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SLP Course Details

Course # 5126
CBT for Stuttering: Essential Skills for Changing Thoughts and Feelings

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This course is mobile compatible.

This is a student course.

Course Abstract

Avoidance, word changing, anticipatory anxiety, fear, and other cognitive and affective issues often create a barrier to permanent change for many people who stutter (pws). Treating these cognitive and affective issues have historically been the hardest aspects of stuttering therapy. Integrating counseling skills and therapeutic processes from cognitive psychology is necessary to help stabilize pws and facilitate the transfer of fluency out of the clinic and into the real world. This program will offer a close examination of the process by which stuttering progresses as cognitive and affective issues begin to take root, how the identity of a stutterer develops, and interview skills to ascertain the severity of these issues. Specific strategies for: conversational reframing, cognitive reorganization, eliminating fear and avoidance, empowering parents and teachers, and helping to minimize relapse will all be presented.
Disclosure: This learning event does not focus exclusively on any specific product or service.


Handouts are available for this course. You must be signed in and registered for this event to access them.

Course Learning Outcomes

  • After this course, participants will be able to describe how anxiety can trigger stuttering.
  • After this course, participants will be able to describe cognitive processes after a stutter that store “trauma” to memory.
  • After this course, participants will be able to identify five symptoms of cognitive or affective issues needing treatment.
  • After this course, participants will be able to label three therapeutic language patterns for conversational reframing.
  • After this course, participants will be able to identify strategies for parents and teachers to support change created in therapy.

Time-ordered Agenda

0-15 Minutes Overview
15-25 Minutes Evidence-based research and standardized tests
25-55 Minutes CBT in stuttering treatment
55-60 Minutes Closing remarks

Average Rating

(527 Ratings)

