Stuttering Treatment GOLD!


by Judy Maginnis Kuster


 Disclaimer: The URLs on the handout were all functioning March 2016. Because of the nature of the Internet, there is no guarantee they will be functioning in the future. If the URL doesn’t work, the site listed may be gone --  check the  Wayback Machine -


Many "requirements, standards, regulations" we need to stay on top of


1.     ASHA's required disclosure statement

Archived ISAD Conferences

2. ASHA's ethical standards

Code of Ethics

3. HIPPA regulations

Health Information Privacy HIPPA Training - Medscape login

4. Response to Intervention RTI

National Center on Response to Intervention

What is RTI - free

• Various Webinars on RTI -

5. Common Core Curriculum standards

Common Core State Standards -

Standards in your state -

• Diane Games, Diane Paul, and Nina Reeves, Oral Reading Fluency Measures and Accommodations for School-Age Students Who Stutter Perspectives December 2014

Stuttering and Reading Fluency

6. Federal mandates - Provisions in IDEA - to keep up with the latest.

7. Minnesota state eligibility regulations -


Evidence-Based Practice


ASHA's position statement on EBP

"EBP refers to an approach in which current, high-quality research evidence is integrated with practitioner expertise and client preferences and values into the process of making clinical decisions."


• Using the best evidence in decision making Sackett et. al

• Uses current best evidence to the specific problem under investigation

• Worker clinician experience/expertise

• Client/patient and family values


Connecting with Professional Colleagues WITH EXPERTISE and With Clients and Their Families


Professionals who have special expertise and/or interest in stuttering

• Specialty Board on Fluency Disorders

• SF Referral Lists


ASHA’s Online Community for all ASHA members (including student members) – take time to explore what is available e.g. Member Directory


ASHA Community Discussions

•Some are totally open to any ASHA member

• Autism

Library – SLP-ABA Resources – 38 page PDF – stuttering resources suggested

• SLP Schools 2.9K members

Discussion – announcing new blog on stuttering

Brooke Leiman The Stuttering Source

Library - Teacher report - Educational Impact is more than “fluency”

• Restricted to certain members – e.g. SIG members

• SIG 16 - School-Based Issues 10.2K members

Discussion - Atypical stuttering discussion

Library - Speech Goals Aligned to Common Core

• SIG 4 - Fluency and Fluency Disorders 11.5K members

Discussion – Ideas to get middle schoolers to talk in therapy

Library - an important 2-page letter about "adversely affects educational

performance” and what is part of IDEA for providing services


Other mailing lists about fluency disorders - typically available to everyone, including consumers clients

Google group


To subscribe -  send  an empty email message to  More information about subscribing is available at

Yahoo groups - A few examples

• CLUTTERING - on-line list about cluttering – occasional posts

• COVERT-S - about covert stuttering – very active

• LIDCOMBE - closed list for those trained in Lidcombe

• STUTTERINGCHAT – very large groupactive with over 3700 members – primarily people who stutter, occasional posts

You can subscribe to yahoo groups through a web-based subscription - click on purple "join group” icon.


Social Networks -


Facebook - Find many examples in the "search" function of

• ASHA -

• Stuttering Arena -

• Women Who Stutter -

• I Stutter, So What -

• Stuttering Foundation -

• Stuttering Community -

• Stuttering and Autism Dissertations

• Stuttering Lounge -

• King’s Speech “curriculum”

• Announcement of a Leaderblog on “Helpful Strategies for

Communicating with a Young Child who Stutters”

• Twitter -

• Search -

• ASHA’s Twitter -

• Kuster’s Twitter -


Linkedin -

Search linkedin groups -

• Cluttering and Stuttering – over 1000 members, occasionally active



ASHA Pinterest -  nearly 14.8 thousand  followers, and currently has 42 boards (March 2016) – no board on fluency disorders, board with most pins is Hearing Loss Treatment/intervention – 780 pins


Pediastaff -  over 164.8 thousand followers and 151 different "boards"

Stuttering, Cluttering

Anxiety Disorders


Emotions and Feelings


Pinterest search -  must register. BUT with the keyword “stuttering” and a lot of time and patience, you can uncover a lot!|typed




• A few examples of well-done Speech-Language Pathology Blogs several with downloadable free therapy materials and ideas.


