Parent question
Is it stuttering or normal hesitation?
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The short answer
Most young children hesitate, say “uh”, or repeat whole phrases while they learn to talk, and that’s typical. Repeating parts of words (“b-b-ball”), stretching sounds, getting stuck, or talking with visible tension are signs of stuttering. Stuttering usually starts between 2 and 6, and most children recover, but it’s worth seeing a speech-language pathologist (SLP) if it lasts several months, your child struggles or seems upset, or stuttering runs in the family.
Typical disfluency vs stuttering
| Usually typical | Signs of stuttering |
|---|---|
| Hesitations and fillers (“uh”, “um”) | Repeating part of a word or a sound (“b-b-ball”) |
| Repeating a phrase (“I want — I want that”) | Stretching a sound (“ssssun”) |
| Revising a sentence midway | Getting stuck with no sound coming out (a block) |
| Repeating short whole words, or speaking with physical tension or struggle |
How common it is, and how many recover
- Stuttering usually starts between ages 2 and 6, and about 5 to 10% of children stutter for a period (NIDCD).
- NIDCD says about 75% of children recover; ASHA cites estimates of about 88 to 91%, and lower figures when children’s own reports are counted.
- In a community study of 1,619 Australian children, 11% had started stuttering by age 4. Recovery within the first year was uncommon, and children who stuttered had, on average, stronger language skills (Reilly et al., 2013).
Signs it may persist
- It’s lasted more than 6 to 12 months since it started (ASHA; NIDCD suggests an evaluation after 3 to 6 months).
- Stuttering runs in the family, or it started at 3½ or later (ASHA).
- Your child shows tension or struggle, like eye blinking or head nodding, or seems frustrated or embarrassed (ASHA).
- There are other speech or language concerns as well (ASHA).
In a study of 67 children, time since onset, speech sound and language skills, and severity together helped predict which children would keep stuttering (Singer et al., 2022). An SLP can weigh these for your child.
How to help at home
- Speak in an unhurried way, with pauses (Stuttering Foundation; NIDCD).
- Ask fewer questions, and take turns talking and listening (Stuttering Foundation).
- Don’t finish your child’s words or sentences for them (NIDCD; ASHA).
- Listen to what your child says, not how they say it.
Questions parents ask
Will my child grow out of stuttering?
Most children do. Estimates range from about 75% (NIDCD) to around 90% (ASHA). An SLP can help judge whether your child is likely to recover or would benefit from therapy.
When should I take my child to a speech therapist for stuttering?
If it’s lasted several months, your child struggles or seems upset, it runs in the family, or you’re worried. NIDCD suggests an evaluation after 3 to 6 months.
Should I finish my child’s words to help them?
No. NIDCD advises against completing a child’s sentences, and ASHA lists finishing words among the things that may make stuttering worse. Wait patiently and keep listening.
Sources
- NIDCD (NIH): Stuttering.
- ASHA Practice Portal: Fluency disorders.
- ASHA: Stuttering.
- Yairi, E., & Ambrose, N. (2013). Epidemiology of stuttering: 21st century advances. Journal of Fluency Disorders, 38(2), 66–87.
- Reilly, S., Onslow, M., Packman, A., et al. (2013). Natural history of stuttering to 4 years of age: A prospective community-based study. Pediatrics, 132(3), 460–467.
- Singer, C. M., Otieno, S., Chang, S.-E., & Jones, R. M. (2022). Predicting persistent developmental stuttering using a cumulative risk approach. Journal of Speech, Language, and Hearing Research, 65(1), 70–95.
- The Stuttering Foundation: 7 tips for talking with your child.