About the Authors:
Arin Sheeler, M.A., CCC-SLP, is the proud parent of a teenage son who stutters. She lives with her husband and three children in Columbus, Ohio. Arin is a Speech-Language Pathologist and Clinical Preceptor at The Ohio State University Speech-Language-Hearing Clinic with experience working with adults with acquired neurogenic communication disorders and children and adults who stutter. She is a proud recipient of the Ally of Stuttering® Seal and a longtime board member of FRIENDS: The National Association of Young People Who Stutter. Her family has been involved with FRIENDS for several years and has a deep passion for education and advocacy in the stuttering community. Arin was honored to share her family’s journey with stuttering in Spero’s video titled “Nurturing and Empowering Your Child Who Stutters: A Parent’s Perspective.” She enjoys spending time with her family and watching her children in their various activities, reading, being outdoors, and volunteering at her church.
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Shade is what happens when light falls on a surface. Change the light and the shade changes, though the object itself has not changed at all.
This matters for the question we are asking, “What’s your shade of stuttering?” When we ask a family what shade of stuttering they live in, we are not really asking about the child’s speech. We are asking about everything that surrounds the child: what the family knows, what they fear, who they have found, and how the world responds when their child opens their mouth to speak. Those things determine the shade, and thankfully, they can change, so the question we would pose is, “What is your light source?”
The Parent’s Shade Shifts with the Season
From a parent’s perspective, we believe it is important to consider how multi-faceted and multi-dimensional stuttering often is, and that the journey to acceptance and well-being is not linear. Shades change and take on different colors and forms depending on different seasons of life.
In this way, the shade of stuttering we experience as parents is not static but rather shaped by what we know and understand to be true about stuttering, what we fear, our family values, how our child feels about their stutter, and how the people around us respond to our child’s stutter.
Several forces at play, then, but only one of them lives inside the child. The others belong to us and to the people around us, which means the shade a family lives in is being influenced, constantly, by many light sources.
That is why the shade moves and never stays static. What may initially be fear of the unknown and worry for your child can change to pride and immense joy in watching your child overcome obstacles and show bravery in social settings. This is not a matter of the stuttering “getting better,” though it may. It is a matter of the light changing.
That change can come through a robust and holistic approach to stuttering therapy that includes stutter-affirming practices and client- and parent-driven goals in the therapy room, as well as through connections to supportive communities where people who stutter are valued for what they have to say instead of how they say it, and where families learn that they are not alone in their journey.
Ultimately the shade created by the family that includes stuttering as simply one part of the child’s identity versus something to fix, hide, or control, is vital to shifting perspectives toward acceptance as well as physical, mental, emotional, and social well-being.
The Darker Shades
There is a reason we describe some of this in terms of darkness. The darker shades of stuttering may include unknowing, fear, avoidance, shame, loneliness, and disconnection. These shades are organic in nature, part of the whole multi-dimensional and multi-faceted stuttering experience, and of one’s ongoing journey toward acceptance and well-being.
It is worth considering what those six have in common. Unknowing prevents the parent and the child from understanding what is happening, leaving a space where fear and uncertainty take root. Fear isolates the parent inside their own worry and even guilt. Avoidance keeps the child from experiencing positive interactions and speaking situations. Shame isolates the child from themselves and others. Loneliness and disconnection speak for themselves. Every one of them is a form of separation happening in the absence of light.
This is why interconnectedness is crucial and the life energy that gives possibility and hope to the child who stutters, the parents, the community of people who stutter, SLPs, and society. Interconnectedness illuminates the darker shades, and it works because it addresses the thing they actually are. A family that finds other families may not stop worrying, but the worry stops being private and insurmountable. A child who meets other children who stutter may not stop stuttering, but stuttering stops being the thing that makes them feel like the only one in the room.
What “Good Practice” Looks Like
From a clinician’s perspective, we have the opportunity to change the shades of stuttering by focusing our intervention with both the client and the family on understanding stuttering and why it happens, teaching adaptive coping strategies to navigate challenging speaking situations and foster resilience, and changing the narrative that ‘fluency is good’ and ‘stuttering is bad’ toward communication confidence and freedom as driving factors to meaningful therapy.
As we begin to see the different shades of stuttering take shape, this sequence may ensue:
Knowledge has the power to change how we interpret stuttering. Interpretation often changes how we feel about stuttering. Our feelings then influence our behaviors and how we respond to stuttering. Responses then impact the child’s experience and the parent’s experience with stuttering.
Two things are worth noticing about that sequence.
The first is that it is a loop rather than a straight line. The child’s experience guides what knowledge is needed in the moment, which shapes the next interpretation, which shapes the next response. Families are not moved along this chain once. They travel it again and again, in every new season, whether it’s a new school, a new friendship, or a first job interview. Each pass leaves the shade a little different.
