May 2019 By PsychDB.com

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child:communication:childhood-onset-fluency-disorder [April 2019]
PsychDB.com
child:communication:childhood-onset-fluency-disorder [May 2019] (current)
PsychDB.com [Differential Diagnosis]
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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 =====