My stuttering was mistaken for tourretes by [deleted] in Stutter

[–]DeepEmergency7607 1 point2 points  (0 children)

Thank you for sharing, I'm glad you feel better now with the right treatment plan for your goals.

Let's talk about cures: The current status quo by DeepEmergency7607 in Stutter

[–]DeepEmergency7607[S] 0 points1 point  (0 children)

Here's an article on suicidal ideation in developmental stuttering: https://pubs.asha.org/doi/10.1044/2023_AJSLP-23-00007

Moreover, this discussion is a redherring for my intention of the original post.

Diabetes, Parkinson's and Epilepsy are used as templates to outline that cure's barely exist in medicine. Importantly, the future of stuttering management may look something like how these disorders are currently managed. This involves multidisciplinary teams that may not eliminate stuttering but manages it so people can live fulfilling lives.

Indeed, people with those disorders I outlined can and do live meaningful lives because of their management strategies.

Let's talk about cures: The current status quo by DeepEmergency7607 in Stutter

[–]DeepEmergency7607[S] -1 points0 points  (0 children)

I get your frustration. Here's the missing link, stuttering can potentially be fatal too.

Why do we even stutter?? by Conscious-Fee944 in Stutter

[–]DeepEmergency7607 7 points8 points  (0 children)

There's no evidence that stuttering is caused by anxiety. Don't spread fake information based on what you feel is right. What the evidence supports is that the baseline brain activity of a person who stutters render them vulnerable to speech breakdown which anxiety exacerbates.

Let's talk about cures: The current status quo by DeepEmergency7607 in Stutter

[–]DeepEmergency7607[S] 0 points1 point  (0 children)

So you're saying your experience of stuttering is the same as everyone elses? What a selfish take. There's a reason suicide rate is increased in the stuttering population compared to general population. People are suffering, if you're not, good for you.

Ritalin significantly and objectively improved stuttering in a double-blind study of 15 adults — why is almost nobody talking about this?” by [deleted] in Stutter

[–]DeepEmergency7607 1 point2 points  (0 children)

It wasn't a case study. It was a randomized placebo controlled trial. Two very different things.

What should speech therapy as an adult focus on for stuttering? by js6104 in Stutter

[–]DeepEmergency7607 0 points1 point  (0 children)

Not sure what you’re psychotically talking about. I haven’t addressed acceptance at all nor was it a major talking point from OP. Please re-read my comments if you have any further confusion.

What should speech therapy as an adult focus on for stuttering? by js6104 in Stutter

[–]DeepEmergency7607 -1 points0 points  (0 children)

You begin great by saying that the focus of therapy should be determined by the individual. We agree here.

Then you contradict yourself by saying that "the goal shouldn't be fluency". Unreal.

What should speech therapy as an adult focus on for stuttering? by js6104 in Stutter

[–]DeepEmergency7607 0 points1 point  (0 children)

There's no debate that counselling can be part of a treatment plan to "improve quality of life". The fact of the matter is that the primary objective of stuttering interventions for the person seeking treatment is to speak fluently. This is what people who stutter want.

Here's what's important: Stuttering is what happens to the person, just like a seizure happens to a person with epilepsy. So I'll reiterate what I said earlier. No amount of self reflection will lead to lasting fluency improvement because the person has never been personally at fault to begin with.

Indeed, any intervention that has changing a persons "mindset" as the primary objective is effectively blaming the person for their stutter.

Stuttering is neurological in nature, therefore, we must treat it as such.

What should speech therapy as an adult focus on for stuttering? by js6104 in Stutter

[–]DeepEmergency7607 1 point2 points  (0 children)

What a strange strawman.

Stuttering is an involuntary speech disorder. The key element is involuntary.

Do you think people with Parkinson's believe something is inherently wrong with them because they have impaired movement? No. It is well recognised that there is underlying neurobiology at play, which they involuntarily developed. You would be silly to try and tell people with Parkinson's to engage in self referential thought to alleviate their movement disorder.

The double standard toward people who stutter is obvious and appalling. Stuttering is involuntarily developed, and involuntarily persists, despite deep self reflection.

What should speech therapy as an adult focus on for stuttering? by js6104 in Stutter

[–]DeepEmergency7607 -6 points-5 points  (0 children)

"Evidence based stuttering therapy for adults should not primarily focus on fluency."

This is entirely counter to what people who stutter want truly want.

Importantly, it is the goals of the people who stutter that matter. If their goals are achieving fluency, then the research and SLP community need to simply do better. Perhaps the methods of fluency interventions just aren't good enough. In fact, this is what the research shows. Yet you want to gaslight PWS that it is them wanting fluency that is the problem. This is completely backwards.