ASHA Leader Blog - - use key word to search

• Could Voice Therapy be a Remedy for Stuttering?

• Distinguishing Cluttering from Stuttering

• Avoidance Reduction Therapy: A Success Story

• PediaStaff blog search with keyword "stuttering"

• Not Just the King's Speech: Stuttering and its Causes – Nan Ratner

• From Professional CCC/SLPs and resources

• AIS blog with keyword "research" -

• Brooke Leiman’s Stuttering Source

• Prep Set

• Pull-outs -

• Cancellations -

• The Dabblling Speechie Blog (February 26, 2016) – just for fun

• Are also a few SLP blogs that advertise their "products” in Teachers Pay Teachers They are typically not free, but may be of interest. Use keyword "stuttering” to find them.

• Blogs reflecting client/patient and family values

• Pam Mertz - Make Room for the Stuttering -

• Dorie Holte’s blog Voice Unearthed - A Parent's Perspective on Therapy for Children Who Stutter

• Tom Wedig’s The Stuttering Brain

Podcasts with interaction available - verbal "blogging”

Stuttering is Cool by Daniele Rossi - 

• Peter Reitzes and Eric Jackson's StutterTalk -

• Pam Mertz Women Who Stutter


“Real-time” opportunities to consult with professionals and learn from consumers


• Live audio/video interaction online

• Skype 

• Google Phone 

• Stuttering Social - 


A few trusted websites and resources


Several information-rich sites on Fluency Disorders

• Stuttering Foundation  

• Freevideos –

• British Stammering Association 

• BSA Leaflets for teens and young adults  - 

• National Stuttering Association 

• Activities - and free brochures -


• Teens/In the Classroom - includes How to give a classroom presentation on stuttering

• International Cluttering Association 

• Cluttering: A Clinical Perspective by Florence Myers a,d Kenneth St. Louis

• Fluency Friday - by Diane Games

•Presentations/Handouts –

• Affirmations –

• Stuttering Home Page 

• Online Resources on Cluttering

Ľ Therapy for Stuttering

• Famous People Who Stutter

• Songs about stuttering –

• Movies the portray stuttering –

• Words for stuttering -

• Information about stuttering

• Folk myths about stuttering

• Stuttering and Suicide

• Combining two important resources

• Examples of Materials That Can Be Adapted for Therapy by Judy Kuster 

• Treating the School-Age Stutterer by Peter Ramig, et. al. is a 40-page handout filled with suggestions focusing on twelve components of stuttering intervention with research references to support each component - available in PDF format at and also in html format at


Goal: Establishing fluency through increasingly longer and more complex stimuli

  single syllable/word level

• Hangman activities

• Quia Online Autumn Hangman – for computer or iPad

• Funbrain Stay Afloat - for computer or iPad 

• Describing Dice – Freebie on Teachers Pay Teachers

• List item, Synonyms, Antonyms, – Freebie on Teachers Pay Teachers 

• 180 Questions and Prompts 

• Nina loves to name things 

• What's in the Bag? 

• Rhyming words match

  phrase level

• Plural nouns – combine number+noun

• Things to sort - living animals, plants nonliving solid, liquid, gas

Memory matching games on QUIA  

• Prepositional phrases - The clock is _______ the wall.

• Free Categories Card Game – Name Things That – use two words – e.g. bug flies FREE category activity from Teachers Pay Teachers

  sentence level

• 8 pages of Pictures of opposites -

• Containers-Quantifiers Pictionary

• Flash Cards  from - - describe action in a sentence.

• Sentence Sequencing DLTK  

• Speech Teach UK downloads  -  "Picture Cubes" 

• Word Dice - enter words, roll the dice and make up a sentence  

  story level

• Story starter picture prompts

• Describe the picture for someone who can’t see

• Once Upon A Time from . Pick 3 and make up a short story.

Roll a story

• Sequence pictures of

• Line drawing sequence stories picture cards

• Little Red Riding Hood

• Gingerbread Man  

  conversation level

• Conversation Starter Cards -

• Problem solving scenarios

• Telling Jokes -

• What If  Story Starters

• Social Skill Problem Solving Scenarios/Role Plays

• What If?


