Cognitive behavior therapy for adults who stutter: a tutorial for speech-language pathologists

Journal of Fluency Disorders
Ross G MenziesSue O'Brian

Abstract

This paper explores the relationships between anxiety and stuttering and provides an overview of cognitive-behavior therapy (CBT) strategies that can be applied by speech-language pathologists. There is much support for the idea that adults who stutter (AWS) may need CBT. First, approximately 50% of AWS may be suffering from social anxiety disorder. A difficult developmental history marked by problematic peer relationships and bullying may contribute to this. Stereotypes in the general community lead AWS to have occasional experiences that confirm their fears of negative evaluation. This can leave AWS with significant social and occupational avoidance and can impact on their quality of life. Second, in a recent large study of behavioral treatment for AWS, participants who had a mental health disorder, including social anxiety, failed to maintain the benefits of treatment. Available evidence supports the contention that CBT can effectively decrease anxiety and social avoidance, and increase engagement in everyday speaking situations for AWS. The components of CBT presented here are drawn from a model widely used in clinical psychology, and existing supportive data reviewed. Worksheets for speech-language pathologists undertaking...Continue Reading

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Citations

Jun 21, 2013·Psychology Research and Behavior Management·Michael Blomgren
Sep 1, 2014·Journal of Fluency Disorders·Fjóla Dögg HelgadóttirSue O'Brian
Dec 12, 2012·Journal of Fluency Disorders·Janet M BeilbyJ Scott Yaruss
Jun 12, 2012·Journal of Fluency Disorders·Farzan IraniStephanie Hughes
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Jul 16, 2015·International Journal of Language & Communication Disorders·Robyn LoweMark Onslow
Nov 29, 2011·Journal of Fluency Disorders·James Au-Yeung, Frances Cook
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Mar 29, 2011·Journal of Fluency Disorders·Yvonne TranAshley Craig
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Nov 3, 2015·Journal of Communication Disorders·Caroline de Sonneville-KoedootElly Stolk
Jun 16, 2014·Journal of Fluency Disorders·Kylie A SmithSheena Reilly
Jun 16, 2014·Journal of Fluency Disorders·Elaine BlumgartAshley Craig
Jun 16, 2014·Journal of Fluency Disorders·Neville W HennesseyJanet M Beilby
Jun 16, 2014·Journal of Fluency Disorders·Lisa Iverach, Ronald M Rapee
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Mar 14, 2021·Journal of Fluency Disorders·Hope GerlachPatricia M Zebrowski

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