Adult Stuttering Therapy Bundle stuttering modification techniques and CBT

Welcome to the adult stuttering series. If you have just started working with adults who stutter, or are needing some guidance in structuring a session for an adult who stutters, or are wondering what speech therapy exercises do I carry out with an adult who stutters?? Then this stuttering series will be helpful for you.

Working with adults who stutter is thought of as daunting for many SLPs for a number of reasons, (for me personally, it was something that was touched on briefly in college, but I only learned through real life experience ups and downs!!) but let's try and make it more easy to understand with this stuttering series.

What's included in this bundle?

Everything you need to get you started working with adults who stutter, especially if you have a varied caseload and do not have much exposure to working with adults who stutter.

1. What is stuttering? Adult Stuttering, Adolescent Stuttering Speech Therapy

• Introduction
• Self rating scale on knowledge of how we speak, aspects of stuttering etc (use this handout before the session begins to gauge knoweldge and insight)
• What is stuttering?
• What is involved in speaking?
• What causes stuttering?
• The ABC's of stuttering
• The Stuttering Iceberg
• What are core behaviours?
• What are secondary behaviours?
• What are feelings in stuttering?
• What are attitudes in stuttering?
• Continuum of stuttering
• Covert stuttering
• Overt stuttering
• Self rating scale on knowledge of how we speak, aspects of stuttering etc (use this handout after the session to gauge knoweldge and insight gained)

2. My Iceberg of Stuttering Handout Adult Stuttering Speech Therapy Activity

Introduction

• Self rating scale on knowledge of rate your knowledge of your stuttering and various aspects etc (use this handout before the session begins to gauge knoweldge and insight)
• The importance of defining your own iceberg
• The iceberg of stuttering visual image with text example
• My core behaviours handout / reflection, two written prompts
• My secondary behaviours handout / reflection, two written prompts
• My feelings handout / reflection, written prompts
• My attitudes handout / reflection written prompts
• My iceberg, blank template to be filled in by the adult who stutters
• Self rating scale on knowledge of your own iceberg etc post session for gauging new insight and knowledge
• Blank reflection pages to keep notes x2

3. Voluntary Stuttering/pseudostuttering

So, what's included in this "voluntary stuttering" or pseudostuttering/modification of stuttering handout for adults who stutter handout?

• Introduction
• What is voluntary stuttering?
• Why NOT complete voluntary stuttering/when is it not appropriate
• Why use voluntary stuttering in stuttering therapy?
• How can I get comfortable with voluntary stuttering?
• How to complete voluntary stuttering Gentle Repetitions
• Supporting visual
• How to complete voluntary stuttering Gentle Prolongations
• Supporting visual
• Word list 50 words
• Sentence list 50 sentences
• Paragraph level, x5 paragraphs
• Conversation topics x5 ideas
• Reflection page
• Notes page

Voluntary stuttering involves intentionally inducing stuttering-like behaviors during speech. Individuals who stutter voluntarily incorporate moments of stuttering into their speech, rather than trying to avoid or suppress these moments

In order to be able to voluntarily stutter, an individual needs to be fully educated around what types of dysfluencies there are, and what types of dysfluencies come up for them.

4. Goal Setting Handout for Stuttering in Adults, Adult Stuttering Therapy Handout

• Introduction
• What is goal setting?
• SMARTER goal framework overview
• Recap the iceberg of stuttering visual
• Goal setting in core behaviours intro
• Reflection for core behaviours worksheet, to guide goal setting
• Goal setting for secondary behaviours intro
• Reflection for secondary behaviours worksheet, to guide goal setting
• Feelings and vicious cycles intro
• Fear and stuttering intro
• My communication partners
• Communication situation reflection
• Hierarchy of situations example
• Hierarchy of situations blank for filling in/template for the client to identify feared situations and fill them in
• My feelings and beliefs goal setting intro
• My feelings and beliefs worksheet for identifying areas to set goals
• Attitudes and beliefs goal setting intro
• Attitudes and beliefs worksheet for identifying areas to set goals
• SMARTER GOAL template table to fill in the goal areas that you have identified together from the reflection worksheets x10 blank
• Blank reflection pages for journaling

5. Catching the stutter and Identification in Adult Stuttering Therapy Handout

• Introduction
• What is catching a stutter?
• Where does the idea of identification in stuttering come from?
• Why work on identification? / Why work on catching the stutter?
• Reflection
• Core behaviours repetitions
• Core behaviours prolongations
• Core behaviours blocks
• My core behaviours reflection handout
• How to complete identification
• How to complete identification (finger raise) with short paragraph to show example
• How to complete identification (squeez fist as tightly as stutter is felt) with short paragraph to show client/model for client
• Identification paragraphs x1 exercise 1
• Reflection on identification exercise 1
• Identification paragraphs exercise 2
• Reflection on identification exercise 2
• Identification paragraphs exercise 3
• Reflection on identification exercise 3
• Identification paragraphs exercise 4
• Reflection on identification exercise 4
• Identification paragraphs exercise 5
• Reflection on identification exercise 5
• Identification paragraphs exercise 6
• Reflection on identification exercise 6
• Identification paragraphs exercise 7
• Reflection on identification exercise 7
• Identification paragraphs exercise 8
• Reflection on identification exercise 8
• Identification paragraphs exercise 9
• Reflection on identification exercise 9
• Identification paragraphs exercise 10
• Reflection on identification exercise 10
• Reflection page
• Notes page

Increasing awareness and self-monitoring arefoundational skills for stuttering modification strategies. This is where a person is shown how to "catch" the stutter before, during, or after a the moment has happened. It involes identifying tension in the articulators/ speech mechanism or associated physical behaviors so they can modify them during disfluent speech.