The second is the importance of explaining stuttering to families – what it is, why it happens, what it is not, and that no one is at fault. This is a key part of the clinical work because everything downstream is shaped by it, including the family’s ability to educate others, shaping interpretation and responses by teachers, family members, other significant adults, and peers.
None of this can be completed by one person working alone. The parent cannot supply the knowledge unaided; the clinician cannot supply the community in isolation; the community cannot do the daily work of dinner table conversations or talking openly about stuttering experiences. Interconnectedness expands the range of possibilities for the child and the family.
What’s Yours?
Our shade is one that keeps changing as the light sources grow and illuminate more and more. Good light sources bring about understanding, realistic expectations, positive responses, helpful actions, unhindered communication, empowering self-advocacy, and community.
Nurturing and Empowering Your Child Who Stutters: A Parent’s Perspective follows one family through exactly this movement. When Scott and Arin’s son started stuttering, they did what so many parents do: they searched for answers, tried to fix it, and worried about his future. What they found wasn’t a cure. It was connection, community, and a home where his voice belongs.
What changed the light for your family?
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Hello readers! I am honored to be a co-author on this paper with my colleagues and friends, Ana and Mandy. I look forward to reading and responding to your comments and questions throughout the next few weeks.
Thank you for reading! We look forward to responding to your comments. – Ana Paula
Hi Ana! I really liked how this article explained that a child’s experience with stuttering is influenced by more than just their speech. As a future speech-language pathologist, it reminded me how important it is to support both the child and their family. I also liked the point about focusing on communication confidence instead of just fluency. Helping children feel comfortable speaking and connecting with others is just as important as working on their speech. I think education and support can make a big difference in helping children who stutter feel accepted and understood.
– Kinsley R.
Hi Kinsley!
We are so grateful to hear you found and read our paper as part of your graduate training! 🙂 Thank you for sharing your reflection. You identified what matters most: a child’s experience with stuttering goes beyond speech, and communication confidence is at the heart of supporting them. We agree, education and support can help children feel accepted and understood, while also giving parents the knowledge and confidence to support their child in meaningful ways. Best wishes for the rest of your graduate school experience and your future practice! 🙂
Warmly,
Mandy
Thank you so much for reading our paper. It was a pleasure and an honor to collaborate with my dear friends and colleagues, Ana Paula and Arin. As a speech therapist and stutterer, this work is deeply personal to me. My parents were not afforded the education, support, or community that every family deserves, and I did not find these anchors myself until just a few years ago, when I began my healing journey of reclaiming my authentic stuttering voice. With it came such beautiful gifts of wisdom, allyship, chosen family(Hi Ana Paula and Arin!), and deep connection to community. With this newfound knowledge, support and community, I became a better therapist, in a profession that has long been undernourished in this message and practice. It is my hope that this paper will be a beacon of light, not only for children who stutter and their parents and families, but also for the clinicians who walk beside them.
Hi all,
Wow! I just love that you focused on the importance of interconnectedness. It can indeed be dark when one tries to travel the path of stuttering alone.
Describing shade as what light is when it falls on a surface is also so helpful. The lighting can appear to make the shade change, but the object remains the same. That is a brilliant observation for people in the stuttering community to wrap their heads around. What is the light source? Is it a safe space? Is it warm and inviting or dark and closed off?
The stuttering community is lucky to have SLPs who really get the complexity of this journey.
Thanks for all you do!
Pam
Pam, here’s what I love about interconnectedness…if I “get the complexity of this journey” as an SLP, it’s only because of my connectedness to people like YOU in this amazing stuttering community (and Mandy, Arin, and countless others) who have generously shared their stories to help us truly understand. Thank you for all that you do, for your willingness to mentor graduate students through your story, and for your friendship. You are the best! – Ana Paula
Hi Pam!
Thank you for reading our paper and for sharing your reflection. Such wonderful questions to consider about the light source!
Thank YOU for being another anchor, as I mentioned in my response to Hanan below, in our community! Thank YOU for being a source of warm, inviting, safe, and curious light on my journey, and I know many others see your light too. You were one of my first lessons in interconnectedness. Hearing you tell your story at my first NSA conference was where I heard my own. The stuttering community is so blessed to have you as its light!
Warmly,
Mandy
Hello,
I appreciate learning more about parents’ perspectives on stuttering and how clinicians can support not only the client, but also their parents. Understanding the parents’ experiences and concerns can truly help clinicians provide better family-centered care.
Hi Maddie, thank you for your comment. As both a parent of a teen who stutters and an SLP, I too feel the weight and value of making sure that parents are both considered and included in the therapy alongside their child. Providing education about their child’s stuttering and ideas for advocacy, as well as checking in to see how parents are growing in their own acceptance along the way is truly necessary and meaningful. -Arin
Hi Maddie, yes, family-centered care is so important! Thanks for reading and commenting. – Ana Paula
Hi Maddie!