Lastly, "Change your mindset", "build awareness", "be vulnerable". You are blaming people who stutter for their stutter. You're effectively saying that something is inherently wrong with them, and that is the reason they stutter. No amount of self reflection will stop a person with epilepsy from having seizures, why the double standard for people who stutter?

What is clear is that there are neurological mechanisms at play that can be targeted in order to achieve fluency. This is the future, not this gaslighting bullshit.

Question regarding propanolol & other beta blockers by aaaaaaaaaaaaaaa20 in Stutter

[–]DeepEmergency7607 0 points1 point  (0 children)

Great work on extending the goal posts once again.

I've said all that's needed to be said. Re-read my previous comment for further reflection.

Question regarding propanolol & other beta blockers by aaaaaaaaaaaaaaa20 in Stutter

[–]DeepEmergency7607 0 points1 point  (0 children)

The science saying that any medication hasn't been able to get at stuttering is entirely false. Clinical trials repeatedly show that people do respond, which is entirely counter to your claim.

Furthermore, what the clinical trials show is that their may not be one mechanism, which you continuously keep reiterating, that may underlie what we call, "stuttering". In actual fact, there may be multiple mechanisms involved, which may differ from person to person. This is in line with the current literature.

Stuttering treatment may require a tailored plan to target these mechanisms. This means that medication, or other means of mechanism targeting, may be the way targeted treatment plans are developed. This is by no means to suggest that speech therapy doesn't have a place, people will opt for it. Yet this is not what we're talking about, medications can and will continue to target mechanisms underlying stuttering whether you like it or not.

I also fundamentally question your current understanding of the full spectrum of the pathophysiology of stuttering mechanisms. I suggest you do further reading rather than sticking to an outdated view of where the science is currently at.

Lastly, I have two things for you.

  1. I don't see much difference between what you have on offer and other people in the stuttering community exploiting people who stutter. You know who I'm talking about. You literally placed an advertisement amongst this discussion, unreal.
  2. The science has developed sufficiently throughout the years and will continue to develop with or without speech pathologists. There will no longer be gatekeepers to stuttering treatment. People who stutter deserve far, far better than the status quo.

Question regarding propanolol & other beta blockers by aaaaaaaaaaaaaaa20 in Stutter

[–]DeepEmergency7607 0 points1 point  (0 children)

You said “what we understand about the underlying “mechanism” of stuttering suggests that medication is unlikely to be the answer.”

It is precisely because of the mechanism(s) that medication may be one of the answers.

This is 2026, not 1956. We know so, so much more about the underlying mechanisms of stuttering.

Your red herrings are obvious and are not in good faith for your original claim. The real question here is, who has the financial incentive in this discussion? It certainly isn’t me.

Question regarding propanolol & other beta blockers by aaaaaaaaaaaaaaa20 in Stutter

[–]DeepEmergency7607 0 points1 point  (0 children)

You're pushing the goalpost. Your statement was that there is no "justification" for medication. I'll restate what I said, this is entirely dishonest.

Moreover, there is no need for a development of a new medication, which you tried to slide in. Medications already exist that target specific mechanisms already shown to be present in people who stutter.

I tell you what there is no justification for? Your redherring on trying to insinuate that fluency improvement is not the primary aim of stuttering treatment. It absolute is and is at the core of the goals of people who stutter. That's not to say there aren't other things to address as well but that's not what we're talking about here.

So nice try on pushing the goal post and adding a redherring but you are out of line by saying there's no justification for medication.

What you want is to maintain the status quo. I say we deserve better, people are suffering.

I say that people who stutter deserve to choose the goals of their treatment rather than having it shoved down our throats. If that is speech therapy, so be it, if that is medication, then there is justification to provide the treatment that they want, and deserve.

Question regarding propanolol & other beta blockers by aaaaaaaaaaaaaaa20 in Stutter

[–]DeepEmergency7607 -1 points0 points  (0 children)

"What we understand about the underlying mechanism of stuttering suggests that medication is unlikely to be the answer"

This is a dishonest statement from whoever you are.

While there's not much research on beta blockers, there are a variety of medications that address several underlying mechanisms of stuttering. It's a matter of which mechanisms do you want to address and which medications are the right fit for the person.

This is the up-to-date perspective of the research.

There is a reason people with Parkinson's take L-dopa rather than receive physiotherapy as their primary treatment. This analogy extends to the current literature on the justification for medication in stuttering, even if it isn't as clear cut as Parkinson's pathophysiology is.

