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Practical Methodology of Cognitive Tasks Within a Navigational Assessment
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Cognitive behavior therapy for adults who stutter: a tutorial for speech-language pathologists.

Ross G Menzies1, Mark Onslow, Ann Packman

  • 1Australian Stuttering Research Centre, The University of Sydney, Lidcombe, NSW, Australia. r.menzies@usyd.edu.au

Journal of Fluency Disorders
|December 2, 2009
PubMed
Summary
This summary is machine-generated.

Cognitive-behavior therapy (CBT) can effectively reduce anxiety and social avoidance in adults who stutter (AWS). Speech-language pathologists can implement CBT strategies to improve engagement in speaking situations for AWS.

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Area of Science:

  • Speech-Language Pathology
  • Psychology
  • Mental Health

Background:

  • Stuttering is frequently associated with anxiety, particularly social anxiety disorder, affecting up to 50% of adults who stutter (AWS).
  • Negative social experiences, bullying, and societal stereotypes contribute to heightened anxiety and avoidance in AWS.
  • AWS with co-occurring mental health conditions, including social anxiety, may not sustain benefits from traditional speech treatments.

Purpose of the Study:

  • To explore the intricate relationship between stuttering and anxiety.
  • To provide an overview of cognitive-behavior therapy (CBT) strategies applicable to AWS.
  • To equip speech-language pathologists with CBT techniques for managing speech-related anxiety.

Main Methods:

  • Review of existing literature on stuttering, anxiety, and cognitive-behavior therapy.
  • Presentation of core CBT components adapted for individuals who stutter.
  • Inclusion of practical worksheets for clinicians.

Main Results:

  • Cognitive-behavior therapy (CBT) demonstrates efficacy in reducing anxiety and social avoidance.
  • CBT can enhance participation in daily speaking activities for AWS.
  • The presented CBT model is adaptable and straightforward for speech-language pathologists to implement.

Conclusions:

  • Cognitive-behavior therapy (CBT) is a viable and effective intervention for addressing anxiety in adults who stutter (AWS).
  • Speech-language pathologists, with appropriate training, can successfully integrate CBT into their practice for this population.
  • Implementing CBT can significantly improve the quality of life for individuals experiencing stuttering and associated anxiety.