Thank you so much for reading our paper and sharing your learning experience! I wholeheartedly agree that understanding parents’ experiences and concerns helps clinicians provide truly family-centered, whole-person care. As a person who stutters, I often wish my parents had been part of my therapy journey. Including them can make such a difference, and I’m grateful to know you will carry that perspective into your work.
Warmly,
Mandy
Arin, Mandy, and Ana Paula — I really enjoyed this piece, especially the way you framed the environment around a person as part of the “shade” of stuttering rather than focusing only on the stuttering itself. I also appreciated how much space you gave to connection, community, and joy alongside the harder parts of the experience.
As you shared, shades change and take on new colors and forms throughout different seasons of life. As SLPs or families supporting children who stutter, how can we help young people move from participating in communities that adults have created for them toward finding or building communities that genuinely feel like their own as they move into adolescence and adulthood?
Hi Zeb, thank you for reading and chiming in. I love your question, as it truly is so meaningful to consider. I have seen such confidence grow in my teenage son as he has met other kids who stutter through the Friends community. Seeing him fully engaged and living his best life with his buddies at the annual conferences really fills his cup to be able to return back home with a renewed confidence and empowerment in his communication with family, friends, and teachers. Knowing that he is not alone in this journey means a lot to him. He doesn’t have to rely on us as parents to always be his source of encouragement and advocates when he has friends who are in it with him and truly understand the lived experience of stuttering. As SLP’s, we must prioritize connecting our clients and their families to communities like Friends, NSA, summer camps, online programing like SPACE (and many other great organizations) in order for them to feel fully supported.
Hi Zeb, thank you for reading! What I’ve seen in the families I’ve worked with that have joined either NSA or Friends conferences/events is that the relationships that form last beyond the conference, so I find it beautiful that these spaces created for them facilitate friendships and connections that last. – Ana Paula
Hello Ana Paula, Mandy, and Arin
Thank you for your very interesting paper. Stuttering and the experience of stuttering, both for the child who stutters and the parents, is complex and dynamic. It changes. I really like your analogy of light and shade. All along the journey the lights changes and the shades change. If I have understood correctly, accurate information about stuttering, proper parental guidance, and the continual presence of community are the anchors along this journey. Is my understanding of your message correct?
After a recent event for families that I helped with, one of the parents wrote to us that “Why do we say there is no cure? I saw the cure today!”. She referred to interconnectedness, to the knowledge, the joy, and the unconditional acceptance that they found. I was amazed how this parent, after the first event she and her family attended, saw the power of those factors of light, as compared with the message her family had been hearing for years about the necessity of stutter-free speech.
Wishing for you all to continue doing the wonderful work that you do.
Hanan
Hello Hanan, thank you for sharing that parent’s takeaway…how beautiful that she found such healing through that experience as a parent, and yes to interconnectedness, knowledge that empowers, joy, and unconditional acceptance! I appreciate your summary of such important anchors in this journey, because yes – a holistic understanding of stuttering, caregiver guidance that encourages connection and free and joyful communication, and engagement in supportive communities are crucial. – Ana Paula
Hello Hanan, what a beautiful quote from this mother! I personally remember the feeling I had after my family attended a 1-day FRIENDS conference many years ago and thinking “We finally found our people!” Also, the anchors you refer to are INDEED crucial in this journey. I’m so glad that you were able to have that “take away” from our paper, as that was the message we were hoping to convey. Thank you for reading and sharing this message. -Arin
Hello Hanan!
Thank you for your reflection and for sharing this beautiful piece of wisdom from a parent. To be witness to this wisdom is a gift. It so beautifully illustrates and affirms our message, and yes, you understood it wholly. I also love the word “anchor” you used. It captures what we hope families carry with them: accurate knowledge, proper guidance, and connection to community that hold steady through every change in the light and shade. I’m so grateful for your thoughtful words, for the wisdom you bring to our community and for being one of the anchors in this community.
Warmly,
Mandy
Hi Arin, Mandy, and Ana; I am currently completing my masters program and learned a lot about how important your approach is with families. Your paper emphasizes that a child’s experience with stuttering is shaped not only by their own feelings but also by their family’s knowledge, attitudes, and responses to stuttering. From a clinical perspective, how can SLPs help parents who may initially view stuttering as something that needs to be fixed shift toward a more accepting approach, particularly when parents are fearful about their child’s future or concerned about how others will perceive them? Are there specific parent education approaches you have found especially effective in facilitating this shift?
That’s a great question, @emilopez! First I’ll say that the knee-jerk reaction of viewing stuttering “as something that needs to be fixed” is such a normal human response to something we don’t understand. As parents, we also don’t want to see our children struggle or face adversity, so parents are on a journey of understanding and coming to terms with stuttering as much as their children are.
