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From: Katie Dauer
Date: 10/9/03
Time: 9:17:54 PM
Remote Name: 216.192.208.12
I have 3 questions about 2 children and l adolescent on my caseload. l. I have a 4 year old with quite severe stuttering. She has made improvemnts in a structured setting both during my session and at home. However, there seems to be minimal carryover. Her father also stutters. I have been doing fluency enhancing techniques and have been considering doing some stuttering modification techniques. Having her make choices about which way she wants to talk and then talking about how each feels. She is very bright but very highstrung. Is it okay to begin some stuttering modification?
2. I have an almost 4 year old who has been stuttering for almost l 1/2 years and he also has phonological issues and grammar issues. It is a balancing act. If I work on the artic, his stuttering gets worse. When we work on the fluency, he does seem to get a bit better, but then when we begin therapy on his sounds, the stuttering comes right back. We continue to use fluency enhancing when we work on artic, but it doesn't seem to hold. He has severe prolongations. Do I just continue with fluency and then try to change articulation as we go along.
3. We have a 17 year old stutterer with onset only within the last l 1/2 years at about the same time that he started taking drugs, such as cocaine and crystal meth. We recommended that he see a neurologist, but of course we are bound by confidentiality and can not tell anyone even his parents. Is that your understanding? Also what is his prognosis? He is currently still using? Is it inappropriate to do therapy with him when he continues to use. WE may be his only way to get help sometime, but maybe not. He seems to have a trust for my colleage who he is seeing.
Thanks for any input regarding these 3 questions.
Katie Dauer