Stammer

Dr Trisha 
Macnair<http://www.bbc.co.uk/health/expert_biographies/m.shtml#trisha_macnair>

Stammering can cause real distress for children, however there are ways to
improve speech and language.

What is a stammer?

Stammering, or stuttering, is a problem with the normal flow and timing of
speech. Attempts to say something may be interrupted by repetition of a
syllable, prolongation of the sound or a complete block on speech.

There is often embarrassment about having a stammer. People who stammer may
find they are quite fluent if they sing, whisper or speak as part of a
group.

Recent research has found that some people who stammer may have difficulty
coordinating the muscles for speech and need more time to speak.
Symptoms

The severity of stammering may depend on the child's surroundings. The child
may have problems initiating speech or flowing from one syllable to the next
- all stammers sound different. Some deal with the problem by simply not
speaking at all.

Some children with stammers also develop a tic or tremor (shake).
Causes and risk factors

There's no simple, obvious cause of stammering, but it's likely to be due to
a variety of factors rather than a single one. These factors may be genetic
or environmental, such as problems in the home or at school.

Stammering usually begins between the ages of three and five - 90 per cent
of cases are evident before the age of eight. One in 20 children will have a
stammer at some time, but most recover, with or without help. Only one per
cent of adults stammer.

It's four times more common in boys than in girls. In families where a
person has a stutter, there's an increased risk that other members will have
the same problem.
Treatment and recovery

A stammer should be diagnosed by a speech therapist (your GP can refer you),
who can advise on what the problem is and how it's best treated.

There's no cure for a stammer, but many therapies can make a difference. One
simple approach that helps many people is simply to speak more slowly.
Speech and language therapists can teach the affected child a variety of
techniques and may suggest the use of technical aids to mask other people's
voices.

Other treatments include formal speech therapy, development of social
skills, self awareness, assertiveness training and communication skills.

*This article was last medically reviewed by Dr Orlena Kerek in March 2009*

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