International Stuttering Awareness Day: Tips for Disfluency

October 21, 2024

Everyone has moments when they do not speak smoothly. It is developmentally normal for children to experience disfluency, or difficulty speaking, during the first few years of speech and language development. Stuttering, on the other hand, is a speech disorder that is characterized by disruptions in the flow of speech that are often accompanied by behaviors or frustration, or negative associations with speaking or embarrassment.


People who stutter may experience repetitions (repeat parts of a word), prolongations (stretch a sound out for a long time), or blocks (struggle to get a word out). These are known as disfluencies. But, stuttering is more than disfluency. Stuttering may also include tension, anxiety or negative feelings about talking. While there is no "cure" for stuttering, there are plenty of treatment options available to help individuals who stutter. A speech language pathologist can utilize several strategies to help reduce the frequency and to cope with stuttering.


According to the American Speech-Language-Hearing Association (ASHA), stuttering usually begins in early childhood, with onset typically beginning between the ages of 2 and 5. However, data shows that up to 80% of children who stutter will not stutter in adulthood.


Because stuttering is often a more complex issue than disfluency, it is vital to seek evaluation from an experienced SLP. Research demonstrates that early intervention programs can make a huge difference in whether stuttering carries over into adulthood. When performing an evaluation for stuttering, the SLP will look at:


  • Types of disfluencies 
  • The number of disfluencies
  • How your child reacts when they stutter (do they get upset)
  • Does your child try to “fix” their speech (do they start a sentence of or stop talking)


An important difference between stuttering and disfluency is that stuttering is often accompanied by negative emotions around speaking and communication. An SLP will look for signs of discomfort or tension when your child is speaking. They will also take into consideration your child’s age and how stuttering affects their daily life.


Especially with young children, it is critical to evaluate the differences between stuttering and developmental disfluencies. In preschool-age children, for example, stuttering is often accompanied by various behaviors, including facial tension, eye blinking, frustration or reduced verbal output.


If your child struggles with stuttering and you are unsure whether you should seek treatment, here are some guidelines for when to reach out to a speech/language therapist:


  • The stuttering persists longer than six months and occurs frequently during the day
  • The child shows tension, a facial grimace, or struggle behavior during speech
  • The child avoids talking situations or expresses concerns about speech
  • The child avoids saying certain words or sounds
  • The family has a concern about their child’s speech
  • The child has shown signs of frustration or embarrassment during or after a stutter event


Treatment methods for stuttering can include promoting confident communication, practicing mindfulness, modifying speech and facilitating desensitization for stuttering. An important part of treatment may also include self-advocacy, and promoting acceptance of stuttering so that children can reduce the negative feelings that accompany instances of stuttering. Examples of treatment techniques include:


  • Breathing exercises
  • Stretching exercises
  • Fluency-shaping techniques
  • Slow speech production

Overall, disfluency should be considered normal as everyone does it occasionally. Oftentimes, it is simply a part of development for children. Working with an SLP can help with both disfluency and stuttering, however, they cannot “cure” stuttering, but rather assist a child with strategies for reduction and acceptance of it. If you are looking for treatment for stuttering, please reach out to our office today to learn more about how PMC’s speech therapists can help you.

