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From: John Tetnowski
Date: 08 Oct 2009
Time: 10:11:24 -0500
Remote Name: 130.70.154.61
I hope you don't mind if I jump in. I believe and have written about the multitude of co-morbidity of stuttering with so many other disorders/differences. They range from articulation and language, to ADHD, reading and other learning disorders/differences, to psychological/psychiatric disorders/diffrences. I think that social anxieties and social phobias can extend well beyond our scope of expertise and need referrals to professionals, such as psychologists, psychiatrists, counselors and others. I believe that we need to treat what we can treat, refer for what we cannot treat or don't understand......ALL BASSED ON THE NEEDS OF THE CLIENT. A blanket statement cannot be made about referrals. I do think that the SLP needs to have many tools in his or her toolkit. Whenever they don't have the right tool to treat or evaluate a client, it is their job to find someone who does. Thanks for the question, and I hope you don't mind that I jumped in. John Tetnowski