SpeechPathology.com Phone: 800-242-5183

New master brand. Same great company. Introducing continued! Read Our Story

Therapy Source Career Center

Differences between Stuttering Modification and Fluency-Enhancing Strategies

Mark Allen, Ph.D,CCC-SLP

November 9, 2009



Can you describe the difference between stuttering modification strategies and fluency-enhancing techniques?


Stuttering modification strategies involve working directly with stuttering. These strategies help students to increase awareness of stuttered speech, examine and reduce physical tension, and ultimately change moments of stuttering. They help children to reduce struggle behaviors and stutter in a more relaxed way. Stuttering modification strategies can also decrease sensitivity about stuttering, reduce negative reactions, and increase feelings of control, openness, and acceptance. Stuttering modification strategies include techniques such as Catching the Stutter, Relaxing the Stutter, Slide, Easy Stuttering and Cancellation.

Fluency-enhancing strategies include techniques that alter students' breathing, speech rate, voice production, and articulation in ways that facilitate more fluent speech. When children experience more fluency, they often develop greater confidence about speaking. This can decrease negative reactions and promote even more fluency. Fluency-enhancing strategies include skills such as Relaxed Breath, Slow Stretched Speech, Smooth Movement, Easy Voice, Light Contact, and Stretched Speech.

School-age therapy that incorporates both stuttering modification and fluency-enhancing strategies offers the benefits of both approaches. Stuttered speech is directly modified and strong fluency skills are developed. Ultimately, this gives children more options for successfully managing their speech.

This Ask the Expert was taken from the course entitled: Essential Speech Skills for School-Age Children Who Stutter presented by Mark Allen, Ph.D. CCC-SLP.

Visit the SpeechPathology.com library to view all of our live, recorded, and text-based courses on a variety of topics.

Dr. Allen is the director of the Center for Stuttering Therapy, located in Evanston, Illinois. He has over 20 years experience working with children, adolescents, and adults who stutter. In 2000, Dr. Allen was among the Inaugural Cadre of speech-language pathologists to be recognized as a Fluency Specialist by the American Speech-Language Association's (ASHA) Special Commission on Fluency Disorders.

Related Courses

Creative Treatment for Children Who Stutter: Community-Centered Assessment and Intervention
Presented by Craig Coleman, MA, CCC-SLP, BCS-F


Craig Coleman, MA, CCC-SLP, BCS-F
Course: #6499 1 Hour
  'The additional websites and examples for a treatment plan'   Read Reviews
We are moving into an era where family-centered intervention may not be sufficient to serve the needs of children who stutter. As the healthcare and school service delivery models change, it will be critical to provide community-centered assessment and treatment. This course will discuss specific assessment and treatment activities to utilize as part of a community-centered approach to stuttering.

Fluency Disorders in the ASD Population
Presented by Kathleen Scaler Scott, PhD, CCC-SLP


Kathleen Scaler Scott, PhD, CCC-SLP
Course: #6580 1 Hour
  'topic is very pertinent and not much information out there'   Read Reviews
This course will present the latest information regarding what is known and unknown about the presence, possible causes, and potential effective treatments of fluency disorders in Autism Spectrum Disorders (ASDs). Advanced review of cognitive features of ASDs which may play a role in assessment and treatment of disfluencies will be discussed. Examples of practical application of existing information will be presented.

Stuttering Therapy: Empowering SLP’s to Overcome the Impossible in Treating Negative Beliefs and Feelings
Presented by Marilee Fini, M.A., CCC-SLP


Marilee Fini, M.A., CCC-SLP
Course: #6664 1 Hour
  'It addresses an aspect of stuttering therapy that may be overlooked or that SLPs may not be as knowledgeable in or as confident in'   Read Reviews
That’s impossible! How many times have we said or thought this in regards to treating negative beliefs and feelings related to stuttering? Through the eyes of a speech pathologist who has struggled with stuttering, you will acquire strategies for making it POSSIBLE to treat the emotional component of stuttering. Easy, straightforward techniques for addressing negative beliefs and feelings will be discussed.

Stuttering: Overcoming the Impossible in Therapy and Evaluation
Presented by Marilee Fini, M.A., CCC-SLP


Marilee Fini, M.A., CCC-SLP
Course: #6674 1 Hour
  'provieded effective techniques that can be applied and an understanding of the whole disorder'   Read Reviews
That’s impossible! How many times have we said this when it comes to evaluation and treatment of stuttering? Effective ways to evaluate and treat stuttering for children and adults will be discussed. This will all be done through the eyes of a Speech Pathologist who has struggled with stuttering and understands speech therapy both personally and professionally.

EBP for Working with Adults Who Stutter: Four Clinical Profiles
Presented by Lisa R. LaSalle, Ph.D., CCC-SLP


Lisa R. LaSalle, Ph.D., CCC-SLP
Course: #6694 1 Hour
  'informative and useful'   Read Reviews
Evidence-based practice (EBP), including the most current research, is used to identify and describe four challenging clinical profiles of adult clients who stutter: (1) Adults who stutter (AWS) and have had little to no therapy prior to the time they seek you out; (2) AWS who are bilingual; (3) AWS who show signs of covert stuttering; (4) AWS looking for augmentative aids or alternatives to speech therapy (medications, SpeechEasy, support groups, etc).