Working on telehealth from home with your PMC therapist
January 21, 2026
Learn how telehealth therapy supports children and families through flexible, home-based PT, OT, and speech therapy at Pediatric Movement Center.
Matthews courage, confidence, and joy have grown beyond measure while in therapy
December 15, 2025
Meet Matthew: A kiddo whose courage, confidence, and joy have grown beyond measure while in therapy at PMC. From conquering his fears in the pool to shining at home and school, his progress has been incredible. With trust, hard work, and an amazing therapy team behind him, Matthew is truly thriving. We couldn’t be prou
October 8, 2025
At Pediatric Movement Center, we believe that movement isn’t just about gross motor development—it’s intertwined with confidence, self-esteem, and real-life functional skills. That’s why helping children gain independence in self-care tasks (dressing, grooming, feeding, toileting) is such an essential piece of the puzzle. Empowering your child to participate in self-care doesn’t just free up time for caregivers. It helps children build motor planning, coordination, problem solving, and a sense of accomplishment. Why Self-Care Skills Matter 1. Motor & cognitive integration Tasks like buttoning, tying shoelaces, brushing hair, and managing zippers demand fine motor control, bilateral coordination, sequencing, and problem solving. 2. Boosting confidence and motivation When children are capable of doing things for themselves (even partially), they feel more competent and proud. 3. Reducing caregiver burden As your child becomes more independent, your role gradually shifts toward coaching rather than doing. 4. Supporting transition to school / life Teachers, peers, and daily routines expect kids to manage many of their own care tasks. Early development of these skills smooths transitions. Common Challenges You May See By recognizing common challenges, you are better prepared to break down tasks and scaffold progress more effectively. 1. Dressing (buttons, zippers, socks) Weak finger dexterity, poor grip strength, sequencing difficulties Frustration, avoidance, slow performance 2. Grooming (hair brushing, face washing) Sensory sensitivity, poor bilateral coordination Child resists touching face, hair, water on face 3. Feeding / Utensil use Hand dominance not established, weak wrist stability Spilling, awkward grasp, switching hands 4. Toileting / Hygiene Motor planning, reach, coordination Difficulty wiping, managing clothing, following steps independently Tips & Strategies to Support Self-Care Growth Here are some practical strategies and tips to help your child grow their self-care skills with joy and confidence. 1. Break Tasks Into Smaller Steps For example, rather than asking your child to “get dressed,” break that down: Pull pants up > Hold waistband > Insert one foot > Insert the other foot > Pull up > Zip / snap / button Tip! Label each step with visuals or checkboxes so your child can see the progression. 2. Use Adaptive Tools & Clothing Modifications let your child practice success while their skills build! Choose clothes with large, easy-to-grasp fasteners (e.g. big buttons, magnetic snaps, Velcro). Use looped zipper pulls or zipper tabs to simplify grip. Utensils with thicker grips or angled handles can ease feeding. 3. Practice in Playful, Low-Pressure Ways Turn grooming into a “spa day” — let your child brush a doll’s hair first, then their own. Sing a song while they dress themselves, doing each step in time. Use a mirror so they can see what they are doing and become more aware of hand movements. 4. Encourage Bilateral Coordination & Strength Games and activities that involve both hands—stringing beads, cutting construction paper, playdough work—help build the coordination needed for self-care. 5. Use Visual Schedules & Reminders A picture-based routine board (e.g. “wash face → brush teeth → comb hair → get dressed → go to school”) offers structure and helps children internalize the sequence. Having the steps visible reduces reliance on verbal prompts. 6. Encourage Autonomy (While Supporting) Let your child try, with you ready to assist only when needed. Use open choices (e.g. “Do you want to put on your socks first or shoes first?”) to promote decision-making. Praise attempts, not just successes: “I saw how you tried to button that shirt — great persistence!” 7. Be Patient & Repeat Often Mastering self-care takes time and repetition. Try to incorporate these tasks multiple times a day. Over months, small progress accumulates into real independence. 8. Address Sensory or Motor Barriers If a child resists face washing, brushing teeth, or hair care, sensory sensitivities may be involved. Gentle exposure, gradual desensitization, and input from occupational therapy can ease the process. When to Seek Support from a Therapist If you notice consistent challenges with a task despite practice, our therapy team is ready to evaluate fine motor, coordination, sensory processing, or motor planning components. You might want to consider occupational therapy support if: Your child is older than peers for their age and still not handling basic self-care tasks They become frustrated, shut down, or avoid attempting these tasks You suspect underlying issues like poor fine motor control, motor planning difficulties (dyspraxia), or sensory sensitivities The gap between what the child can do and what’s expected in school life is widening Therapists can perform assessments, design individualized strategies, and coach you (the parent/caregiver) on how to guide progress at home. At Pediatric Movement Center, we’re honored to partner with families on this journey. If you’d like help assessing which areas to focus on, designing a routine, or troubleshooting stalls in progress, reach out. We’d love to support your child’s growth and celebrate every milestone with you Helping your child with self-care skills is not just about independence—it fosters motor development, confidence, and daily life readiness. With patience, scaffolding, and playful opportunities, you’ll watch them grow step by step into more self-reliance.
September 9, 2025
What to Expect: Your Child’s PT Session
August 27, 2025
No-plate dinners mean no dishes and no pressure—everyone builds their own meal. The only challenge? Be ready for a little mess and some planning. To encourage selective eaters to try new foods, it is important to create exposure opportunities in a no pressure environment. No plate dinners and/or grazing tables provide
August 11, 2025
We know that transitioning back to school can bring excitement, challenges, and lots of questions—so we’ve created a comprehensive Fall 2025 campaign to help support your child every step of the way. From therapy tips and healthy lunch ideas to movement routines and fun events, our team is ready to help children of all
Show More