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From: Tim Mackesey
Date: 15 Oct 2010
Time: 05:53:41 -0500
Remote Name: 72.152.251.38
I feel that an integrated approach to therapy- one that really delivers CBT- can eliminate the need for meds. Yes, meds have side effects and it just depends how significant they are for each individual. Also note that the placebo effect is approx 25%- one quarter report feeling better with placebo pill (temporarily). Toxic thinking will likely affect the pws. He will punctuate stuttering more (give it more meaning), worry, stress, etc. There is an element of "what came first the chicken or the egg." Conflicting research is out there on the topic of anxiety amongst pws. See my reference for 'cognitive anxiety" (Dilollo and Manning). Some researchers say: 'pws are not more anxious than the general population.' Perhaps when not speaking, not thinking about a feared situation of speech, or when not reflecting on a past stutter. A person can close his eyes, associate into a past stutter or feared future stutter and actually feel the emotions in his soma. This is huge. How does a pws remember to stutter on his list of feared words? What specifically happens in his mind and body just before introducing himself in front of an audience? I hope more and more research focuses on this fact. Anticipatory anxiety can render a pws unable to use all the speech techniques he has worked so hard to learn.