For very young children, since stuttering could potentially resolve, I try to approach my caregiver education and guidance so it’s a win-win, where parents feel equipped to handle it whether or not stuttering resolves. Spero offers a helpful caregiver guide with 5 focus areas related to fostering communication, confidence, compassion, connection, and resilience, regardless of stuttering frequency and/or persistence. There’s also an accompanying educational video on Spero’s YouTube channel, and I feel this is a good starting place to begin productive discussions around stuttering support. I tend to lean toward the Palin Parent Child Interaction (Palin PCI) intervention approach because it helps caregivers identify personal and family strengths and to build on those to foster a healthy communicative environment in the home. I hope this helps! – Ana Paula
Hello @emilopez, thanks for reading and commenting. You ask a very thoughtful question. In addition to what Ana said, I think that helping parents to understand the neurobiology around stuttering is helpful when discussing whether stuttering is even able to be “fixed” is important. Also, explaining how, while able to provide momentary reduction in the physical tension and struggle of a stuttering moment, fluency shaping tools function as just that…momentary “fixes.” Helping a parent to understand that using those tools requires intentional cognitive effort, which is not always sustainable, nor attainable especially for very young children. Lastly, I think focusing on whether or not a child is able to communicate their intended message whether they stutter or not is a valuable lesson for parents to wrestle with. I remember very early on in our family’s journey stopping my son after he stuttered to tell him to “say that again but with your turtle talk,” and he would respond with “but I already told you what I wanted to say.” Looking back, this was such a stark wake up to the fact that for him, he cared more about communicating his thoughts, feelings, and ideas successfully rather than whether or not he stuttered.
Hi Emily! Thank you for reading our paper! So glad your professor led you here! 🙂
I agree with Ana Paula and Arin, especially the reminder that parents are on their own journey of understanding. I’d add that the first step is honoring the parent’s experience before educating. Their wish to “fix” stuttering comes from love and fear, so I’d start by listening and validating (“Of course you’re worried, you want things to be easier for your child”) and asking what worries them most. Parents who feel heard are far more open to new information.
This also starts with the SLP. We don’t need to “fix” the parent’s worries either. When we feel pressure to make fear disappear, we can rush to reassure or correct, which can leave parents feeling unheard. Letting go of that urge lets us sit with their worries and be present, and ironically, that is often what allows change to happen. It also invites compassion all around: for parents doing their best out of love, and for ourselves as SLPs, since we won’t have every answer and don’t need to. Self-compassion keeps us present and curious rather than defensive or having to have an answer.
From there, a solution-focused approach can shift the conversation from what’s wrong to what’s already working. Questions like “When does talking feel easier for your child?” or “If things were going well six months from now, what would you see?” position parents as experts on their child and let them define success beyond fluency, which fits well with the strengths-based focus of Palin PCI.
Lastly, I’d pair this with updated stuttering education, going at the pace of the parent: stuttering is neurodevelopmental, not caused by parenting; it naturally varies; and avoidance and shame often affect a child more than the stuttering itself. Some parents will be ready for this right away, while others need more time with their worries first, and that’s okay. Connecting families with support organizations, other parents of children who stutter and, adults who stutter can also replace imagined worst-case futures with hopeful, real ones. Ultimately, acceptance and support go hand in hand, and when parents see that acceptance protects their child’s confidence to speak, it brings light to the darkness that they have been moving through.
Hi Arin, Mandy, and Ana Paula. I really enjoyed reading your article about the shades of stuttering. As a SLP graduate student, I found it extremely interesting to read about the “best practices” in stuttering therapy. It made me reflect on how important a thorough case history is to determine the “shade” of stuttering surrounding the client and their family. I’m interested to hear what your favorite questions to ask to determine more about feelings and past experiences surrounding stuttering?
@kbogart, thank you for reading! I like using ethnographic interviewing, where it allows caregivers to share their experiences in their own words. You generally begin with “grand tour” open-ended questions like “Tell me about a typical day with your child” or “Tell me about the last time you experienced…” You can follow up with “mini tour” questions where you get more specific, like “What went through your mind in that moment?” or “How did you respond in that situation?” There are also “native language” questions which relate to the terminology caregivers are using (not native language as in the language of the home, but terms/phrases/meanings within the family), like “You said he has ‘good days’ – what does that mean to you?” or “What does a ‘bad day’ look like?” I also like ending with, “Is there anything else I should know to understand your family’s experience better?” Every parent’s story is a window into their child’s world, so ethnographic interviewing helps us see through that window with empathy, respect, and genuine curiosity. – Ana Paula
Hello @kbogart, great question! I would also add that I like to use a couple parent rating forms in my intake appointments. Both can be printed for free online. One is the Vanderbilt Responses to Your Child’s Speech (VRYCS) Rating Scale, and the other is The Palin Parent Rating Scales for Stuttering. Both of these give an initial insight into how parents are responding to their child’s stuttering, as well as their thoughts and feelings about their child’s stutter.