Connecting with the Research


Information people who stutter are finding online, in bookstores, on TV

• Testimonials

• Stutter No More – Martin Schwartz

• Live Stutter Free in 3 Days! – Anna Deeter

  Television Interview

• PRO9OD Speech System 34 Minutes – Michael Williams

• Kill Your Stutter in 10 Minutes! – Arjun Lal

• Let the buyer AVOID –


Excellent Research Tools and Resources


An entire book (journal) online - Susan Baxter, Maxine Johnson, Lindsay Blank, Anna Cantrell, Shelagh Brumfitt, Pamela Enderby, and Elizabeth Goyder. (2016) Non-pharmacological treatments for stuttering in children and adults: a systematic review and evaluation of clinical effectiveness, and exploration of barriers to successful outcomes


Finding peer reviewed research references and articles


• BASE – "one of the world's most voluminous search engines especially for academic open access web resources”

• Michael Blomgren, Behavioral treatments for children and adults who stutter: a review. Psychol Res Behav Manag. 2013 Jun 10;6:9-19. doi: 10.2147/PRBM.S31450. Print 2013.

• Janet M. Beilbya, , , Michelle L. Byrnesb, J. Scott Yaruss, Acceptance and Commitment Therapy for adults who stutter: Psychosocial adjustment and speech fluency, Journal of Fluency Disorders Volume 37, Issue 4, December 2012, Pages 289–299

• speechBITE -  - Australian-based resource includes

• Nye C, Vanryckeghem M, Schwartz JB, Herder C, Turner HM 3rd, Howard C., Behavioral stuttering interventions for children and adolescents: a systematic review and meta-analysis. J Speech Lang Hear Res. 2013 Jun;563:921-32.

• SUMSearch -  - searches MEDLINE, DARE, and NGC

• Katerina Ntourou, Edward G. Conture, and Mark W. Lipsey, Language abilities of children who stutter: A meta-analytical review, Am J Speech Lang Pathol. Aug 2011; 203: 163–179. Author manuscript; available in PMC Aug 8, 2013 entire article online

Google can work – use appropriate key words, +ppt and +pdf

• Scholar Google -  key words: evidence based stuttering therapy – uncovered entire article

 • D Prins, RJ Ingham, Evidence-based treatment and stuttering—historical perspective, Journal of Speech, Language, and Hearing Research, February 2009, Vol.52, 254-263.


Accessing Additional Articles


• PubMed -  

interface for MEDLINE, National Library of Medicine's  bibliographic database


• Perspectives

• Professional "magazines"

• ASHA Leader  

School Age Stuttering: What Works

• Communication Matters – NZSTA (New Zealand)

• ADVANCE for Speech and Hearing

Treating Stuttering Through Telepractice

• CASLPA Journals -  

Archives available

• Journal of Fluency Disorders Offers a freely-available article in each issue

• Lisa Iverach, , Ronald M. Rapee, Social anxiety disorder and stuttering: Current status and future directions, Journal of Fluency Disorders, Volume 40, June 2014, Pages 69–82

• Ross G. Menzies, Mark Onslow, Ann Packman, Sue O’Brian, Cognitive behavior therapy for adults who stutter: A tutorial for speech-language pathologists Journal of Fluency Disorders Volume 34, Issue 3, September 2009, Pages 187–200

"We stress, however, that these procedures should only be used by SLPs who feel competent to do so, in accordance with their professional body's code of ethics."

• Evidence-Based Practice Briefs -

• on stuttering – and podcast


Convention handouts on the Internet


• ASHA Conference Handouts and PPTs about stuttering

• Recent handouts available – including 2012-2014 – put “year stuttering” or “year name of presenter in search box. 

Assisting Parents as They Help Their Young Children Who Stutter

and Sheryl R. Gottwald – to find it, use the ASHA convention search

• 2006-2012 handouts on stuttering - hotlinked at

 Evidence-based practice in the treatment of adolescent and adult stuttering: what do we know and what works? by Ashley Craig 17 pages

• A Clinician's Toolbox for Working With School-Aged Children Who Stutter by Ellen Bennett PPT 1 and PPT 2 in 2006 ASHA Convention index of stuttering papers

• Using Children's Stories in Stuttering Treatment by Craig Coleman

• Essential Speech Skills for School-Age Children Who Stutter and Speak Freely Student Workbook: selected pages in 2011 ASHA Convention index of stuttering papers

• 2012-2014 handout on stuttering must be searched for on the ASHA website to determine if the presenters provided a handout.




