver, Calgary, Toronto, Ottawa and Montreal. See our [clinics]({{< ref "clinics.md" >}}) page.
---
title: Speech therapy for adults
title: Speech therapy for children
menu:
support:
parent: Therapy
weight: 5
draft: false
toc: false
---
## Speech Therapy: What is Right for You?
## Preschoolers vs. School-aged children
It is recommended that adults who stutter try speech therapy. However, people who stutter (PWS) are individuals with different needs and expectations, and there is no one right approach. As children, PWS may have got the idea from parents or therapists that stuttering was something to "get rid of", an idea that persists into adulthood. This may have caused avoidance behaviours and guilty thought patterns that negatively impact life. Today, many therapists take a holistic approach, combining speech techniques to reduce stuttering with exploration of cognitive aspects and coping techniques. Stuttering can be managed, without being eradicated. [The Stuttering Foundation](https://www.stutteringhelp.org/) has published a very useful PDF entitled [Suggestions for Self-Therapy](https://www.stutteringhelp.org/sites/default/files/Migrate/book0009_may2010.pdf). They recommend "acceptance of the idea that you are a 'controlled' stutterer rather than a fluent speaker."
Different approaches are recommended depending on the age of your child. Many children stutter when they are first learning to talk, starting as young as two years old. For about 80% it is a passing phase. However it is not recommended to ignore the stuttering even at this stage, as there is no way of knowing if the problem will persist for the child. Studies have found that treatment at this age can increase the recovery rate in a sample group of pre-school children who are stuttering. There are a few different evidence-based approaches.
If you see a therapist, discuss what your goals are. Many PWS find speech therapy helps them with confidence and self acceptance. Others want a more rigorous approach to reduce stuttering as much as possible. Significant reduction of stuttering is a long term process that comes from being fully committed to the learning of speech techniques, and a well-disciplined, self-administered regular maintenance program after sessions with a therapist have ended.
The Lidcombe Program has been very successful in treating pre-school aged children. This is a behavioral therapy that parents are trained to administer, involving positive feedback for fluent speech, and gentle prompts for correction of stuttered speech. For information about Lidcombe practitioners in Canada, please see the [Montreal Fluency Centre](https://montrealfluency.com/parents/preschoolers/stuttering-in-preschool-age-children/) info page.
Specialist help is available in two settings:
The Demands and Capacities approach focuses more on secondary behaviours and involve changing the environment of the child to make him more comfortable, talking slowly to him, not drawing attention to the stuttering - it is more indirect and covert, but is still therapy. There is a concise explanation of these approaches here. Both approaches have helped children.
1. **One-to-one sessions with a speech and language pathologist (SLP).** Sessions are usually one hour per week for several months. Depending on your needs and preferences, the focus can be more on learning techniques to reduce stuttering, or on strategies for accepting stuttering and reducing the build-up of negative feelings about it. Most speech language pathologists work in private practice. See our [clinics]({{< ref "clinics.md" >}}) page for information on where to find a specialist.
Another alternative is the [Palin PCI (Parent-Child Interaction) therapy](https://actionforstammeringchildren.org/michael-palin-centre/). Although developed in Great Britain, some SLPs in Canada are trained to administer it as well.
2. **Intensive courses for two-three weeks.** These involve several hours a day working with a small team of therapists and other people who stutter. Courses are usually for 2 or three weeks with follow-up sessions in the months after the course. There are courses in Vancouver, Calgary, Toronto, Ottawa and Montreal. See our [clinics]({{< ref "clinics.md" >}}) page.
### School-aged children
If a child is still stuttering by age 7-8, it will be a more persistent condition, perhaps into adulthood. A child can benefit greatly from speech therapy which may, at this stage, feature cognitive approaches and coping techniques, and encourage self-acceptance. In other words, fluency may not be the only goal of the therapy. Parents can initiate conversation and self-expression in the family setting, which will help a child deal with his stuttering and life in general. Finding ways for the child to be engaged in life, whether through sports, artistic endeavours or whatever interests him, can also help greatly.
The Stuttering Foundation has materials for [parents of preschool children who stutter](https://www.stutteringhelp.org/content/parents-pre-schoolers) and for [school-age children](https://www.stutteringhelp.org/content/parents-school-aged-children).
## Getting treatment
There are many speech and language pathologists and specialist therapy for children and teens who stutter in Canada. Speech pathology is a broad field, ensure that your child's therapist has had experience in treating stuttering in particular, and has worked with children. After an assessment, the therapist will discuss a treatment plan with you and realistic goal-setting.
The involvement and support of the whole family will provide valuable support and help to make the activities done in the therapy sessions feel like a part of life, not something done only once a week. Children of all ages can learn to reduce their stuttering and develop their ability to communicate well. Specialist help is available in three settings.
1. **One-to-one sessions with a speech and language pathologist (SLP).** Sessions are usually once per week or two, for several months. Therapy will be adapted to the age of your child and will help them to learn simple fluency techniques and manage their feelings and reactions when they stutter.
See our page on [clinics]({{< ref "clinics.md" >}}) for information on how to find a specialist speech and language therapist in Canada.
2. **Your school board.** Specialist therapy might be available through the public school system in your area (coordinated through a school board). Each province and region is different, and availability varies. For primary and middle schools, speak with your child’s teacher to find out what help is available. In secondary school s, the guidance teacher or equivalent is the best person to contact for additional support.
3. **Intensive courses for one-two weeks during school holidays.** These involve several hours a day working with a small team of therapists and other children who stutter. There are courses in Vancouver, Calgary, Toronto, Ottawa and Montreal.
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