6. Cancellation technique a stuttering modification technique for adult stuttering

Cancellations are a great stuttering modification technique to use to make the person who stutters feel as though they are stuttering more easily, with less tension. They are to be used after the stuttering event has happened. Why bother then? well it's to increase their sense of control over the rest of what is to come, and ensure easy forward flowing speech!!

So, what's included in this slide outs strategy handout (also known as the pull out strategy) for stuttering therapy?

• Introduction
• Self rating pre sesssion knowledge
• What are cancellations in stuttering therapy?
• What do I need to know before doing the cancellation technique in stuttering therapy?
• Why use cancellations in stuttering therapy?(what is the goal)
• How to complete canellations technique in stuttering therapy long explanation
• How to complete canellations technique in stuttering therapy explanation with visuals
• How to complete canellations technique in stuttering therapy summary explanation
• Supporting visuals; turn the tension down, different stutter
• Supporting visual/page with lines, choosing a different way to stutter, now the client has enough knowledge (if you have compelted my previous handouts) to be able to identify what these stuttering behaviours are, so they could complete this page independently.
• Supporting visual example; tension identification
• Tension identification visual blank for filling in by the client x5 blank copies
• Word list from monosyllable to multisyllable, x 30 words
• Sentence list 10 sentences
• Question list 10 questions
• Paragraph level, x2 paragraphs
• Conversation topics 10 ideas
• Reflection page
• Notes page

7. Slide outs (pull outs) stuttering modification technique for adult stuttering

• Introduction
• Self rating pre sesssion knowledge
• What are slide outs in stuttering therapy?
• What do I need to know before doing slide out technique in stuttering therapy?
• Why use slide outs/pull outs in stuttering therapy?(what is the goal)
• How to complete slide out technique or pull out technique in stuttering therapy
• Supporting visual example; tension identification
• Tension identification visual blank for filling in by the client x5 blank copies
• Word list from CVC to multisyllable, x 90 words
• Sentence list 10 sentences
• Question list 10 questions
• Paragraph level, x2 paragraphs
• Conversation topics 10 ideas
• Reflection page
• Notes page

In order to be able to use pull outs or slide outs in stuttering therapy, a person who stutters must be well versed and educated about the theory behind stuttering (see my iceberg and what is stuttering handouts), they should ideally also begin to get comfortable with voluntary stuttering (densensitization wise)

8. Preparatory Sets

Is a stuttering modification technique for adult stuttering

Preparatory sets are a great stuttering modification technique to use to make the person who stutters feel as though they are stuttering more easily, with less tension. They are to be used BEFORE the stuttering event has happened. Why bother then? well it's to increase their sense of control over the rest of what is to come, and ensure easy forward flowing speech!!

So, what's included in this preparatory sets handout for stuttering therapy?

• Introduction
• Self rating pre sesssion knowledge
• What are preparatory sets in stuttering therapy?
• Muscle tension example
• Preparatory sets; tense words and lax words explanatino
• Why use preparatory sets in stuttering therapy?(what is the goal)
• How to complete preparatory sets technique in stuttering therapy long explanation
• How to complete preparatory sets technique in stuttering therapy explanation with visuals
• How to complete preparatory sets technique in stuttering therapy summary explanation
• Supporting visuals; turn the tension down, ease in
• Supporting visual example; tension identification
• Tension identification visual blank for filling in by the client x5 blank copies
• Word list from monosyllable to multisyllable, x 30 words
• Sentence list 10 sentences
• Question list 10 questions
• Paragraph level, x2 paragraphs
• Conversation topics 10 ideas
• Reflection page
• Notes page

9. Cognitive Behavioural Therapy CBT for adult stuttering Part 1

This is a technique for adult stuttering

Cognitive-behavioral therapy (CBT) is a type of talk therapy that focuses on how your thoughts, beliefs, and attitudes affect your feelings and behaviors. The main idea is that by changing the way you think, you can change how you feel and behave. It's based on the principle that your thoughts, not external circumstances, cause your feelings and behaviors. As we know, we cannot treat just the overt features of stuttering, we must treat the hidden aspects also. That means our thoughts and feelings associated with stuttering too.

So, what's included in this CBT handout for adult stuttering therapy?

• Introduction
• Self rating pre sesssion knowledge
• What is CBT in stuttering therapy?
• What is CBT?
• What is CBT reflection
• Why use CBT in stuttering therapy?(what is the goal)
• The goal of CBT reflection worksheet
• Anxiety and stuttering
• Vicious Cycle
• Vicious Cycle large visual example
• My anxiety and stuttering reflection worksheet
• Fight and flight explained
• Fight and flight explained
• Fight and flight physical responses table
• Fight and flight response table plain english
• Fight and flight blank worksheet table for tracking physical responses x6
• Reflection page
• Notes page

10. Cognitive Behavioural Therapy Part 2

11. Cognitive Behavioural Therapy Part 3