• Assessment and Treatment of Fluency Disorders in Bilingual Children 

• ISAD online conferences -

• M. Hashim Raza, E. Michael Gertz, Jennifer Mundorff, Joseph Lukong, Judith Kuster, Alejandro A. Schaeffer, Dennis Drayna (April 2013) Linkage analysis of a large African family segregating stuttering suggests polygenic inheritance, Human Genetics 132:385-396 DOI 10.1007/s00439-012-1252-5 -

Examples of ASHA CEUs online

• Inexpensive ASHA CEUs on stuttering

• -

• Stuttering Foundation -

• Specialty Board for Fluency Disorders - http://www.stutteringsp

Perspectives - .2-.4 CEUs for $5/issue or updated information at




Introduction to Evidence-Based Practice -  What it is (and what it isn’t)


Web-based tutorials -  HUGE list of links to

a.   General EBP Information

b.   Framing the clinical question

c.   Finding the evidence

d.   Assessing the evidence

e.   Making the decision


• Evidence Maps -

not complete for every disorder – being worked on

provides  “systematic reviews” on

a. external scientific evidence

b. clinical expertise

c. client perspectives

Systematic reviews describe the currently existing evidence about an approach to diagnosis or treatment – you make the decision on what to use


• Evidence Map for Fluency (Children) – current articles from 2001-2006


• See the Assessment section of the Fluency (Children) Evidence Map for pertinent scientific evidence, expert opinion, and client/caregiver perspective.


• See the Treatment section of the Fluency (Children) Evidence Map for pertinent scientific evidence, expert opinion, and client/caregiver perspective.


• Effectiveness of Interventions for Preschool Children with Fluency Disorders: A Comparison of Direct Versus Indirect Treatments - Tobi Frymark Rebecca Venediktov Beverly Wang


• “Clinical Expertise” - Does not include an article (Letter to the Editor) with over 100 people with “clinical expertise/clinical opinion” signing on (disappointing)

Yaruss, Coleman, Quesal, Stuttering in School-Age Children: A Comprehensive Approach to Treatment, LHSS, 536-548, October 2012


• ASHA's New Practice Portal - Childhood Fluency Disorders

• Assessment 

• Treatment




Comprehensive resources

• Fluency Assessment and Intervention Module - written by Rita Thurman and edited by Perry Flynn - a huge (55 pages of information) and impressive resource! (

• Implementation Guidelines for Speech Impairment with a Fluency Disorder, Texas Speech-Language-Hearing Association, 2010 – a 52-page manual - includes "Parent/Guardian Observation of Fluency Concerns" in English and Spanish 




• ASHA’s Guidelines – Assessment of Childhood Stuttering 


Intake, Interview, and Case History Forms and Information

• Spanish Phrasing for SLPs 

The entire Spanish Phrasing Book for SLPs by Dorothy Miranda Esckelson and Adulfa Aguirre Morales - 85.5 MB PDF of their 179 page, 1998 book, providing SLPs "with language to use with their Spanish-speaking students and their families" - articulation/phonology, hearing, language, stuttering, and voice disorders.

• Janice Westbrook's Parent-Clinician Fluency Assessment 

• SCWP's Diagnostic Intake Form for Preschool and School-Age Children  

• SCWP's Diagnostic Intake Form For Teens Who Stutter 

• Rating my child's stuttering, a form for parents  

• Teacher Checklist for Fluency by Nina Reardon-Reeves  

  Las Cruces Public Schools Teacher's Rating Scale – Fluency evaluation

• Cluttering Assessment Guidelines


Sampling Speech Behaviors

• Suggestions to include in diagnostic format

• Dean Williams' Suggested Diagnostic Methods 

• Child Disfluency Analysis Using 20 Questions For Testing 

• SCWP's Disfluency Count Sheet 

• Sampling Speech Behaviors  includes Normative data by Hugo Gregory, Bloom/Cooperman's counting disfluencies Real time analysis, 300 syllable analysis form, and Timed sample form from Diane Games Fluency Friday Plus website 