Hi kbogart! Thank you so much for reading our paper and for your question! I’m so glad you found it!
In addition to what Ana Paula and Arin shared, I love asking the following questions from a resource compiled by a fellow Ally SLP, Daniel Shaw:
-What are your best hopes from therapy?
-(Miracle question follow-up) What’s the first thing you will notice?
-What will you/he/she be doing differently?
-What else would tell you that things are different/better? What else? What else?
-Who (else) will notice that he/she/you’re doing something differently? How might he/she/you respond?
-And if they did that, how will he/she/you respond to them?
-What difference do you think that will make for him/her?
-Have there been times when you have seen pieces of this miracle happen?
I appreciated your focus on both child- and parent-driven goals. How do you approach therapy when a parent wants greater fluency, but the child has different priorities?
Hello @SLPGrad_GeeIgano, such a wonderful question! I actually had this exact situation recently with a middle school-age girl and her mother. Mom was convinced that her daughter was “hiding” and “embarrassed to stutter,” which was why mom thought that she wasn’t “social enough” with her peers. After several sessions with the client where we spent a great deal of time talking about communication confidence in different settings, her thoughts, feelings, and actions related to moments of stuttering with friends, at school, and at home, and completing the OASES and Stuttering Anticipation Scale with scores on the positive side toward acceptance and open stuttering, I was able to approach mom with a lot of evidence to the contrary about her daughter. I shared with mom my observations and the “data” based on her daughters scores on the self-reported measures to paint a picture of a happy, confident child. I eventually brought the client into the conversation and facilitated a conversation between the two where the daughter shared openly with mom that “she doesn’t care that she stutters” and that “you don’t have to be so worried about me.” Mom was stunned but very accepting of what her daughter had to say. I discharged the client that day, and she left with a smile on her face!
Bottom line, I do think it takes time to understand the “why” behind what a parent wants, especially because 9/10 their desire for their child to “not stutter” is rooted in fear and a genuine desire for their child to not face hardship in life. I personally understand this struggle all too well, even years after making a significant shift toward stuttering acceptance for my now teenage son. At the end of the day though, the truth is that I also feel these same fears and worries for my neurotypical kiddos too but just about different things. Once a momma bear, always a momma bear!
Hi Arin, Mandy, and Ana, thank you for sharing about the nuances of clients’ and families’ experience with stuttering. I especially liked how you mentioned that parents perceptions on the child’s stuttering can impact how significant adults around them view stuttering too. What is a common misconception you have noticed from well-meaning family members and how did you address it while validating their concerns?
Hello @caseychxn, thank you for your question! This is something that we have had to navigate in my own family with my son who stutters. Well-intentioned family and friends will often make comments such as “he seems to be stuttering a lot lately…did something happen?” Or “I haven’t noticed him stutter at all recently…that’s so great…do you think it went away.” I think that in their heart, they think that they are trying to show sympathy toward “how hard for him that he is stuttering so much lately” or “what a praise that he isn’t stuttering anymore because now he won’t have to struggle so much with talking.” However, as we’ve said time and again, stuttering is highly variable, so it does come and go as more struggled sometimes and less other times, and whether a person stutters or not does not change the meaning or importance of their verbal message. Stuttering is not “bad” nor is not stuttering “good.”
With this, my “go to” is around education to my family and friends. I give them the facts and remind them that whether my son stutters or not, we are more interested in whether he is social, has a good friend group, is participating in school, and talking to us at home.
Hi @caseychxn, in addition to what Arin shared, I think a common misconception is that therapy is “not working” if the child is still stuttering, or even that the child is “not putting in the work” or “not trying hard enough.” These misconceptions are prevalent when family members don’t understand the variable nature of stuttering and the fact that communication ease, confidence, and freedom are the primary goals of therapy. More fluency may come as a byproduct of the child knowing they’re not doing something wrong if they stutter and as they build greater confidence to talk and approach varied speaking situations, but what we value is unhindered communication. I guide parents/caregivers to share these valued outcomes with other family members. I also share documentaries about the stuttering experience when family members are open to learn. – Ana Paula
Hi Arin, Mandy, and Ana Paula, I appreciate all of you sharing your insights on the different shades of stuttering and the importance of focusing on both the client and their family during intervention. How do you think SLPs can effectively collaborate with parents of children who have just begun stuttering? How can they help parents understand that stuttering is something a
“part of the child’s identity” without appearing insensitive, especially if it’s initially something difficult for the parent to accept? Thank you.
