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Psychiatric disorders in a patient with persistent developmental stuttering.
Fernando Machado Vilhena Dias1, Patrícia Matos Pereira, Flavia Costa de Proença Doyle
1Neuropsychiatric Branch, Neurology Unit, University Hospital, Federal University of Minas Gerais, Belo Horizonte, Brazil. fernandomvdias@hotmail.com
Persistent developmental stuttering (PDS) treatment improved with fluoxetine and speech therapy. This approach also reduced associated anxiety and depression symptoms, enhancing overall patient well-being.
Area of Science:
- Neuroscience
- Psychiatry
- Speech-Language Pathology
Background:
- Persistent developmental stuttering (PDS) is a complex speech disorder with unknown etiology.
- Co-occurring psychiatric disorders can significantly impact PDS manifestation and severity.
Observation:
- This case report details the 12-week treatment of a single PDS patient.
- The intervention combined pharmacological treatment with fluoxetine and speech therapy.
Findings:
- The patient showed significant reductions in depression (Beck Depression Inventory) and anxiety (Hamilton Scale for Anxiety, Liebowitz Social Anxiety Scale).
- Speech impairment severity decreased from severe to moderate based on the Iowa Scale.
Implications:
- Integrating psychiatric symptom management with speech therapy offers a promising therapeutic strategy for PDS.
- Addressing comorbid mental health conditions is crucial for improving outcomes in persistent developmental stuttering.
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