• Free online stopwatch

• Free stopwatch app -

• Online syllable counter by Ulrich Natke 


Tests Of Attitude and Personality

• Erickson S24 Scale

and Erickson S24 Scale Answers

• Several treasures from Diana Games

• A-19 Scale and form from Fluency Friday Plus - a website by Diane Games

• Communication Attitudes Test form R – Gene Brutten – available pp. 23ff in Fluency Friday Plus manuel

• Situational Fears/Avoidance 

• Situational Anxiety Hierarchy 

• Liebowitz Social Anxiety Scale Test -

• Social Phobia Inventory by John Davidson in ISAD conference - Larry Molt's "Stuttering and Social Phobia Social Anxiety Disorder: Background Information and Clinical Implications"

• SCWP's Stressor Inventory Handout  

• Locus of Control of Behavior (self test)


Additional Diagnostic Tools

• Tests to differentiate an incipient stutterer 

Pearl A. Gordon and Harold L. Luper, "The Early Identification of Beginning Stuttering I: Protocols" Am J Speech Lang pathol, May 1992; 1:43-54 article includes Riley's PSI, Cooper's CPC, and Pinzola's protocol

• Differentiating Developmental, Neurogenic, Psychogenic Stuttering and Malingering by Seery. The entire article available on-line from the ASHA journal site - American Journal of Speech-Language Pathology. 2005 Nov; 144 284-297-

• Perceptions of Stuttering – 

• Rating my speech a form for clinicians to use with children who stutter.

• Rating of Stuttering Scale from Fluency Friday Plus - a website by Diane Games

• What Do I Know About Stuttering - Test for Facts About Stuttering-School-age Children

• Young Child Fluency Interview

• CALMS Rating Scale for School-Age Children Who Stutter includes CALMS Profile

• A Continuum of Linguistically Simple to Complex Speech Tasks

• Healey's entire CALMS program

• Age calculator - may be helpful in diagnostic evaluation scoring. 

• Measures Of Severity Of Stuttering 

• David Daly's Cluttering Inventory-R 2006 

• Computer-based Cluttering Assessment Tool CLASP by Klaas Bakker - a free software tool for determining percentage of talking time cluttered. Includes and upgrade version.




Educating the public about stuttering

• What is Stuttering by ASHA 

• NIDCD Stuttering 

Stuttering: a short animation film

• Translations of Two Stuttering Foundation Brochures 

• 6 Tips For Speaking With Someone Who Stutters - in English, Dutch, French, Russian, German, Bulgarian, Norwegian, Icelandic, Japanese, Albanian, Danish, Hebrew, Czech, Portuguese, Napalese, Chinese, Hindi, Spanish, Korean

• 7 Ways to Help the Child Who Stutters - in English, Dutch, French, Russian, German, Bulgarian, Norwegian, Icelandic, Japanese, Albanian, Danish, Hebrew, Czech, Portuguese, Nepalese, Chinese, Hindi, Korean


Educating Parents About Stuttering

• Starkweather, et. al. Stuttering Prevention: A Manual for Parents 

• Hood's Helping Children Talk Fluently: Suggestions for Parents 

• Ramig's To the Parents of the Nonfluent Child  also available at   

• BSA's Parents of School-Age Children  

• BSA's The first time... How do I start a conversation with my child about stammering?

• Stuttering and Your Child: Help for Parents SF video  - English - Spanish

• A Message for Parents of Preschool Children Who Stutter  

• Information for Parents of Preschool Children Who Stutter PDF format from The Stuttering Center of Western Pennsylvania 

• "Bucket" Analogy Handout - from The Stuttering Center of Western Pennsylvania 


Educating Teachers About Stuttering

• BSA's brochure - The Pupil Who Stammers: Information for Teachers – basic information 

• BSA's amazing online training resource for school staff -

• Primary students

• Secondary students

• Ramig's To the Teacher of the Nonfluent Child also available online at 

• Stuttering in Schools: A Resource for Teachers -

• Stuttering At A Glance: Information for Teachers - from The Stuttering Center of Western Pennsylvania 