@Ssolorio, I would say that I am not quick to discuss stuttering as part of the child’s identity early on because we often don’t know whether stuttering will resolve or persist. For very young children, I try to approach caregiver education and guidance so it’s a win-win situation for families, where parents feel equipped to navigate stuttering whether or not it resolves. Spero offers a helpful caregiver guide with 5 focus areas related to fostering communication, confidence, compassion, connection, and resilience, regardless of stuttering frequency and/or persistence. There’s also an accompanying educational video on Spero’s YouTube channel, and I feel this is a good starting point to foster productive discussions with parents about stuttering. – Ana Paula
Hello Arin, Mandy, and Ana Paula,
I wanted to say how helpful your article is to read on understanding the different shades of stuttering. Before reading it, I never thought that ‘Shades of stuttering’ consists of not only the individual who stutters, but also their family; family knows, what they fear, who they have found, and how the world responds when their child opens their mouth to speak. What do you think the impact when getting more information this?
Thank you for reading, @Saigecdebaca! I believe this understanding changes the trajectory of the child’s social and educational experiences, so the impact is significant! – Ana Paula
Hello @Saigecdebaca, thank you for reading and commenting. Knowledge is power! The more information a person has about stuttering, the better they can advocate, educate, and feel the freedom to live into who they are. That certainly doesn’t mean that stuttering becomes everything all the time, but it can be one of many “shades” or aspects of the whole person to live into.
Hello Arin, Mandy and Ana Paula. Thank you for sharing. As a future SLP, I am curious – How can SLPs help parents who are still experiencing fear or uncertainty move toward acceptance without making them feel like they are “wrong” for struggling with their child’s stuttering?
@lahamilton, this is an important question! Parents are on their own journeys when stuttering enters their world, so their fears and uncertainties are such normal reactions to an unknown. I first validate their feelings and emotions, and then I decide which resources I have at my disposal that might be useful to meet them where they are. Katherine Preston, author of “Out With It: How Stuttering Helped Me Find My Voice,” wrote an article many years ago entitled “Parenting a Stranger” (https://katherinepreston.com/parenting-a-stranger/). I appreciate her insights on parenting a child who is experiencing something entirely different than our personal experiences, and how we might grow. She states, “Children with marked difference from the rest of their family demand knowledge, competence and action that typical parents are often, initially, unqualified to supply. So how do you nurture a child who is alien to you and unlike anything you have ever experienced?” We can make a significant impact in how parents understand and approach stuttering, and in turn, nurture and support their children in the midst of it. – Ana Paula
Hello @lahamilton, thanks for your message! Yes, yes, yes to what Ana said about validating their feelings is so important. Learning that your child has a difference that you never expected and frankly likely never wanted for your kiddo is a very real and difficult thing to wrestle with. I cannot stress enough the impact that community has had on shaping and transforming my family’s shift toward a more stutter affirming and accepting attitude. Introducing parents to the many stuttering communities available to them (e.g. FRIENDS, NSA, SPACE, SAY, summer camps, etc.) can be so encouraging to parents because they learn that they are not alone in their journey.
Hello Arin, Mandy, and Ana Paula,
Thank you so much for sharing your experiences, and I appreciate your insight. As a current SLP graduate student, I am wondering how SLPs can advocate for children who stutter in a school setting, and what advice they could share with teachers and classmates to help them become a positive “light source” at school.
Hi Olivia, thanks for reading! Just like parents, teachers need to understand stuttering – what it is, what it’s not, and ways to create a safe space for talking and participating. There’s a great video called “Kids Who Stutter Support Teachers: Branch Out” (https://www.chmelacommunicationcenter.com/advocacy-guide). I share it often as a starting point for conversations and teacher education about stuttering. – Ana Paula
Hello Olivia, thanks for reading and commenting! I think that starting the school year with a handout, or even better an in person conversation, with the teacher about how the child feels most supported in the classroom/school is so helpful to providing education and resources to the teacher. It’s not an excuse, but you don’t know what you don’t know, and I think that like many people, teachers think that they are being well-intentioned when they tell a kid “It’s okay, just slow down. Take your time.” Or they intentionally skip over them to answer in class because they think that the kid would prefer that. Or they finish their sentence because they think that they are being helpful to save the kid from a stuttering moment. All this to say, getting ahead of the game at the beginning of the school year is crucial I think to combatting those negative stereotypes and assumptions about kids who stutter in the classroom. I also really like the resource that Ana shared. Another handout comes from the American Institute for Stuttering (AIS) called “Stuttering for Teachers.”
Hi Arin, Mandy, and Ana Paula! Thank you for sharing your article! I really enjoyed learning about how family attitudes and experiences can influence a child’s feelings about stuttering. How would you approach therapy if a child seems comfortable with their stuttering, but the parents are still concerned and want to continue therapy to focus on improving fluency?
Hi Arin, Mandy, and Ana Paula,
Thank you for sharing your insights on the importance of education and advocacy for people who stutter. What strategies would you recommend for helping clients recognize and communicate their individual experiences with stuttering, particularly when their personal perspectives on stuttering differ from those of their families?
