- Last edited on March 29, 2021
Differences
This shows you the differences between two versions of the page.
child:communication:childhood-onset-fluency-disorder [on April 12, 2019] |
child:communication:childhood-onset-fluency-disorder [on May 28, 2019] |
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===== Differential Diagnosis ===== | ===== Differential Diagnosis ===== | ||
- | * Sensory deficits | + | * **Sensory deficits** |
* Dysfluencies of speech can be caused by hearing impairment, sensory deficit, or a speech-motor deficit. Only when the speech dysfluencies are in excess of what is expected, should a diagnosis of childhood-onset fluency disorder be made. | * Dysfluencies of speech can be caused by hearing impairment, sensory deficit, or a speech-motor deficit. Only when the speech dysfluencies are in excess of what is expected, should a diagnosis of childhood-onset fluency disorder be made. | ||
- | * Normal speech dysfluencies | + | * **Normal speech dysfluencies** |
* Normal dysfluencies occur frequently in young children. This includes whole-word or phrase repetitions (e.g. - "I want, I want that toy!"), incomplete phrases, interjections, unfilled pauses, and parenthetical remarks. If these difficulties continue to increase in frequency or complexity with age, then childhood-onset fluency disorder is more likely. | * Normal dysfluencies occur frequently in young children. This includes whole-word or phrase repetitions (e.g. - "I want, I want that toy!"), incomplete phrases, interjections, unfilled pauses, and parenthetical remarks. If these difficulties continue to increase in frequency or complexity with age, then childhood-onset fluency disorder is more likely. | ||
- | * Medication side effects | + | * **Medication side effects** |
* Stuttering can occur as a side effect from medications. This should be correlated with a temporal history of exposure to the medication. | * Stuttering can occur as a side effect from medications. This should be correlated with a temporal history of exposure to the medication. | ||
- | * Adult-onset dysfluencies | + | * **Adult-onset dysfluencies** |
* If the dysfluency begins during or after adolescence, it is an diagnosed as adult-onset dysfluency instead. Adult-onset dysfluencies are usually due to a neurological insult, medical conditions, or mental disorders. It is not considered a DSM-5 diagnosis. | * If the dysfluency begins during or after adolescence, it is an diagnosed as adult-onset dysfluency instead. Adult-onset dysfluencies are usually due to a neurological insult, medical conditions, or mental disorders. It is not considered a DSM-5 diagnosis. | ||
- | * [[child:motor:tic-disorders|Tourette’s disorder]] | + | * **[[child:motor:tic-disorders|Tourette’s disorder]]** |
* The vocal tics and repetitive vocalizations from Tourette's disorder should be distinguished from the repetitive sounds of childhood-onset fluency disorder by their nature and timing. | * The vocal tics and repetitive vocalizations from Tourette's disorder should be distinguished from the repetitive sounds of childhood-onset fluency disorder by their nature and timing. | ||
===== Treatment ===== | ===== Treatment ===== |