• Brochure - NSA's The School-Age Child Who Stutters: Information for Educators

 • Brochure – SF - Notes to the Teacher: The Child Who Stutters at School 

• Stuttering: Straight Talk for Teachers -SF book – 35 pages 




• ASHA’s Guidelines – Treatment of Childhood Stuttering


Approaches To Therapy

  Listing of many therapy programs by Judy Kuster

  Posters and PowerPoint on various stuttering therapy programs Charlie Osborne's and Linda Hallen's class projects 

  Manual for the Lidcombe Program - 2010 - 16 pages

  Manual for the Camperdown Program - 2012  - 21 pages

  A Model for Manipulating Linguistic Complexity in Stuttering Therapy by E. Charles Healey, Lisa Scott Trautman and James Panico


• Study Guide for Charles Van Riper's The Treatment of Stuttering by Darrell Dodge 


Writing goals and objectives

• IEP Goal Bank  

• Writing Goals and Objectives Craig Coleman, Rebecca Roccon, and Amy Zerhusen 

• Fluency – Intermediate

• Bilinguistics Speech Therapy Goals


Educating Children and Adults About Their Stuttering


Recognizing/evaluating stuttering/cluttering behaviors


• Voices - Past and Present 


Video YouTube and Vimeo

• Stammering is no joke by Les Geddes 

• Transcending Stuttering - 

• Phil and Uri Schneider's samples

• Messages About Self-Help From Around The World - 20 3-minute videos of stuttering in 16 different languages 

• Stuttering: Straight Talk for Teens SF video

• Stuttering: For Kids, By Kids produced by the Stuttering Foundation  

• For Professors to use in classes (password protected) – contact me


On-line materials/activities

• Just for Kids 

• Frequently Asked Questions from Kids Who Stutter answered in language they can understand  

• Stuttering from KidsHealth

• Some Things Everyone Should Know About Stuttering  by Diane Games 

• Stuttering Jeopardy by Judy Kuster  template available at 

• You Are In Control - a game for children who stutter, their friends, and family, to understand how some things help make stuttering better, and some things make it worse.


Free on-line children's books/stories about stuttering

• Sometimes I Just Stutter by Eelco de Geus 

• French

• Swahili

• Chinese

• Italian

• Africaans

• The Can't Be Seen Who Couldn't Squawk by Dale Williams

Ľ Stuttering Stan Takes a Stand  -

• Izabella: The Story of the Princess Who Stuttered 

• Tarby Rockets to Slower Speech by Craig Coleman and Mary Weidner 

• Jeremy and the Hippo: A Boy's Struggle with Stuttering by Gail Wilson Lew 

• Rufus Likes to Talk a children's story/coloring book by Nina A. Reardon, MS CCC-SLP and illustrated by Brit W. Kohls can be downloaded as a PDF file.

• Angel Loves to Talk by Nina Reardon, illustrated by Brit W. Kohls. A story/coloring book in PDF format.


Knowing that the person who stutters is not alone

• People Who Stutter, INSPIRE! - video from ISAD 2010 

• Exploring Famous People Who Stutter by Nina Reardon-Reeves 

  Stuttering Didn't Stop Them! 

• ExtraORDINARY People Who Stutter and Poster at the end of the paper   

• PWS Speak for Themselves 

• Looking Back and Looking Forward: It Gets Easier  - short articles  written by adults who stutter, especially for teens who stutter.s

• Just for Kids 

• LettingGO - NSA newsletter 

• Stuttering Foundation Newsletter

• Reaching Out - FRIENDS newsletter -


Educating About The Normal Speaking Process

• Our First Talk about Talking - a 6-page booklet with pictures children can color 

• Phonetics: The Sounds of American English -

• Phonetics: The Sounds of American English APP $4.99

• Meet Your Speech Helpers has photos, diagrams, and a hands-on activity to help children learn about speech anatomy.


• Increasing Awareness of stuttering

• Speech Roads

• Fluency Self-Rating Form

• Stuttering Awareness Game

• Fluency Rubrics by Wendy Burns  

• iTalk APP –

• Which Behavior Can I Change? by Diane Games 


• Controlling speaking rate

Using technology

• Fluency Coach - free software for either MAC or PC for clinicians of people who stutter demonstrate the effect of  Altered Auditory Feedback/choral speech  APP

• DAF Delayed Auditory Feedback (APP for Android – only DAF, no FAF)

Other suggestions

• Help for the Speedy Speaker: Techniques for Slowing Down a Fast Rate - text on the page is available, but the links no longer function 

• Speech Skill: Pace - lesson 4 of Speak for Success 

• Finding a Rate of Speech that is Unique to You – demonstrates rate

• St. Louis, K. O., Raphael, L. J., Myers, F. L., & Bakker, K. 2003, Nov. 18.

