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From: Erika Shira
Date: 04 Oct 2008
Time: 20:24:02 -0500
Remote Name: 66.92.76.147
Yes, I agree that it's not possible to be completely certain in this area. My approach for such things is usually a client-centered approach of discussing with the individual whether s/he feels that stuttering is related to anxiety. Most people are very self-aware in this area. Since my background is primarily in mental health, I'll always want to assess to see if anxiety is one of someone's presenting issues. This might be through a standardized assessment or more through observations and self-report. If it seems to be something that the individual wishes to address, then I don't think it matters whether it's a result of stuttering or possibly a cause -- it's going to benefit the individual to assess and treat it regardless. I think it's definitely true what you and others have mentioned in terms of not knowing whether anxiety is the cause of someone's stuttering. But I do think that if anxiety is present, it's always a good idea to address and treat it. Being more relaxed and comfortable might help the person with organizing their motor skills. Or being more grounded about other people's perceptions and the anxiety resulting from stuttering might just help the person to feel more comfortable and at ease. Either way, I think that addressing anxiety is generally helpful and has minimal potential to be harmful.