Pediatric & adult
Fluency & Stuttering Therapy
Stuttering is a neurological difference in speech production — not a sign of anxiety, low intelligence, or anything a parent did wrong. Therapy helps people who stutter speak with more ease, confidence, and self-acceptance.
Stuttering affects about 1% of adults and up to 5% of young children at some point in development. Many children recover naturally — but for those who don't, early therapy can make a meaningful difference. For older children, teens, and adults who stutter, therapy is less about eliminating stuttering and more about communicating with confidence and ease.
For young children: the Lidcombe Program
Timing matters more than intensity: children who begin Lidcombe within 12 months of stutter onset respond fastest. Waiting "to see if it resolves" can narrow that window.
The Lidcombe Program is an evidence-based, parent-delivered therapy for young children who stutter. Parents learn to provide specific, gentle feedback during daily conversations. The program is conducted under the guidance of the speech-language pathologist and is supported by decades of research showing strong outcomes for children ages 3–6.
For older children, teens, and adults
Therapy for older speakers typically combines:
- Fluency-shaping techniques — adjusting breathing, rate, and phonation to support smoother speech
- Stuttering modification — learning to stutter more easily and move through moments of disfluency with less struggle
- Cognitive and emotional work — addressing the avoidance, shame, and anxiety that often build up over years of stuttering
- Self-advocacy — disclosure, managing listener reactions, and owning your voice
The goal is confident communication
We do not promise perfect fluency—that is rarely a realistic or meaningful goal for adults who stutter. Instead, we focus on real progress: reducing avoidance, minimizing physical tension, expanding the speaking situations you feel comfortable in, and cultivating a healthier relationship with your own voice.
Confidence, not perfection.
Tell us what stuttering looks like in your daily life — and what you'd like to change. We'll explain what realistic progress looks like for your age and history.
- Consultation — by phone
- Child to adult — Lidcombe for ages 3–6, four-pillar work for older patients
- Teletherapy — serving CA, TX, and ID
Signs Fluency Disorders (Stuttering and Cluttering) therapy may help
- Repetitions of sounds, syllables, or whole words
- Prolongations of sounds (ssssssometimes)
- Blocks — moments where no sound comes out
- Physical tension or secondary behaviors (eye blinks, head movements)
- Avoidance of certain words or speaking situations
- Frustration or anxiety about talking
How ReImagine treats fluency disorders (stuttering and cluttering)
For young children, we work with parents on indirect approaches (like the Lidcombe Program) that gently shape fluency through positive feedback in daily routines. For older children, teens, and adults, therapy combines fluency-shaping techniques, stuttering modification, and cognitive approaches that address the emotional relationship with stuttering. The goal is not 'perfect fluency' — it's confident, authentic communication.