Cluttering Updated, The ASHA Leader, pp. 4-5, 20-22. Under the section "Slowing Rate"

• Speech Pacing: Dots to help me talk by Melissa Potemra 

• Caution: Speed Zone Ahead by Florence Myers 

• Metronome APP

• Android -

• Mac -


• Work on phrasing

• Brown Bear Brown Bear What Do You See?

• Prepositions

• Five Fun Activities to Practice Pausing with Children Who Stutter  

• The Power of the Pause by David Daly 

• The Egg Carton Game by Ellen Lanouette 


Work on rate AND Phrasing

• The Journal of Stuttering Therapy, Advocacy and Research - Pausing: Reducing the Frequency of Stuttering by Peter Reitzes

• Read along with familiar on-line audio books

• Kuster, J. M. 2012, February 14. Internet: Resources for Choral Reading in Stuttering Treatment. The ASHA Leader 

• On-line collection of Aesop's Fables - 

• American Rhetoric Online Speech Bank

• The American President, 1995 Michael Douglas

• Genda’s Audiobook Resources - handouts of excellent resources

• Electronic Books and On-line Reading

• Prince Amir (online and in the APP Store – free)

• EPIC!  over 10,000 read-to-me and audio books, and EPIC! App (Android and Apple)


  Modifying the stuttering moment

• Fluency Yahtzee: A Game of Choice by Ellen Bennett  

• Fluency Dice (a free example) by Kirsten Whalen-Pederson

•Fluency Smooth Speech Rules  - free on Teachers Pay Teachers. 

• Mark Allen, Ph.D. CCC-SLP, Center for Stuttering Therapy in Evanston, IL, shared several pages from his Essential Speech Skills for School-Age Children Who Stutter program workbook Working with Your Stuttering at the ASHA 2011 convention. All of the examples are in the following two PDF files of Dr. Allen's presentation you will need to cut and paste the URLs:

• Essential Speech Skills for School-Age Children Who Stutter handout Allen ASHA 2011 Handout 1.pdf?congress=asha2011        

• Speak Freely Student Workbook: selected pages Allen ASHA 2011 Handout 2.pdf?congress=asha2011      

• Allen also provides many short videos demonstrating examples of modifying the stuttering moment including Catching the Stutter 

• Suzanne Dorman's Easy Guide for Treating Stuttering


• MyLynelPro - a personalized speech therapy software for practicing Fluency Shaping and Stutter Modification techniques and assisting transfer to real-world conversation.

• iPrompt  - a mini-teleprompter - can add text for client to practice rate, pausing, fluency-enhancing strategies.



• Speaking Outside the Box by Joan Cahalan 

• Using infomercials in therapy by Nina Reardon-Reeves 

• Scavenger hunts – using pseudo-stuttering, techniques, good eye contact

• Ten Fun Scavenger Hunt Ideas for Your Kids – e.g. Door-to-Door

• Make your own from list

• Doing the Robot - (great for carryover practice, homework, or for kids to keep at home)

• School-age Stuttering: Enhancing Generalization - a 7 minute video by Nina Reeves

• Carryover bookmarks – by Kelli R. – print on cardstock and cut in strips



• The Ti-Ger Analogy of Stuttering Empowerment  created by Greg Snyder and prettied up by Daniele Rossi, a poster to encourage pseudostuttering

• Silly Stutters and ideas on what to do with them

• Bill Murphy,  Empowering Children Who Stutter: Reducing Shame, Guilt, and Anxiety This material was originally presented as a session at the ASHA convention, Seattle, WA, 1996.

• Scenari-Aid - created by Grant Meredith, funded by Telematics Trust, Australia and housed on the University of Ballarat web site provides opportunities to practice various speaking situations.

