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From: Tim
Date: 18 Oct 2010
Time: 05:46:40 -0500
Remote Name: 72.152.243.232
The prioritization of CBT depends on the cognitions developed by the pws. A 4 year-old who is word changing and has cried about her trouble talking needs to experience a relief from symptoms but does not have rigid beliefs yet. Like an old fashioned scale that tilts up/down you look at your client and perform CBT as needed. When someone shares with me a laundry list of avoidance tricks I am going to do significant CBT in conjunction with shaping for reading, modification for correcting stutters, and voluntary stutters. Stuttering therapy is customized and it is adjusted continuously for each pws. A sports coach will look at skill areas and then fine tune and add new skills and more skills. We want to start with a well-formed outcome: how our pws/clinet wants to speak, why it is important, where he wants to talk more, etc.