Stuttering is a language fluency disorder that can have multiple causes

Stuttering is a language fluency disorder that can have multiple causes

The expert says the problem could be genetic, neurological or psychological

Pediatric neurologist Estéfani Ortiz (CRM-RS 40.870 and RQE 40.131) notes that stuttering occurs when there is a dysfunction in the motor control of speech, which involves the coordination between breathing, phonation and articulation of words. Factors such as heredity, differences in neurodevelopment, and environmental influences (such as stress or social pressure) can contribute to its development.

Actors Murilo Benício and Samuel L. Jackson are two famous people who have publicly stated that they suffered from stuttering during childhood and adolescence. According to Estéfani, the problem is more common in boys. He explains that the reason for this gender difference is not entirely clear, but it is believed to be due to differences in brain development between boys and girls, especially in the area of ​​speech and language, which tends to develop earlier . and more effectively in girls. “Stuttering appears between the ages of two and six, when children learn to speak and develop their language skills,” he points out.

Symptoms and diagnosis

Your doctor says hallmark signs of stuttering include repeating sounds, syllables, or words (such as “pa-pa-pa-duck”); prolongation of sounds (such as “fffffffala”); inappropriate blocks or pauses during speech, in which the person tries to speak but is unable to produce sound; visible muscle tension or strain when trying to speak, such as pursing your lips or blinking excessively; certain words or speaking situations are avoided for fear of stuttering. “These symptoms can vary in frequency and intensity, depending on the situation and the person’s anxiety level,” she notes.




Dr. Estéfani Ortiz – Photographic advertising

According to the specialist, the diagnosis of stuttering is made by a speech therapist, who evaluates the child’s or adult’s way of speaking, observing the fluency and types of speech interruptions. Family history, the environment in which one lives and behaviors associated with language are also considered.

Estéfani reminds us that the neuropediatrician also helps in the diagnosis because it is important that the evaluation is complete to exclude other conditions that can affect language, such as neurological problems or other language disorders.

Treatments

Speech therapy: Speech therapy is the most common treatment, focusing on fluency techniques, speech control, and reducing anxiety associated with speech. Helps develop strategies to improve fluency and self-confidence.

Behavioral therapy: some cases may involve cognitive behavioral therapy (CBT) to help deal with the stress, anxiety, or fear associated with stuttering.

Medicines: Although they are rarely the first choice, in some specific cases they can be used to reduce the anxiety that makes stuttering worse.

Emotional and social support: Support groups can be important for people who stutter to share their experiences and learn to cope with challenges.

Expert guide

Don’t constantly interrupt or correct the child: interrupting speech or putting pressure on the child can increase his anxiety and make stuttering worse.

Be patient and listen to the child: give him time to express what he wants to say without rushing or pressure.

Create a calm and supportive environment: Reducing stress and pressure at home can help improve your child’s language fluency.

Search for help: Follow-up with a speech-language pathologist who specializes in stuttering is essential to help your child develop strategies for coping with the condition.

Value communication: encourage communication in a positive way, regardless of language fluency, so that the child feels safe and valued.

People who stutter but sing and declaim with impeccable diction: what is the explanation?

The neuropediatrician explains that spontaneous speech, singing and declamation are controlled by different areas of the brain. It reinforces that rhythm and intonation are more contained and predictable, facilitating the process of articulation and fluidity. In singing, for example, the melody, rhythm and breathing occur synchronously, which helps to avoid the blocks and interruptions characteristic of stuttering.

Additionally, when singing or acting, the individual may feel less pressured socially or emotionally, reducing anxiety and allowing for more fluent speech. “This demonstrates why many stutterers can speak without interruptions when singing, reading aloud, or participating in activities with predictable speech patterns,” he concludes.

Source: Terra

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