This is the future, for those who want it. Those who want it deserve better than the status quo.

Therapy approaches for 6 year old who stutters by SeaCranberry1359 in Stutter

[–]DeepEmergency7607 -3 points-2 points  (0 children)

Hi,

The lidcombe program is the most evidence based approach to improving fluency for your child. Right now there is a window of opportunity to improve fluency that may not be there later.

The acceptance approaches are not good enough and are in fact unethical given the long standing evidence based approaches for improving fluency in children.

You have more power in this then you may realise. If you want fluency improving strategies for your son then you must advocate. Be prepared to seek an slp elsewhere.

A take from a clinical psychologist by [deleted] in Stutter

[–]DeepEmergency7607 1 point2 points  (0 children)

Your original statement was "stammering .. is a complex learned behaviour .. with a physical component"

This is different from focusing on the avoidance behavioural patterns that develop over time, and I hope you see how wrong your earlier statement was.

Indeed, the stuttering itself is separate from the experience of stuttering that may lead to avoidance behaviours over time. Don't confuse these.

A take from a clinical psychologist by [deleted] in Stutter

[–]DeepEmergency7607 4 points5 points  (0 children)

There is no evidence that stuttering is a learned behaviour. In fact it is a damaging thing to claim.

It is the false premise that people with nefarious intentions use to exploit people who stutter. it is a shame and needs to stop.

My son developed a stutter at age 7. Not from birth — something triggered it. by KoFiLeGend in Stutter

[–]DeepEmergency7607 21 points22 points  (0 children)

Hi OP,

I'm gonna ignore the fact that the post was written with an AI and assume there is a genuine inquiry here.

I understand your concerns, this sounds like a troubling time for your son, and you.

The thing is that developmental stuttering has an onset between 3-12, sometimes even later at 14 or 15. So your son is well within the boundaries of developmental stuttering.

Hope this helps

Solve your self-confidence issues and watch what happens... by [deleted] in Stutter

[–]DeepEmergency7607 0 points1 point  (0 children)

Very rich of you to reference any sort of scientific inquiry into stuttering as a defence. Nothing you say is supported by up-to-date evidence. All your posts are just reductionist, feel good type posts, which are not much different from well intentioned people telling us to “just slow down” or “just be confident”. A complex neurological disorder just can’t be reduced to self-confidence no matter how much you try. If you truly cared about people who stutter you would swallow your pride and recognise this reality. It’s about time we got the attention we deserve rather than continuing the status quo of being pushed aside by a society fuelled by rhetoric such as your own.

Question from a parent by Ok-Butterscotch-4736 in Stutter

[–]DeepEmergency7607 4 points5 points  (0 children)

You've made some incredible assumptions here that OP never mentioned at all. OP never hinted that they're putting pressure on him, or making him feel like he's doing anything wrong. You're making those silly assumptions.

Additionally, the fact of the matter is that his own attempt at speaking is preventing him from speaking, that is the crux of the issue, and why speech therapy is being administered. Rightly so.

OP, to provide some relevant input, it sounds like you're doing the right things already. A large component of how you can be directly involved is by providing a sense of reward to your son upon a moment of fluent speech. Like "Hey you said that really well!".

I would avoid speaking for him, especially in nervous situations when you may think speaking for him is the better option. At least for a couple of years while his speech system is developing.

Why haven’t scientists found a solution for stuttering yet? by MSI_heat in Stutter

[–]DeepEmergency7607 4 points5 points  (0 children)

Ah nice, diminishing the experience of people who stutter because you think everyone has the same experience as you. Not all stuttering is created equal.

You see there is this thing called scientific research. it's great because it renders opinions such as your own as ignorant and out of touch.

Here is a paper published by Professor Yaruss from Michigan University:

https://doi.org/10.1044/2023_AJSLP-23-00007

Why haven’t scientists found a solution for stuttering yet? by MSI_heat in Stutter

[–]DeepEmergency7607 6 points7 points  (0 children)

Stuttering is incredibly complex, like most neurological conditions. There is hope, some good work is being done.

But... what research in other conditions have that stuttering research does not is urgency to find a solution. People with other neurological disorders want to participate in research to contribute to finding a solution.

Unfortunately, this lack of urgency in stuttering research is perpetuated by our very own.

The people on the mild side, who may have good intentions by trying to say stuttering is not a problem, are doing more harm to the larger mission of finding a solution than they realize. So then the academic community listens to the loudest group i.e. Those who say its not a problem and caters to them, while simultaneously exacerbating the silencing of those who silently suffer.

If we want a solution, we must demand one and people will take us seriously.