@zavaleta and @SLPGradKR, you have similar questions that relate to when there are differing goals and priorities. I think much of that stems from lack of understanding and oftentimes fear of the unknown. Spero Stuttering offers two really helpful videos for caregivers that you might check out. The first one, Nurturing and Empowering Your Child Who Stutters, covers 5 focus areas that help parents look beyond fluency as the only valued outcome. The newest video walks through a Parent’s Perspective on their journey in coming to terms with stuttering. Both can be found on Spero’s YouTube channel (https://www.youtube.com/@sperostuttering). I hope these are helpful to you! – Ana Paula
@SLPGrad_GeeIgano also asked a similar question earlier in this thread. Here was my response. I hope it’s helpful.
I actually had this exact situation recently with a middle school-age girl and her mother. Mom was convinced that her daughter was “hiding” and “embarrassed to stutter,” which was why mom thought that she wasn’t “social enough” with her peers. After several sessions with the client where we spent a great deal of time talking about communication confidence in different settings, her thoughts, feelings, and actions related to moments of stuttering with friends, at school, and at home, and completing the OASES and Stuttering Anticipation Scale with scores on the positive side toward acceptance and open stuttering, I was able to approach mom with a lot of evidence to the contrary about her daughter. I shared with mom my observations and the “data” based on her daughters scores on the self-reported measures to paint a picture of a happy, confident child. I eventually brought the client into the conversation and facilitated a conversation between the two where the daughter shared openly with mom that “she doesn’t care that she stutters” and that “you don’t have to be so worried about me.” Mom was stunned but very accepting of what her daughter had to say. I discharged the client that day, and she left with a smile on her face!
Bottom line, I do think it takes time to understand the “why” behind what a parent wants, especially because 9/10 their desire for their child to “not stutter” is rooted in fear and a genuine desire for their child to not face hardship in life. I personally understand this struggle all too well, even years after making a significant shift toward stuttering acceptance for my now teenage son. At the end of the day though, the truth is that I also feel these same fears and worries for my neurotypical kiddos too but just about different things. Once a momma bear, always a momma bear!
Hi Arin, Mandy, and Ana Paula,
I really enjoyed reading your collaborative paper! I enjoyed your interpretations on the shades of stuttering and reflection on lightness. As a future clinician, what is your best advice on explaining to families what is stuttering and why it happens?
Hi Maree, glad you’re here! The Erasmus Clinical Model of Stuttering 2.0 (published in 2024 by Marie-Christine Franken and colleagues at Erasmus University Medical Center) is a framework designed to visualize and explain the onset, development, severity, and psychosocial impact of developmental stuttering for children, parents, and adult clients. I think you might find it helpful (https://pubmed.ncbi.nlm.nih.gov/38493582/). – Ana Paula
Hi Arin, Mandy, and Ana Paula, thank you for sharing this article! I was especially interested in the idea that a family’s understanding of stuttering is an ongoing cycle, with each new experience shaping their knowledge and responses. I also appreciated the emphasis on interconnectedness and the importance of positive sources of support. As SLPs, how can we help families navigate the challenges they are experiencing in the moment while also preparing them to approach future situations with greater confidence and understanding?
Thanks for reading, Waverly! I believe that seeking to understand their challenges through patient and attentive listening is key. Sometimes simply creating a safe place for parents to unburden their fears, worries, guilt, etc. makes all the difference in the world. As parents begin to understand stuttering more and more, we can be helpful guides in potential steps forward that feel empowering to them and their children. – Ana Paula
Hi Waverly, thanks for reading! I would recommend to parents that they join a parent/caregiver support group. FRIENDS is a great resource for this. https://friendswhostutter.org/virtual-parent-groups/
Hi Waverly! Thank you for reading our paper! I couldn’t agree more with Ana Paula. It’s all about honoring the parent’s journey, just as we do with a child, adolescent, or adult who stutters. Relationship is the foundation of any therapeutic alliance, and it starts with us as SLPs.
Part of that means letting go of the idea that we need to “fix” parents’ worries. It starts with staying curious. When we feel pressure to make fear disappear, we can rush to reassure or correct, which can leave parents feeling unheard. This may also invite us to reflect on our own relationship to fear, vulnerability, control, loss of control, etc. Releasing that urge lets us sit with their worries and simply be present and just listen. Ironically, that is often what allows parents to process and move through their thoughts and feelings, and it creates new space for light to come in.
Part of that light is compassion all around: for parents who are doing their best out of love, and for ourselves as SLPs, since we won’t have every answer and don’t need to. Self-compassion keeps us present and curious rather than defensive or feeling that we must have an answer for everything.
Finally, it is our responsibility to get and stay connected to the stuttering community so we can help families do the same. Organizations like Friends Who Stutter, the National Stuttering Association, the Stuttering Association for the Young, and SPACE Community and Arts offer families positive sources of support that extend far beyond the therapy room. There are so many options, virtual and in-person. :). That connection helps parents feel less alone in the present and builds the confidence and understanding they’ll carry into future situations.
