Clinical Services

Hope For Stuttering Adult Clinical


Adults (18+)

  • Consultation- Education about stuttering and about treatment options. Client readiness for treatment and change is assessed.
  • Evaluation- when a report and diagnosis of stuttering is required.
  • 1:1 therapy sessions
  • Group therapy sessions
  • Online therapy

Adults who stutter are each unique and therefore goals in speech therapy are many and wide.  The client is an active participant in goal planning. The therapist and client are a team working together. For adults, there is also great variation in the amount of stuttering, the tension and struggle during stutters, and the variety of escape and avoidance behaviors developed to deal with stuttering. Each person’s life is affected in a different way. Neurogenic and psychogenic stuttering are also treated as well as cluttering.

One adult may feel quite confident in their speaking and participate fully in life but seek therapy to learn strategies to make their stuttering easier or to create fluent and tension free speech.  Another person may feel completely controlled by their stuttering, fearful of participating in class or at meetings and presentations at work, and desires to be free to participate in life.  Someone else may feel terribly limited by their stuttering, yet no one even knows that they stutter.  They hide it so well that they appear as a fluent speaker but the emotional drain and energy it takes to constantly change words and avoid situations has taken a toll. Their world has become smaller and they need their freedom back.

How free from fear, fluent in speech, and happy can a person become?  Let’s see what you want and how far you can go.

  Adult Reading Sample Before and After Stuttering Therapy


Before and After Stuttering Therapy Speech Samples


Hope for Stuttering Teen Clinical

Teens (13-18 years of age)

    • Consultation - education about stuttering and treatment options as well as assessing client readiness.
    • Evaluation - when a report and diagnosis of stuttering is required.
    • 1:1 therapy sessions
    • Group therapy sessions
    • Online sessions

Many teens who stutter have developed various coping strategies to deal with their stuttering. Layers have often been built around stuttering and it becomes so much more than just physically stuttering. This is a unique time in life with much change. Therapy is tailored to the needs of each individual teen. Group therapy can be powerful. Cluttering is also treated.

Hope for Stuttering School Aged Clinical

School-Age Children (6-12 years of age)

  • Evaluation - Extensive assessment of language, speech, and the many specifics of stuttering including emotional responses and coping strategies. The social and educational impact is also assessed.  Lengthy report provided and follow-up meeting with parents.
  • 1:1 therapy sessions
  • Group therapy sessions
  • Online sessions

Stuttering becomes more complex for school-age children as they become more aware of their stuttering, have to often deal with others reacting to or commenting on their stuttering, and have their own natural emotional reactions. Goals of treatment will vary and are tailored specifically to the child and what their evaluation results reveal. Caregivers are an integral component of therapy and are required to be involved in sessions. Cluttering is also diagnosed and treated.

School-Age Client Example Stuttering Strategy

School-Age Client Sharing About Stuttering

Hope for Stuttering Young Clinical

Young Children (2-6 years of age)

  • Consultation - Parents only. Eases worries and teaches caregivers how to respond to their child's stuttering and what to look for. Often done when a child either has not been stuttering long (i.e. only 2-6 weeks) or the stuttering is mild or intermittent.
  • Evaluation - Extensive assessment of speech, language, fluency, and responses and reactions to stuttering. Necessary to diagnose stuttering. Lengthy report provided and follow-up meeting with parents only.
  • 1:1 therapy sessions (caregiver required in every session)
  • Online sessions

One misconception or outdated idea is to “wait and see” with young children who stutter. The longer a child stutters, statistically, the less likely they are to recover naturally. Why wait for stuttering to become neurologically engrained?

When therapy is warranted I work with families to find a treatment approach that will best fit their individual child and family dynamic. Parents are involved in every session. The goal with very young children who stutter is to give them the best chance for full recovery. 

Treatment options include:

  • Palin PCI (Parent Child Interaction) approach
  • The Family Focused Treatment approach
  • Traditional direct and indirect approaches
  • Lidcombe approach

Hope For Stuttering Recommendations for Caregivers .pdf