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What is Stuttering?
Stuttering (also called stammering) is a speech difference characterised by disruptions in the flow of speech. These may include:
Repetitions (e.g., “w-w-want”)
Prolongations (e.g., “sssssee”)
Blocks (a pause where sounds feel “stuck”)
Stuttering can affect children and adults. It can also impact confidence, participation, and quality of life—especially when speaking situations feel pressured.
At Palms Physiotherapy & Allied Health, our speech pathologists provide individualised stuttering therapy to support smoother, easier communication and stronger speaking confidence.
The most common form, usually starting in early childhood as speech and language develop.
Stuttering that begins later in life, sometimes following neurological events (e.g., stroke or traumatic brain injury) or other health factors. Assessment helps clarify the profile and appropriate supports.
Stuttering is complex and can involve multiple contributing factors. Current understanding suggests it is influenced by a combination of:
Genetic factors (often runs in families)
Differences in speech–motor and language processing
Developmental factors (childhood onset is common)
Important: Stress and anxiety do not cause developmental stuttering, but they can increase stuttering severity for some people in certain situations.
Stuttering may involve:
Repeating sounds, syllables, or words
Prolonging sounds
Blocks or “getting stuck” on a word
Visible effort or tension when speaking
Avoiding words or speaking situations
Frustration, embarrassment, or worry about speaking
Stuttering can vary day-to-day and across situations (e.g., higher in meetings or when rushed).
Stuttering therapy is tailored to the person’s age, goals, and communication needs. Therapy may include:
Techniques that support smoother speech patterns (e.g., rate control, gentle onsets, and structured practice for carryover).
Helping people reduce struggle and tension during moments of stuttering and develop more confident, flexible communication.
Reducing avoidance
Building self-advocacy (e.g., “I sometimes stutter—give me a moment”)
Practising real-life speaking situations (school, work, phone calls)
For younger children, therapy often includes parent coaching and strategies to support communication at home and reduce pressure around talking.
Stuttering can affect confidence and participation. Where helpful, we can recommend referral pathways to appropriate mental health supports (e.g., psychology) alongside speech pathology therapy.
Early assessment and support can:
Improve communication confidence and participation
Reduce frustration and negative speaking experiences
Support the child and family with practical strategies
Reduce the risk of stuttering becoming more persistent or impactful over time
Therapy for teens and adults often targets:
Speaking confidence in high-demand settings (school, workplace, social situations)
Reducing effort and struggle
Building effective strategies for presentations, phone calls, and meetings
Managing avoidance and communication anxiety, when present
Speech Therapy (also called Speech Pathology) focuses on assessing, diagnosing, and treating communication and swallowing difficulties. At Palms Physiotherapy & Allied Health, our speech pathologists support children, teens, and adults to improve speech clarity, language skills, social communication, voice and fluency and swallowing safety.
Speech therapy can help with a wide range of concerns, including:
Speech delays in children: Supporting speech sound development, clarity, and age-appropriate communication.
Speech sound disorders: Including articulation (sound production) and phonological (sound patterns) difficulties.
Language disorders: Helping with both receptive language (understanding) and expressive language (using words and sentences).
Swallowing and feeding difficulties (dysphagia): Supporting people who have difficulty swallowing safely due to conditions such as stroke, traumatic brain injury, or neurological conditions.
Social communication differences: Supporting conversational skills, turn-taking, perspective-taking, and understanding non-verbal communication.
Stuttering and fluency disorders: Helping clients manage fluency, reduce effort/tension, and build confidence in communication.
Paediatric speech therapy supports children with speech, language, communication, and early literacy needs using evidence-based and child-friendly approaches. Sessions may be play-based (especially for younger children), while still being structured and goal-directed.
Common areas we support include:
Adult speech therapy supports adults with communication and swallowing needs related to neurological conditions, injury, medical events, or age-related changes. Therapy is practical, functional, and designed around everyday participation (home, work, community).
Common areas we support include:
NDIS speech therapy is available for self-managed and plan-managed participants. Therapy may focus on functional communication goals, speech clarity, social interaction and participation, and AAC support where required. We collaborate with participants, families, support coordinators, schools, and relevant providers to support practical, meaningful outcomes.
Dysphagia (swallowing) support helps when swallowing difficulties affect hydration, nutrition, safety and confidence with eating and drinking. Our speech pathologists can complete clinical assessments (as appropriate), provide strategies for safer swallowing, recommend targeted exercises when indicated, and support shared-care referral pathways with GPs/ENT/medical teams when needed.
Experienced Speech Pathologists: Skilled in paediatric and adult communication and swallowing support.
NDIS Provider (self- and plan-managed): Therapy is aligned to participant goals and everyday function.
Family-Centred Approach: We involve parents, carers, and supports where appropriate so strategies carry over into real life.
Collaborative, Multidisciplinary Care: We work alongside our broader allied health team when integrated support is beneficial.
Our sensory room and kids therapy gym can support therapy goals through a motivating, functional environment—particularly helpful for children who benefit from movement-based learning and sensory regulation strategies. These spaces may be used when clinically relevant to support engagement, attention, participation, and goal progress.
We offer speech pathology services in Perth, including our Malaga and Noranda clinics.
At Palms Physiotherapy & Allied Health, our experienced team is here to help children and adults manage their sensory condition and improve their quality of life.
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For additional information and resources on stuttering, visit these trusted Australian websites:
The Australian Stuttering Research Centre – Provides resources and research on stuttering in Australia.
www.stutteringresearch.org.au
Speech Pathology Australia – Information about stuttering and how speech pathologists can help.
www.speechpathologyaustralia.org.au
The McGuire Program Australia – Offers intensive stuttering programs across Australia.
www.mcguireprogramme.com
Better Health Channel – Detailed information about stuttering causes, symptoms, and treatments.
www.betterhealth.vic.gov.au
Stuttering Association for the Young (SAY) – Australian chapter supporting children who stutter.
www.say.org.au
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Important disclaimer: This webpage contains general information only and is not intended to be relied upon as personal clinical advice. While we aim to keep information accurate and up to date, it may not reflect the most current research or your individual circumstances. Palms Physiotherapy & Allied Health does not accept liability for decisions made based on this information without an individualised assessment by an appropriately qualified health professional. If you have concerns, please contact us to book an assessment or speak with your GP/medical team.