Cluttering is a disruption in speech fluency but is different than stuttering. Cluttering presents with significant breaks in the flow of speech with:

· Disorganized planning of speech; may sound confusing in conversation; overall difficult to understand 

· Speaking too quickly or in uneven spurts

· Possibly unsure of what to say

· May occur along with stuttering

· May be other symptoms such as language difficulties, phonological errors, or attention deficits

· Excessive levels of revisions or interjections 

· Little or not apparent physical struggle to speak

· Seems to talk “too fast” and sounds “jerky”

· Pauses in speech that are too short, too long, or improperly placed

· Mispronunciation or slurring of speech sounds or dropping off syllables in longer words

The speech-language pathologist conducts a thorough assessment and develops a treatment approach that addresses contributing problems such as speaking rate, misplaced pauses, pronunciation and language concerns, and fluency. 

Related therapies to treat this condition:

Family Communication Skills Therapy

Family Communication Skills Therapy is a combined indirect and direct treatment approach for children who stutter and their families.

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Fluency Plus Program

The Fluency Plus Program was developed for the child who has confirmed stuttering. 

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This is a behavioural treatment for young children who stutter, administered by a parent/caregiver in the child’s everyday environment.

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Palin Parent-Child Interaction Therapy

PCI is a combined indirect and direct treatment approach for young children who stutter (aged seven years and under) and their families.

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Solution Focused Brief Therapy

Solution Focused Brief Therapy is an approach to stuttering intervention that can be useful for teenagers and adults. 

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