If a preschool child has phonological difficulties in addition to their stuttering do you always start with the Lidcombe Program first? Are there times when you feel that the phonology should be addressed before the stuttering?

In general I would start with the stuttering therapy because the literature indicates that therapy should take 4 – 6 months in most cases to get to Stage 2. There are cases however where I would address the phonology first. These would be if the child’s speech was unintelligible or if it was affecting buy ativan lorazepam online their interactions with others more than the stutter. I would keep in mind that the timing of treatment for stuttering should be within the preschool years, as once the child is of school age, the evidence for stuttering treatment is not as good.