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Contemporary clinical conversations about stuttering: How clinically important is mental health during management of
Sarah Delpeche1, Ross Menzies2, Katerina Ntourou3
1Michael Palin Centre for Stammering, London, UK.
Purpose:
To discuss how clinically important mental health is during management of early stuttering. To inform early-career clinicians and students of speech-language pathology about contemporary views on this issue.
Method:
The issue was discussed by three speech-language pathologists and a clinical psychologist. Written conversational turns in an exchange were limited to 100 words each. When that written dialogue was concluded, the moderator summarised the discussion.
Result:
All agreed that it is essential to take account of mental health during management of early stuttering.
Conclusion:
The following key points were raised: a) There is a prominent risk that a child with early stuttering will be or will become socially anxious, b) parent anxiety is a clinical consideration, c) support and counselling of children and parents needs to be within the scope of speech-language pathology practice, and d) referral of a child or parent, or both, to a clinical psychologist may be required, facilitated by formal testing if needed.
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