Hi Arin, Mandy, and Ana! I really loved reading your guys perspective especially becoming a future SLP myself. My one question to you all from reading your article is, how can speechlanguage pathologists help parents recognize how their own fears and beliefs about how stuttering may influence their child’s confidence and willingness to communicate, while supporting both the parent and child in developing acceptance?
Hi Genesee, thanks for reading and commenting! I like using the Palin Parent Rating Scales (Palin PRS) to help caregivers identify their knowledge and confidence in relation to their child’s stutter as well as the impact it’s having on their child and the family. Check it out at https://www.palinprs.org.uk/secure/pprs_connect.php. – Ana Paula
Hi Genesee! Thank you so much for reading our paper and for your feedback!
I agree with Ana Paula! In addition to using the Vanderbilt Responses to Your Child’s Stuttering(VRYCS), The Impact of Stuttering on Children and Parents(ISPP), and Palin PRS, I also like to honor the parent’s experience before educating. Their wish to “fix” stuttering comes from love and fear, so I’d start by listening and validating (“Of course you’re worried, you want things to be easier for your child”) and asking what worries them most. Parents who feel heard are far more open to new information.
This also starts with the SLP. We don’t need to “fix” the parent’s worries either. When we feel pressure to make fear disappear, we can rush to reassure or correct, which can leave parents feeling unheard. Letting go of that urge lets us sit with their worries and be present, and ironically, that is often what allows change to happen. It also invites compassion all around: for parents doing their best out of love, and for ourselves as SLPs, since we won’t have every answer and don’t need to. Self-compassion keeps us present and curious rather than defensive or having to have an answer.
Hi Arin, Mandy, and Ana Paula!
I really appreciate how you emphasized that a family’s experience with stuttering is shaped by more than just the child’s speech. Also, I loved reading about how education and community can help shift that perspective. This has matched up well with what we have been learning in class.
I’m curious about how we can best support families who may initially approach stuttering with fear or a desire for fluency, especially when they may unintentionally be influencing their child’s views of their own stuttering.
Hi @kaperry! Spero offers a helpful caregiver guide and two educational videos (https://www.youtube.com/@sperostuttering) that I share often as a springboard for discussion. Fear is a normal reaction to the unknown, so open discussions and empathetic listening are really important as we help parents navigate their child’s stutter. – Ana Paula
Hi kaperry! Thank you so much for reading our paper and for your feedback! I’m so glad to hear you have been learning this in your class! Thanks to your professor, too! 🙂
In addition to what Ana Paula shared, I also want to share a response I shared with another student(above).
Parents are on their own journey of understanding. The first step is honoring the parent’s experience before educating. Their wish to “fix” stuttering comes from love and fear, so I’d start by listening and validating (“Of course you’re worried, you want things to be easier for your child”) and asking what worries them most. Parents who feel heard are far more open to new information.
This also starts with the SLP. We don’t need to “fix” the parent’s worries either. When we feel pressure to make fear disappear, we can rush to reassure or correct, which can leave parents feeling unheard. Letting go of that urge lets us sit with their worries and be present, and ironically, that is often what allows change to happen. It also invites compassion all around: for parents doing their best out of love, and for ourselves as SLPs, since we won’t have every answer and don’t need to. Self-compassion keeps us present and curious rather than defensive or having to have an answer.
From there, a solution-focused approach can shift the conversation from what’s wrong to what’s already working. Questions like “When does talking feel easier for your child?” or “If things were going well six months from now, what would you see?” position parents as experts on their child and let them define success beyond fluency.
Lastly, I’d pair this with updated stuttering education, going at the pace of the parent: stuttering is neurodevelopmental, not caused by parenting; it naturally varies; and avoidance and shame often affect a child more than the stuttering itself. Some parents will be ready for this right away, while others need more time with their worries first, and that’s okay. Connecting families with support organizations, other parents of children who stutter and, adults who stutter can also replace imagined worst-case futures with hopeful, real ones. Ultimately, acceptance and support go hand in hand, and when parents see that acceptance protects their child’s confidence to speak, it brings light to the darkness that they have been moving through.
I love this piece so much! The visualisation with the shade is so powerful. Thank you so much for putting this into my mind, and through me in the minds of so many clients!
Thank you for reading, Joeri, and for your encouraging words! – Ana Paula
Also this year you all managed to write a fabulous paper with so many gems!
Yes we come in so many shades. And unfortunately stuttering is still not out of the shade, even if the sun shines its light higher and higher, until it will finally come out from behind the mountains.
We need more SLPs like you all to listen and try to see the many different shades, who see a “cure” not as fluency, and “failure” not as more stuttered syllables (as this could mean the person is so full of fear and shame, s/he has become covert), but on being the person we truly are, saying what and how we feel OK saying it.
Thanks for sharing your wisdom, in your paper, but also in your replies.
Keep them talking and shine brightly
Anita Blom