

Specialized Stuttering Therapy for Children, Teens, and Adults
Evidence-based, participation-focused care led by a nationally recognized Board-Certified Specialist in Stuttering, Cluttering, and Other Fluency Disorders.
Led by Craig Coleman, M.A., CCC-SLP, BCS-SCF,
ASHA Fellow, 25+ years specializing in stuttering, 200+ presentations, Published author, National leader in fluency disorders
Guide for Parents of Preschool Children who Stutter
If your young child has started repeating words, stretching sounds, or getting “stuck” when talking, it can be worrying. Many parents wonder:
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“Did I do something wrong?”
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“Should I tell them to slow down?”
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“Will this go away?”
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“Do we need therapy now?”
This guide is designed to give you a calm, clear path forward. You’ll learn:
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What typical early disfluency looks like vs. stuttering and the signs to monitor
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How to respond in the moment (what helps, what can unintentionally increase pressure)
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How to support confidence and participation at home and in school settings
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When to seek an evaluation and what to expect from therapy
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How to talk about stuttering in a healthy, stigma-free way
Most important takeaway: Your child’s communication is more than fluency. The goal is not “perfect speech.” The goal is confident, effective communication and a healthy relationship with speaking.
What is stuttering?
Stuttering is a speech difference that affects the flow of talking. It can include:
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Repetitions: “b-b-baby,” “and-and-and”
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Prolongations: “sssssun”
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Blocks: a pause where the child looks stuck, sometimes with tension
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Associated behaviors (sometimes): blinking, facial tension, head movement, avoiding words
Stuttering is not a result of poor parenting, stress, intelligence, or “nerves.” Research supports that stuttering is neurodevelopmental—meaning the brain’s speech and language systems are developing in a way that can make speech timing and coordination more difficult at times. There are also strong genetic links to stuttering.
Why does it often start between ages 2–4?
This age range is a period of rapid language growth. Children are learning new words, longer sentences, and more complex ideas. Their thoughts may move faster than their speech planning system can coordinate.
Some children go through a period of “bumpy speech” that resolves naturally. Others develop stuttering that persists. Early support can help reduce struggle, reduce avoidance, and strengthen long-term communication confidence.
“Typical disfluency” vs. stuttering—what’s the difference?
Many young children have normal disruptions in speech, such as:
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Interjections: “um,” “uh”
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Revisions: “I want—can I have the red one?”
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Whole-phrase repetition: “I want… I want… I want juice.”
Stuttering is more likely when you notice:
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Part-word repetitions (“b-b-b-”)
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Sound prolongations (“ssss”)
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Silent blocks / getting stuck
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Tension, struggle, or visible effort
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Child becomes upset, avoids talking, or changes words
If you’re unsure: you don’t need to diagnose it yourself. A stuttering-informed speech-language pathologist can help you understand what you’re seeing and what supports are appropriate.
No single factor “predicts” the future for any child, but clinicians look at patterns. You should consider an evaluation when risk factors are present—especially in combination.
Common risk factors for persistent stuttering
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Family history of persistent stuttering
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Duration: stuttering has lasted 6–12 months or longer
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Age of onset and current age: onset after ~3.5 years can increase risk; persisting past early preschool years may also increase concern
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Sex: boys are statistically more likely to develop persistent stuttering
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Severity trend: increasing frequency, tension, or struggle over time
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Child’s reactions: frustration, embarrassment, avoidance, “I can’t say it”
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Communication pressures: fast-paced routines, frequent interruptions, competition for speaking time (these don’t “cause” stuttering but can increase stress/impact)
Green flags (reassuring signs)
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Stuttering is mild and fluctuates (comes and goes)
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No tension or struggle
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Child shows little concern and communicates freely
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Supportive environment and calm responses are in place
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Disfluency decreases over time
Red flags (seek guidance sooner)
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Child avoids talking or seems ashamed
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Stuttering becomes more effortful or tense
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Blocks appear frequently
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You notice secondary behaviors (eye blinking, facial tension) increasing
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Strong family history of persistent stuttering
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Teachers/caregivers report increased difficulty speaking at school
Bottom line: If stuttering is impacting your child’s confidence, participation, or family stress—even if it’s not “severe”—it’s worth getting support.
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When your child stutters, your reaction becomes part of their learning environment. The goal is to communicate:
“I’m listening. You have enough time. I want to hear what you have to say.”
The most helpful in-the-moment supports
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Maintain natural eye contact
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Listen to the message, not the speech pattern
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Pause before responding (this subtly slows the pace)
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Use relaxed body language
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Let them finish—avoid completing words or sentences unless they request help
What not to say (even though it’s well-intentioned)
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“Slow down.”
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“Take a breath.”
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“Relax.”
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“Start over.”
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“Think before you talk.”
These can unintentionally teach a child that they’re doing something wrong or that speaking should be monitored.
What you can say instead:
If your child seems aware or frustrated, keep it calm and supportive:
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“That was a tricky word. I’m listening.”
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“Take your time—I’m right here.”
