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From: John Tetnowski
Date: 03 Oct 2008
Time: 10:41:35 -0500
Remote Name: 74.171.126.240
Mark, Interesting comments and a good reminder. I do know that accoring to recent studies (Messenger, Onslow, et al., 2003; Kraaimant, Vanryckegham, et al., 2002) PWS are likely to have social anxiety. My question may be, how many of these are "significant enough" to warrant a referral. Many of the adults that I have seen in therapy have social anxiety issues, and I hope that I am correct by treating them within a stuttering modification paradigm, that is, trying to confront the fear/anxiety and learn to minimize it. I admit that I have had to refer in some cases, but I also feel that competenently-trained SLPs can deal with some low levels of anxiety and fear. There is of course a threshold for the SLPs ability to deal with anxiety and other issues of fear, etc. Whenever that threshold is crossed, the SLP should refer. By the way, SAD is not the only concomitatnt that was left out of this paper; there were others as well. Our paper was not meant to be comprehensive in that respect, but more of a reminder to SLPs and consumers. Thanks again!