How can speech therapy help a person who clutters?
Speech therapy equips a person with a stutter with the tools to manage their speech at home, school, work, and in the community. It helps to release tension in speech and talk through words and sounds that get stuck. If you have received speech therapy in the past, therapy can also be helpful in preparing for upcoming situations (e.g, presentations and interviews).
What may a speech therapy treatment session be like with Kaiting?
My philosophy is that therapy is more about than learning strategies. The ultimate goal of therapy is to functionally and confidently communicate in the real world, outside of the therapy room. This means that I work with the patient as a team to understand their life outside of the therapy room. We use speeches, games, and/or activities that are important and/or fun to the patient. When the patient has achieved a certain level of mastery and confidence, we can try talking to people on the phone or ordering coffee at a cafe. I believe in having fun and learning at the same time!
What are fluency disorders (stuttering vs. cluttering)?
Fluency disorders is an umbrella term for the following two diagnoses: stuttering or cluttering. When someone stutters, it means that it is hard for them to get the words out. The words may feel like they get stuck, and speech may sound arrhythmic and bumpy. A person who stutters typically is aware of their speech patterns. A person who clutters presents with arrhythmic speech, inappropriate pauses, and extremely fast speech. They 'trip over' words and mispronounce, such as saying 'ferchly' instead of 'fortunately." They also appear to have disorganized language and not know what they are trying to say. People with stuttering know what they are trying to say, but can't get it out. People who clutter typically do not recognize they are not understood without outside feedback. The two can coexist, and is known as stutter-cluttering.
What are some (not all) signs it is cluttering?
-Fast, slurred speech that may result in mispronunciation
-Lack of awareness of speech rate
-Disorganized language that is 'tripping over itself'
-No tension in their speech (e.g., eye blinking, fist tightening)
How long should I wait before getting treatment for cluttering?
Evaluation and treatment is recommended as soon as the person displays signs and symptoms. The average age for a person who exhibits signs of cluttering is 7 or 8 years old, although it can occur earlier. Although more research is needed to reach a conclusive theory, one theory is that as language becomes increasingly complex, it is harder for a person to organize their thoughts.
What is the cause of cluttering?
The current research suggests that neurophysiology and genetics may be the primary causes. There is a lesser correlation with genetics and cluttering, than with genetics and stuttering. However, there is still more research to be done to provide a conclusive answer.
Does cluttering indicate an intellectual disability?
Cluttering on its own does not indicate any cognitive delay. However, it can be possible that Cluttering exists with another diagnosis.
Does cluttering ever "go away"?
This is different for every person. There is not enough research to make a definite conclusion.
Why work with Kaiting?
- Background working with children and adults with cluttering, stuttering and stutter-cluttering.
- Treatment of patients in both individual therapy sessions and group therapy sessions
- Experience treating patients with fluency disorders whom are cognitively typically developing, as well as with an intellectual delay
- Experience with bilingual stuttering and cluttering patients