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From: joe d.
Date: 12 Oct 2009
Time: 13:46:37 -0500
Remote Name: 159.14.241.250
I think we are tripping over a similar problem that arises very often when people discuss stuttering. That is, stuttering is highly individualized and manifests differently in each individual who stutters. So, it is difficult to create a one-size-fits all approach to therapy. So, if you ask me whether every PWS needs CBT, I will most likely say no. However, if a specific PWS is struggling with anxiety or dealing with their stuttering, I may use CBT strategies or even refer them to a CBT practitioner – if that is what their unique presentation suggests. Do I think many PWS present with reactions similar to those seen in PTSD, certainly and when I see that, I either address it with the tools I have or refer them to an appropriate professional. Do I think that many CWS present with attention/focusing concerns, certainly and when I see that, I either address it with the tools I have or refer them to an appropriate professional. The most important thing is that a professional be able to identify when comorbid conditions are negatively impacting progress. At that point, they need to either consult with or refer to a professional in that area. This entails that a therapist be knowledgeable on various disorders that can occur in tandem with stuttering and develop a strong network of referral/consultants with whom they trust.