Most Recent Comments

Displaying 100 most recent comments out of 527 reviews

Review by: Graciela on January 23, 2015
Review by: Christine on December 31, 2014
Very thorough and included info for assessment.
Review by: Kristen on December 30, 2014
Very informative
Review by: Barbara on December 29, 2014
Techniques and considerations to add to my current knowledge
Review by: Elizabeth on December 10, 2014
It is always interesting to hear first-hand, from a person with stuttering, what they feel works and what doesn't work. Using some of these techniques makes sense in the bigger picture of therapy for pws.
Review by: Zulemy on October 8, 2014
Important to consider thoughts and feelings when working with a person who stutters. Good course!
Review by: Batya on October 2, 2014
very informative
Review by: Elinor on September 29, 2014
CBT use in therapy with practical applications
Review by: Karin on August 23, 2014
Great information.
Review by: Carlos on August 7, 2014
So much useful Information from someone with so much real experience!!!
Review by: Lucinda on July 29, 2014
it helped me with definitions of some useful terms that give me a better understanding of what to look for in my students and how to respond.
Review by: Renee on July 1, 2014
Good information that I will use
Review by: Cathryn on June 27, 2014
This is a new skill area for me, and I learned a lot. The references were very helpful to help learn Cognitive Reorganization techniques.
Review by: suzanne on June 10, 2014
awesome references
Review by: Juanita on January 20, 2014
Currently evaluating a 16 yo who stutters and also have three 4th grade boys who stutter on my caseload.
Review by: Kimberly on January 15, 2014
It gave a lot of interesting information. I'm not sure I followed the organization very well, and I'm not entirely confident in how to incorporate it into practice.
Review by: Laura on December 26, 2013
Many examples of application of CBT to pws.
Review by: Kristine on December 23, 2013
It was thorough and well organized.
Review by: Sandy on December 15, 2013
Great examples that I can use.
Review by: mary on December 5, 2013
good references and examples
Review by: Luanne on November 16, 2013
Good use of examples and handouts.
Review by: Virginia on October 21, 2013
Utilizing known modalities for making changes that are not specific to speech is a wonderful use of research and success!!
Review by: Gabriella on September 18, 2013
Very interesting perspective with a more holistic approach
Review by: Tahnya on September 2, 2013
gave test names and examples of therapy techniques
Review by: Marco on August 3, 2013
As a person who stutters, I related very well with this presenter.
Review by: Mr. Parrish on July 31, 2013
Concise information
Review by: Emily on July 28, 2013
Subject area covered.
Review by: Rae on July 7, 2013
One of the best courses I have taken -- provided well-supported material, innovative thinking, and addressed our mindsets, providing deep insight and concrete strategies for a challenging problem.
Review by: Kathleen on June 23, 2013
It's a topic I've thought about but not seen written about in detail by a SLP.
Review by: Robin on May 27, 2013
The presenter's personal insights and examples
Review by: Monica on April 11, 2013
Great correlation with cognitive development
Review by: Joan on March 23, 2013
Excellent content and everyday examples were very helpful
Review by: Jill on February 25, 2013
lots of good information-
Review by: Kimberly on February 19, 2013
useful information
Review by: Michelle on January 9, 2013
Thorough coverage of techniques
Review by: Deirdre on January 4, 2013
It covered a specific approach to stuttering and pointed out limitations to some treatment of stuttering.
Review by: Jessica on December 30, 2012
new approach / information - need to look more into recommended resources.
Review by: Lona on December 26, 2012
This course focused upon the cognitive/behavioral aspect of dysfluency, and challenged me to examine therapy in terms of the "whole" client, not just the stuttering behaviors.
Review by: Michele on December 22, 2012
so much info given that can be use
Review by: Anne on December 21, 2012
It provided a very useful combination of descriptions of stuttering behaviors and practical therapy approaches.
Review by: Lynne on December 20, 2012
It presented some information on stuttering I was not previously aware of.
Review by: Suanne on December 4, 2012
Important to know this information to include in therapy for stuttering!
Review by: Darla on December 2, 2012
I had the opportunity to attend one of Mr. Mackesey's stuttering courses in person (non on-line) about 6 years ago and he presented very valuable information then and did again in this presentation. It was a great refresher and he provided new information also. I love that he is a stutterer and can "walk in the shoes" of his patients and knows what works and what does not work for patients who stutter.
Review by: Edith Suzanne on November 28, 2012
Content was useful and informative. I felt that the information came from personal experience, insight ,and self-examination and training.
Review by: Serena on November 28, 2012
This cours offers the perspective and resource set necessary for addressing the client as a whole person, a concept often overlooked in a medical model.
Review by: Karra on November 25, 2012
This course provided new information about how to help clients who stutter and address the fear and anxiety that they have outside of therapy.
Review by: leslie on November 25, 2012
Expanded my knowledge and focus about stuttering.
Review by: Jason on October 24, 2012
very informative
Review by: mary ellen on October 23, 2012
Lots of good information around treating the whole individual
Review by: Keith on October 8, 2012
The presentation.
Review by: Emily on October 5, 2012
Engaging, nicely organized.
Review by: Karen on September 19, 2012
The topic is so very important to stuttering therapy. I need the tools and skills to help my clients with their fears about speaking. Mr. Mackesey's course provides some valuable information that I can begin to use to explore this topic further.
Review by: Ann M on August 31, 2012
I remember years ago reading several NLP books and I am pleased to see its integration with stuttering behaviors/treatent
Review by: Joy on August 14, 2012
lots of specific examples, ideas, references and encouragement
Review by: Kelly on August 14, 2012
Stuttering is a misunderstood communicative mode by SLPs, patients/families, and educators/medical staff. This presentation emphasizing the thoughts and feelings associated with a stutterer past, present and future is most appreciated.
Review by: Janet on July 30, 2012
very informative
Review by: Carol on July 24, 2012
The course content was very interesting and helped me realize that a client's anxiety may affect the success of fluency therapy. I feel that the course just touched on many different topics, and I would need to learn more to use the techniques effectively.
Review by: Susan on July 21, 2012
This was one of the most informative, state of the art courses that has been presented by speechpathology.com. We have to cross fertalize into other fields (NLP, psychology, cognition, linguistics, etc) in treating stuttering effectively and efficiently. This presenter has brought that information to SLPs to try and explore with PWS. Excellent course!
Review by: Amanda on July 4, 2012
Expanded my knoweledge of stuttering and provided new techniques I can use in the future.
Review by: Kathleen on June 27, 2012
Much new information presented.
Review by: Sean on June 27, 2012
Really well presented findings and considerations of what is happening phsyiologically and psychologically to the pws during moments of stuttering- better than I had ever read or heard before. Thank you.
Review by: Shannon on June 20, 2012
Good overview. Well-organized.Easy to follow.
Review by: Karen on June 18, 2012
The specific information on CBT was very helpful.
Review by: Lori on June 8, 2012
Always good to dispel some myths.
Review by: Victoria on June 1, 2012
Review by: Dana on June 1, 2012
Nice examples
Review by: Sherri on May 20, 2012
Passion and depth of information. Wonderful examples and theory with application.
Review by: Sherri on May 20, 2012
Passion and depth of information. Wonderful examples and theory with application.
Review by: Elaine on May 13, 2012
Many resources given to assist the clinician in planning therapy approaches
Review by: Dina on May 5, 2012
Thought provoking and very helpful! Great examples!
Review by: Erin on April 19, 2012
Very insightful! Great techniques.
Review by: Bethany on April 19, 2012
Some new therapy techniques offered that I haven't used before.
Review by: Rhonda on April 10, 2012
Useful information
Review by: Lynn on March 27, 2012
Interesting material that I can utilize with my clients/
Review by: Elizabeth N on March 26, 2012
Stressed the importance of dealing with feelings/anxiety regarding stuttering and how to talk with the student regarding this subject.
Review by: Jennifer on March 10, 2012
Really appreciate his personal perspective
Review by: Mohammad on March 10, 2012
Providing great examples that match the content of the course
Review by: Donna on March 2, 2012
Innovative ideas
Review by: Jane on February 25, 2012
clear & concise
Review by: Emily on February 20, 2012
Interesting insight into the use of CBT, which is applicable across all areas of speech pathology treatment and not limited only to treatment of stuttering.
Review by: Ashley on February 10, 2012
Very well presented. I loved the personal experience of the presenter. This will be a good tool for me to use with my students in speech therapy who stutter.
Review by: Lisa on February 9, 2012
Learned great insight from perspective of stutterer now professional treating those with the issue. Test questions required more in-depth reading and do not necessarily lead you to conclusions where you have learned the big-picture information.
Review by: Kimberly on February 7, 2012
Excellent organization of the material, interesting handouts, good references
Review by: Lee Ann on February 6, 2012
great presenter and well organized information
Review by: Katherine on February 5, 2012
It was really informative to hear how a stutter feels and reacts by someone who does it and who is in the SLP profession.
Review by: Nadine on February 3, 2012
Very good information and well presented.
Review by: Leane on February 2, 2012
It provided information on the emotional/behavioral/cognitive components of stuttering.
Review by: Carol on January 25, 2012
Well-presented with clear goals and treatment suggestions.
Review by: Julie on January 25, 2012
Very interesting, useful information
Review by: Kathryn on January 25, 2012
Good information
Review by: coretta on January 23, 2012
very enlightening and gived me a new perspective to working with my dysfluent students.
Review by: Lois on January 22, 2012
Very informative
Review by: Tiffany on January 20, 2012
This is a subject that has not been explored near enough...the association between stuttering & anxiety. Learning about using CBT to help treat stuttering was new and very interesting to me.
Review by: Belinda on January 16, 2012
This was one of the most informative courses I have taken....loved it
Review by: Beth on January 15, 2012
The presenter discussed many new ideas and methods that were "out of the box" in terms of treating the fears and anxieties of people who stutter.
Review by: Todd on January 14, 2012
This is an area I don't work with much in practice and want to learn more about, this course helped in that regard.
Review by: June on January 7, 2012
Good references were provided for more in depth study.
Review by: Lauren on January 5, 2012
Very helpful, insightful info...
Review by: Nita on January 5, 2012
That the author himself experience this first hand. He is credible because he is able to empathize. His presentation of the material is organized, easy to follow, and enjoyable. A great course.

