Treatment of Adolescents: Advanced Stuttering Naomi H. Rodgers, Ph. D., CCC-SLP 16

Chapter Outline Introduction

Chapter Objectives After studying this chapter, readers should be able to: ■ ■ Summarize the unique challenges and opportunities associated with stuttering in adolescence ■ ■ Describe how to establish a trusting therapeutic alliance with adolescents who stutter ■ ■ Summarize the steps to help adolescents stutter more easily ■ ■ Explain methods for addressing difficult thoughts and feelings about stuttering

Background on Adolescence Setting the Tone for Therapy Creating a Safe Stuttering Space Focusing on “What’s Right” With the Client Codeveloping Goals Guided by the Client’s Readiness to Change Stuttering With Greater Ease Learning About the Speech Mechanism Identifying Moments of Stuttering Holding, Tolerating, Then Easing Out Using Hierarchies to Level Up Developing Healthier Thoughts and Feelings About Stuttering De-Mystifying Stuttering Through Education Reframing “Success” and Celebrating Small Steps Identifying “Thinking Traps” Accepting and Letting Go of Difficult Thoughts and Emotions Creating Affirmations Finding Community Reducing Avoidance of Sounds, Words, and Situations Talking Openly About Stuttering and Increasing Disclosure Expanding Comfort Zone Voluntary Stuttering

Key Terms

Acceptance: Letting internal experiences just be there without trying to get rid of them, avoid them, or replace them; one of the six principles of ACT Acceptance and commitment therapy (ACT): Learning to let difficult thoughts and feelings just be by staying in the pres ent moment, noticing what’s happening without trying to change those thoughts or feelings, and moving in the direction of what matters to the client

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