Sandbox/stuttering

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]

Diagnostic Criteria

DSM-V Diagnostic Criteria for stuttering[1]

  • A. Disturbances in the normal fluency and time patterning of speech that are inappropriate for the individual’s age and language skills, persist over time, and are characterized by frequent and marked occurrences of one (or more) of the following:
  • 1. Sound and syllable repetitions.
  • 2. Sound prolongations of consonants as well as vowels.
  • 3. Broken words (e.g., pauses within a word).
  • 4. Audible or silent blocking (filled or unfilled pauses in speech).
  • 5. Circumlocutions (word substitutions to avoid problematic words).
  • 6. Words produced with an excess of physical tension.
  • 7. Monosyllabic whole-word repetitions (e.g., “I-I-I-I see him”).

AND

  • B. The disturbance causes anxiety about speaking or limitations in effective communication,social participation, or academic or occupational performance, individually or in any combination.

AND

  • C. The onset of symptoms is in the early developmental period.

AND

  • D. The disturbance is not attributable to a speech-motor or sensory deficit, dysfluency associated with neurological insult (e.g., stroke, tumor, trauma), or another medical condition

and is not better explained by another mental disorder.


References

  1. Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.


Risk Factors

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [3]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [4]

Overview

Risk factors for stuttering includes--,----,and---among others.

Risk Factors

  • First-degree biological relatives of individuals with childhood-onset fluency disorder.[1]

Differential Disorder

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [5]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [6]

Overview

Stuttering must be differentiated from other diseases such as adult onset dysfluencies, medication side effects, sensory deficits,and tourette's disorder.[1]

Differential Diagnosis

  • Adult-onset dysfluencies
  • Medication side effects
  • Normal speech dysfluencies
  • Sensory deficits
  • Tourette’s disorder[1]
  1. 1.0 1.1 1.2 Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.