Course Information

This is a Text course published on October 7, 2011 which you can save and print.

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Course Presenter

tim mackesey

Tim Mackesey, CCC-SLP, BRS-FD

Tim Mackesey, CCC-SLP, BRSFD is owner of Atlanta Area Stuttering Specialists- a full-time private practice dedicated to fluency disorders.  Tim has taught the graduate-level Fluency Disorders course at Georgia State University.  As a nationally and state certified Speech Language Pathologist (SLP) since 1992, he travels nationally and internationally presenting workshops on early intervention, stuttering therapy, and CBT.  Tim has published several articles in peer-reviewed professional journals. He served as a clinician at the Successful Stuttering Management Program (SSMP) at Eastern Washington University in 1991 and graduated from the Stuttering Workshop for Specialists at Northwestern University in 1995.  Tim has been interviewed on a number of television and radio programs related to stuttering.  He has been an expert witness in litigation that involves stuttering. Tim is formally recognized as a Board Recognized Specialist in fluency disorders and aSpecialist Mentor.  As a certified master practitioner of Neuro Linguistic Programming (NLP), Tim integrates numerous unique strategies into therapy and teaching. 

Disclosure: This presenter has no relevant financial or nonfinancial relationships to disclose.

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please contact SpeechPathology.com toll free at 800-242-5183