Fluency Disorders

Fluency disorders interfere with the natural rhythm, flow, and ease of speech. They can affect both children and adults, often leading to feelings of frustration, embarrassment, or anxiety in social, academic, or professional situations. The most well-known fluency disorder is stuttering, though other forms such as cluttering may also be present.

Fluency challenges can impact communication confidence and quality of life if left unaddressed—but early, supportive intervention can make a significant difference.

Common Signs of Fluency Disorders

Sound/Syllable Repetitions: “C-c-cat” or “I-I-I want…”
Prolongations: Stretching out sounds, e.g., “Sssssun”
Blocks: Pauses or getting “stuck” on a word without sound
Physical Tension: Tightness in the face, neck, or shoulders during speech
Avoidance Behaviors: Avoiding certain words, situations, or speaking altogether
Cluttering (less common): Rapid or irregular speech rate, poor clarity, and disorganized language

Assessment & Therapy Approach

We start with a thorough fluency assessment, including:

Conversational speech samples
Standardized fluency assessments
Observation of secondary behaviors and emotional responses

Based on the evaluation, we create a customized therapy plan which may include:

Fluency-Shaping Techniques: Training to promote smooth, controlled speech
Stuttering Modification Strategies: Helping patients manage disfluencies in real time
Desensitization Work: Building confidence and reducing fear of speaking
Mindfulness & Self-Awareness Training (as age-appropriate)
Supportive Counseling for emotional aspects of communication challenges

We tailor all therapy to the individual’s age, communication goals, and personal needs.

Parent & Caregiver Involvement

Caregiver support is vital, especially for younger children. We guide families in:

Reducing time pressure and expectations during conversations
Promoting relaxed, turn-taking communication at home
Reinforcing therapy strategies in natural speaking environments
Helping children build confidence and resilience in daily interactions

We help patients find their voice—without fear.

If you or your child is struggling with fluency, call us today at (845) 360-9323 or click below to request a personalized evaluation.