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From:
Date: 04 Oct 2009
Time: 12:00:54 -0500
Remote Name: 71.237.78.109
Anica- That is a tough question. These teens and adults are very hard on themselves. I think helping them understand the therapy process and see that small changes add up to big ones is a good first step. I often have my adults do some journaling. You can have them write positive comments first, then follow by negative ones. THey can bring the journals to therapy and you help them see that perhaps they may be magnifying failure and minimizing success. Also, helping them develop realistic goals that they can more easily reach. for example, asking your client to set a goal for maybe 20% or 30% of the success they have in the therapy room for their speech outside. I think they just expect so much and can so easily be "shot down" that we need to be very sensitive to this. As always, reinforcing good stuttering and good choice making (not avoiding, increasing risk taking, etc.) cannot be ignored for it's value!