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A FREE consultation is completed to exchange detailed information regarding any concerns related to stuttering, language, and/or speech sound disorders.  Please contact me to make an appointment.  *Now an SSES provider*


Stuttering is an interruption in the flow of speaking characterized by specific types of disfluencies, including

  • repetitions of sounds, syllables, and monosyllabic words (e.g., “Look at the b-b-baby,” “Let’s go out-out-out”);

  • prolongations of consonants when it isn’t for emphasis (e.g., “Ssssssssometimes we stay home”)  and

  • blocks (i.e., inaudible or silent fixation or inability to initiate sounds).

These disfluencies can affect the rate and rhythm of speech and may be accompanied by

  • negative reactions to speaking

  • avoidance behaviors (i.e., avoidance of sounds, words, people, or situations that involve speaking)

  • escape behaviors, such as secondary mannerisms (e.g., eye blinking and head nodding or other movements of the extremities, body, or face) and physical tension. (ASHA)


A spoken language disorder (SLD), also known as an oral language disorder, represents a significant impairment in the acquisition and use of language across modalities due to deficits in comprehension and/or production across any of the below language domains

  • morphology

  • syntax

  • semantics

  • pragmatics

Language disorders may persist across the lifespan, and symptoms may change over time. (ASHA)


Speech sound disorders include those related to the motor production of speech sounds and those related to the linguistic aspects of speech production. Historically, these disorders are referred to as articulation disorders and phonological disorders, respectively. 

  • Articulation disorders focus on errors (e.g., distortions and substitutions) in production of individual speech sounds. (e.g., "wun" for "run")

  • Phonological disorders focus on predictable, rule-based errors (e.g., fronting, stopping, and final consonant deletion) that affect more than one sound.

It can sometimes be difficult to differentiate between articulation and phonological disorders; therefore, many researchers and clinicians prefer to use the broader term, "speech sound disorder," when referring to speech errors of unknown cause. (ASHA)

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