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“Sometimes words come out bumpy. That’s okay.”
If your child is not aware or not bothered, you often don’t need to label it. Simply listening calmly is powerful.
Building a Supportive Home Communication Environment
You don’t have to change your personality or walk on eggshells. Small, consistent shifts help lower communication pressure.
1) Slow the pace (without calling attention to it)
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Use a slightly slower speaking rate (not unnatural—just relaxed)
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Add small pauses
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Use fewer rapid-fire questions
Try this: Replace multiple questions with a comment + one question:
Instead of: “What did you do? Who was there? Did you play? What did you eat?”
Try: “It sounds like you had a big day. Tell me one fun thing you did.”
2) Reduce speaking competition
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Avoid talking over your child
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Reduce sibling interruptions during key times (meals, bedtime)
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Create “everyone gets a turn” routines
3) Daily 10-minute “special talk time”
This is one of the most effective family strategies:
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Child chooses the activity (drawing, blocks, books)
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Parent follows their lead
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Keep pace calm, responsive, and attentive
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No corrections, no quizzing, no rushing
Goal: reinforce that talking is enjoyable and safe.
4) Praise effort and communication—not fluency
Instead of: “Great job talking without stuttering!”
Try:
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“I love how you told me that story.”
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“Thanks for sharing your idea.”
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“You stayed with that tough word—nice job.”
This protects your child from feeling that “smooth speech = success.”
5) Support language and emotional expression
If your child gets upset:
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Validate feelings: “That felt frustrating.”
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Normalize: “Lots of people have bumpy speech sometimes.”
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Support resilience: “You can still say what you want to say.”
Talking About Stuttering (Without Creating Shame)
Many parents fear that naming stuttering will “make it worse.” But when a child is noticing and experiencing difficulty, silence can make it scarier.
A healthy approach is:
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calm
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factual
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non-judgmental
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confidence-building
When to talk about it
Consider a conversation if:
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Your child comments (“My words won’t work”)
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They show frustration/avoidance
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They ask questions
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You notice increased tension and effort
If your child isn’t noticing and it’s mild, you may simply focus on supportive listening and environment changes.
How to explain it to a preschooler:
Use simple, neutral language:
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“Sometimes your speech gets bumpy.”
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“Your brain has lots of ideas, and sometimes words get stuck for a moment.”
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“That’s called stuttering. It’s okay.”
How to respond to tough moments
If they say: “I can’t say it.”
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“It’s okay. I’m listening. You can take your time.”
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“Do you want to try again, or do you want me to help?”
Give choice. Choice reduces panic and supports self-advocacy.
Helping family members respond supportively
Share a simple script with grandparents, siblings, and caregivers:
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“Give them time.”
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“Listen without reacting.”
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“Don’t tell them to slow down.”
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“Let’s model calm talking.”
When and How to Seek Professional Help
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Consider an evaluation when:
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Stuttering lasts longer than 6–12 months
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There’s family history of persistent stuttering
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You see tension/struggle or blocks
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Your child is aware, upset, or avoiding speech
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You want guidance (this alone is a valid reason)
Early support is not about “fixing” a child. It’s about preventing struggle and building confidence.
What happens in a stuttering evaluation?
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A stuttering-informed clinician typically looks at:
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speech patterns (repetitions, prolongations, blocks)
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communication behaviors and participation
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emotional response and confidence
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family communication environment
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developmental and medical history
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parent concerns and goals
You may also receive:
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monitoring plan (if therapy isn’t necessary yet)
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strategies to support at home
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recommendations for school/caregiver communication
What does therapy for young children look like?
Evidence-informed early intervention often includes:
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parent coaching (you are a key partner)
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reducing communication pressure
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confidence-building strategies
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helping the child communicate freely
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teaching supportive responses and advocacy (age-appropriate)
Therapy is typically play-based and designed to feel positive, not corrective.
Confidence, Participation, and Long-Term Success
A child who stutters can grow into a confident communicator. Success is not defined by “no stuttering.” Success looks like:
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speaking when they have something to say
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participating in school and social life
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advocating for themselves if needed
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feeling respected and safe in communication
How to prevent avoidance
Avoidance often grows when children learn that stuttering is “bad” or embarrassing. Protective factors include:
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supportive listener behaviors
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positive role models
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open conversations (when appropriate)
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opportunities to speak without pressure
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adults who prioritize message over delivery
Helping your child handle reactions from others
You can model and rehearse simple responses as they get older:
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“Sometimes I stutter. It’s okay.”
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“Just give me a second.”
Even at young ages, children benefit from knowing adults will support them if someone interrupts or teases.
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Quick Reference: Parent Do’s & Don’ts
Do:
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Listen patiently and maintain eye contact
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Slow your own pace and reduce interruptions
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Encourage participation and praise communication
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Normalize “bumpy speech” and reduce shame
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Seek guidance if you’re concerned
Don’t:
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Tell your child to slow down, breathe, relax, or start over
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Finish words/sentences automatically
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Treat fluency as the goal or the “win”
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Make speaking feel like a performance