• Breathe2Relax - APP


  Self-esteem issues

• Making My Own Way: Empowering Children Who Stutter - by Jackie Biagini and Judy Butler, is a workbook "designed to foster trust, self-confidence, and interpersonal communication skills with set goals and a plan to achieve them." . Use of this manual is explained in an article by Butler and Biagini, Journal Writing for Children Who Stutter   

• My Very Own I Can Do It Story! Starring ME!! -  10 page PDF

• Everyone's Different 

• Being Real by David Shapiro 


• Self-disclosing about Stuttering

• Gallery of Children's Art about stuttering. When words aren't enough it has been suggested that children draw pictures to express themselves. This "gallery" contains over 50 pictures of stuttering drawn by children and teens. 

• Dear Abby Letters: Talking Openly About Stuttering by Peter Reitzes

• Stuttering Interviews by Peter Reitzes

• Stuttering is Okay by Luc Tielens and Timothy 

• Posters





• Presentations in the Classroom

• Class visits for children who stutter by Bill Murphy

• John Ahlbach, a high school teacher who stutters, has written a Stuttering Presentation Guide

• Classroom Presentations NSA

• Stuttering Classroom Presentation 15 pages. Free but must register on TPT.

• Allison's Play about Stuttering by Allison, age 9 

• My Story: A PowerPoint Teaching Tool 

• Tom Kehoe's Science Fair Projects for Students Who Stutter


  Additional places to explore for therapy activity ideas

• Clinical Nuggets from past ISAD online conferences

• 2012 - 

• 2011- 

• 2010 -  

• 2010 -  

• 2009 - 

• 2008 - 

• 2007 - 

• 2006 – 

• Telling My Story In Three Words -

• Crime or No Crime 

• Treating School-Age Children Who Stutter: Objectives and Activities a PowerPoint and handout with lots of therapy ideas by Craig Coleman, Rebecca Roccon, and Amy Zerhusen 

• These are a few of my favorite things by Judith Eckardt 

• Hidden Treasure of Stuttering Resources by Greg Coleman  

• Using Audicity as Visual Feedback -

• The "R" Avoider and Changing the Words Around by Alan Badmington Wales, UK and illustrated by Christine Badgett-Richards 


  Group activities and workshops

• Activities for Group Therapy by Gary Rentschler  still in the web archive_

• Lost At Sea activity -

• Example of a Bingo icebreaker -

• A Group Therapy Experience for Adults Who Stutter a PowerPoint by Ken St. Louis 

Handout for Group Interaction workshop with goals and activities

• International Stuttering Support Group Project by Michael Sugarman 

• Speaking Circles by John C. Harrison 

• Support Group Activities collected by Judy Kuster's Undergraduate Class in Fluency Disorders and submitted by many people from support groups 

• 101 Things to do at an NSA chapter meeting - many ideas that can be adapted for group therapy  

• Working With Kids who Stutter in After-School and Summer Camp Groups by Julie Sable

• Organizing Your Workshop compiled by Michael Sugarman 

• FRIENDS & Family Day: One-Day Workshop for Supporting Children Who Stutter & Their Families by Lynne Shields, Susan Short, Ro Ostergaard, Lee Caggiano, and Bill Shannon 


  Materials to deal with bullying and teasing

• Five papers from ISAD online conferences are available with excellent information about dealing with bullying and teasing.

• An Interview with Caroline: You can do something about teasing! by Lynne Shields & Caroline L. 2002 

▪ Helping Children Deal with Teasing and Bullying by Marilyn Langevin 2001 

▪ What Parents Can Do For Your Child When He Is Being Teased For Stuttering by Gail Wilson Lew 2000 

▪ Speech Pathologists Can Help Children Who Are Teased Because They Stutter by Bill Murphy. 2000 

• Practical Solutions for Dealing with Bullying in Children Who Stutter by J. Scott Yaruss, Bill Murphy, Robert Quesal, and Nina Reeves 

• Trouble at Recess - free download from the Stuttering Foundation about being teased 

• Connie Dugan's "Teasing Inventory" in html

• Bullying Activity

• Bullying Activity 2

• Teasing from kids for kids - how I've been teased, how I feel when I'm teased, and what I can say or do when I get teased.  

• A few resources about Bullying

• Stop Bullying - - TOP SITE

• The Don't Laugh at Me program is part of the Operation Respect project, whose goal is to eliminate bullying in the schools



Copyright Judy Kuster 2016