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From: Patty_Jarman@hotmail.com
Date: 10 Oct 2009
Time: 14:46:28 -0500
Remote Name: 98.64.233.153
I am an SLP working with a 5 1/2yr. old boy who is stuttering. Analysis of his conversational speech (150 syllables)shows an average of 7% syllables stuttered consisting of initial part word repetitions (3), prolongations (1-3sec)and laryngeal blocks. Secondary characteristics are frowning, tight lower jaw, and at times reduced eye contact. I have implemented easy speech,loose contact,stretchy speech, pausing and talking in phrases. He is able to use these strategies at the word, phrase and sentence level with picture prompts to produce fluent speech. Mom is present during all the therapy sessions and practices the easy,stretchy speech daily with him (making up fun games). I've been seeing him 2xs a week since August. His parents report a significant improvement with his speech. Every session I do a speech analysis of his unstructured speech and I don't see a significant reduction of stuttering. He doesn't appear to be concerned about his speech and has not mentioned his stuttering. I haven't introduced any stuttering modification (bouncing) or voluntarily stuttered. I'm not sure how to improve the therapy. I would appreciate some help. Sincerely, Patty Jarman MSCCC SLP